rs31668

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000443.4(ABCB4):​c.2211+16C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.916 in 1,613,788 control chromosomes in the GnomAD database, including 678,063 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.92 ( 64300 hom., cov: 31)
Exomes 𝑓: 0.92 ( 613763 hom. )

Consequence

ABCB4
NM_000443.4 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: -1.67

Publications

14 publications found
Variant links:
Genes affected
ABCB4 (HGNC:45): (ATP binding cassette subfamily B member 4) The membrane-associated protein encoded by this gene is a member of the superfamily of ATP-binding cassette (ABC) transporters. ABC proteins transport various molecules across extra- and intra-cellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, White). This protein is a member of the MDR/TAP subfamily. Members of the MDR/TAP subfamily are involved in multidrug resistance as well as antigen presentation. This gene encodes a full transporter and member of the p-glycoprotein family of membrane proteins with phosphatidylcholine as its substrate. The function of this protein has not yet been determined; however, it may involve transport of phospholipids from liver hepatocytes into bile. Alternative splicing of this gene results in several products of undetermined function. [provided by RefSeq, Jul 2008]
ABCB4 Gene-Disease associations (from GenCC):
  • progressive familial intrahepatic cholestasis type 3
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, Orphanet
  • gallbladder disease 1
    Inheritance: SD, AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet
  • pancreatitis
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.85).
BP6
Variant 7-87423890-G-A is Benign according to our data. Variant chr7-87423890-G-A is described in ClinVar as Benign. ClinVar VariationId is 256161.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.925 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ABCB4NM_000443.4 linkc.2211+16C>T intron_variant Intron 17 of 27 ENST00000649586.2 NP_000434.1 P21439-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ABCB4ENST00000649586.2 linkc.2211+16C>T intron_variant Intron 17 of 27 NM_000443.4 ENSP00000496956.2 P21439-2

Frequencies

GnomAD3 genomes
AF:
0.918
AC:
139627
AN:
152096
Hom.:
64255
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.933
Gnomad AMI
AF:
0.979
Gnomad AMR
AF:
0.927
Gnomad ASJ
AF:
0.901
Gnomad EAS
AF:
0.708
Gnomad SAS
AF:
0.889
Gnomad FIN
AF:
0.936
Gnomad MID
AF:
0.940
Gnomad NFE
AF:
0.922
Gnomad OTH
AF:
0.921
GnomAD2 exomes
AF:
0.897
AC:
225437
AN:
251260
AF XY:
0.898
show subpopulations
Gnomad AFR exome
AF:
0.936
Gnomad AMR exome
AF:
0.878
Gnomad ASJ exome
AF:
0.896
Gnomad EAS exome
AF:
0.706
Gnomad FIN exome
AF:
0.926
Gnomad NFE exome
AF:
0.925
Gnomad OTH exome
AF:
0.911
GnomAD4 exome
AF:
0.915
AC:
1337974
AN:
1461574
Hom.:
613763
Cov.:
48
AF XY:
0.915
AC XY:
665006
AN XY:
727096
show subpopulations
African (AFR)
AF:
0.939
AC:
31418
AN:
33468
American (AMR)
AF:
0.883
AC:
39498
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.896
AC:
23399
AN:
26126
East Asian (EAS)
AF:
0.705
AC:
27977
AN:
39688
South Asian (SAS)
AF:
0.889
AC:
76684
AN:
86256
European-Finnish (FIN)
AF:
0.928
AC:
49579
AN:
53410
Middle Eastern (MID)
AF:
0.921
AC:
5310
AN:
5764
European-Non Finnish (NFE)
AF:
0.926
AC:
1029432
AN:
1111760
Other (OTH)
AF:
0.906
AC:
54677
AN:
60380
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
6112
12224
18336
24448
30560
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
21518
43036
64554
86072
107590
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.918
AC:
139728
AN:
152214
Hom.:
64300
Cov.:
31
AF XY:
0.919
AC XY:
68343
AN XY:
74406
show subpopulations
African (AFR)
AF:
0.933
AC:
38762
AN:
41546
American (AMR)
AF:
0.926
AC:
14160
AN:
15284
Ashkenazi Jewish (ASJ)
AF:
0.901
AC:
3130
AN:
3472
East Asian (EAS)
AF:
0.709
AC:
3665
AN:
5168
South Asian (SAS)
AF:
0.888
AC:
4277
AN:
4814
European-Finnish (FIN)
AF:
0.936
AC:
9919
AN:
10596
Middle Eastern (MID)
AF:
0.939
AC:
276
AN:
294
European-Non Finnish (NFE)
AF:
0.922
AC:
62706
AN:
68014
Other (OTH)
AF:
0.918
AC:
1940
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
574
1148
1722
2296
2870
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
906
1812
2718
3624
4530
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.920
Hom.:
111577
Bravo
AF:
0.915
Asia WGS
AF:
0.820
AC:
2850
AN:
3476

ClinVar

Significance: Benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5
-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Dec 02, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Jan 24, 2018
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Cholestasis, intrahepatic, of pregnancy, 3 Benign:1
Jul 14, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Progressive familial intrahepatic cholestasis type 3 Benign:1
Jul 14, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.85
CADD
Benign
0.55
DANN
Benign
0.49
PhyloP100
-1.7
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs31668; hg19: chr7-87053206; COSMIC: COSV55935714; COSMIC: COSV55935714; API