rs281864909
Variant summary
Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2
The NM_000212.3(ITGB3):c.385C>A(p.Gln129Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,461,856 control chromosomes in the GnomAD database, with no homozygous occurrence. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. Q129L) has been classified as Uncertain significance.
Frequency
Consequence
NM_000212.3 missense
Scores
Clinical Significance
Conservation
Publications
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ACMG classification
Our verdict: Uncertain_significance. The variant received 2 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| ITGB3 | NM_000212.3 | c.385C>A | p.Gln129Lys | missense_variant | Exon 4 of 15 | ENST00000559488.7 | NP_000203.2 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| ITGB3 | ENST00000559488.7 | c.385C>A | p.Gln129Lys | missense_variant | Exon 4 of 15 | 1 | NM_000212.3 | ENSP00000452786.2 | ||
| ENSG00000259753 | ENST00000560629.1 | n.349C>A | non_coding_transcript_exon_variant | Exon 4 of 18 | 2 | ENSP00000456711.2 |
Frequencies
GnomAD3 genomes Cov.: 32
GnomAD2 exomes AF: 0.00000795 AC: 2AN: 251468 AF XY: 0.00000736 show subpopulations
GnomAD4 exome AF: 0.00000137 AC: 2AN: 1461856Hom.: 0 Cov.: 32 AF XY: 0.00000275 AC XY: 2AN XY: 727238 show subpopulations
GnomAD4 genome Cov.: 32
ClinVar
Submissions by phenotype
Glanzmann thrombasthenia Uncertain:1
After a comprehensive literature search, the missense variant NM_000212.3:c.385C>A (p.Gln129Lys) was not identified in any individuals with Glanzmann thrombasthenia. The highest population minor allele frequency in gnomAD v2.1.1 is .00002 (2/113754 alleles) in the European (Non-Finnish) population (PM2_supporting). The computational predictor REVEL gives a score of 0.408, which is intermediate between PP3 and BP4. The variant was identified in relation to severe neonatal alloimmune thrombocytopenia, where the variant was found to have normal surface expression in HEK-293 cells, though this assay use did not meet our criteria for BS3 specification. In summary, this variant meets the criteria to be classified as Uncertain significance - insufficient evidence for autosomal recessive inheritance of Glanzmann thrombasthenia based on the ACMG/AMP criteria applied, as specified by the ClinGen PD VCEP: PM2_Supporting (VCEP specifications version 2.1). -
not provided Uncertain:1
This sequence change replaces glutamine, which is neutral and polar, with lysine, which is basic and polar, at codon 129 of the ITGB3 protein (p.Gln129Lys). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individual(s) with neonatal alloimmune thrombocytopenia (PMID: 21896032). This variant is also known as p.Q103K. ClinVar contains an entry for this variant (Variation ID: 2498363). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt ITGB3 protein function with a negative predictive value of 80%. Experimental studies have shown that this missense change affects ITGB3 function (PMID: 21896032). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at