rs33918808

Variant summary

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

The NM_005502.4(ABCA1):​c.3516G>C​(p.Glu1172Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0357 in 1,614,132 control chromosomes in the GnomAD database, including 1,919 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E1172G) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.069 ( 686 hom., cov: 32)
Exomes 𝑓: 0.032 ( 1233 hom. )

Consequence

ABCA1
NM_005502.4 missense

Scores

3
15

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 0.898

Publications

39 publications found
Variant links:
Genes affected
ABCA1 (HGNC:29): (ATP binding cassette subfamily A member 1) 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 intracellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, White). This protein is a member of the ABC1 subfamily. Members of the ABC1 subfamily comprise the only major ABC subfamily found exclusively in multicellular eukaryotes. With cholesterol as its substrate, this protein functions as a cholesteral efflux pump in the cellular lipid removal pathway. Mutations in both alleles of this gene cause Tangier disease and familial high-density lipoprotein (HDL) deficiency. [provided by RefSeq, Sep 2019]
ABCA1 Gene-Disease associations (from GenCC):
  • hypoalphalipoproteinemia, primary, 1
    Inheritance: AD Classification: DEFINITIVE, LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • Tangier disease
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Orphanet
  • apolipoprotein A-I deficiency
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

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 (MetaRNN=0.0016642511).
BP6
Variant 9-104817351-C-G is Benign according to our data. Variant chr9-104817351-C-G is described in ClinVar as Benign. ClinVar VariationId is 364416.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.17 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ABCA1NM_005502.4 linkc.3516G>C p.Glu1172Asp missense_variant Exon 24 of 50 ENST00000374736.8 NP_005493.2 O95477B7XCW9B2RUU2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ABCA1ENST00000374736.8 linkc.3516G>C p.Glu1172Asp missense_variant Exon 24 of 50 1 NM_005502.4 ENSP00000363868.3 O95477
ABCA1ENST00000678995.1 linkc.3463-47G>C intron_variant Intron 23 of 49 ENSP00000504612.1 A0A7I2V5U0

Frequencies

GnomAD3 genomes
AF:
0.0687
AC:
10455
AN:
152150
Hom.:
686
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.173
Gnomad AMI
AF:
0.00439
Gnomad AMR
AF:
0.0393
Gnomad ASJ
AF:
0.0415
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.0170
Gnomad FIN
AF:
0.0271
Gnomad MID
AF:
0.0949
Gnomad NFE
AF:
0.0294
Gnomad OTH
AF:
0.0631
GnomAD2 exomes
AF:
0.0348
AC:
8752
AN:
251472
AF XY:
0.0320
show subpopulations
Gnomad AFR exome
AF:
0.175
Gnomad AMR exome
AF:
0.0202
Gnomad ASJ exome
AF:
0.0379
Gnomad EAS exome
AF:
0.000326
Gnomad FIN exome
AF:
0.0250
Gnomad NFE exome
AF:
0.0291
Gnomad OTH exome
AF:
0.0353
GnomAD4 exome
AF:
0.0323
AC:
47163
AN:
1461864
Hom.:
1233
Cov.:
32
AF XY:
0.0315
AC XY:
22912
AN XY:
727234
show subpopulations
African (AFR)
AF:
0.177
AC:
5924
AN:
33476
American (AMR)
AF:
0.0217
AC:
969
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0412
AC:
1077
AN:
26136
East Asian (EAS)
AF:
0.0000756
AC:
3
AN:
39700
South Asian (SAS)
AF:
0.0223
AC:
1923
AN:
86254
European-Finnish (FIN)
AF:
0.0247
AC:
1321
AN:
53414
Middle Eastern (MID)
AF:
0.0678
AC:
391
AN:
5768
European-Non Finnish (NFE)
AF:
0.0298
AC:
33170
AN:
1111998
Other (OTH)
AF:
0.0395
AC:
2385
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
2804
5607
8411
11214
14018
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1338
2676
4014
5352
6690
<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:
0.0688
AC:
10471
AN:
152268
Hom.:
686
Cov.:
32
AF XY:
0.0667
AC XY:
4963
AN XY:
74446
show subpopulations
African (AFR)
AF:
0.173
AC:
7196
AN:
41520
American (AMR)
AF:
0.0392
AC:
600
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.0415
AC:
144
AN:
3472
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5176
South Asian (SAS)
AF:
0.0168
AC:
81
AN:
4832
European-Finnish (FIN)
AF:
0.0271
AC:
288
AN:
10616
Middle Eastern (MID)
AF:
0.0918
AC:
27
AN:
294
European-Non Finnish (NFE)
AF:
0.0294
AC:
1998
AN:
68028
Other (OTH)
AF:
0.0624
AC:
132
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
462
925
1387
1850
2312
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
108
216
324
432
540
<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:
0.0345
Hom.:
126
Bravo
AF:
0.0735
TwinsUK
AF:
0.0272
AC:
101
ALSPAC
AF:
0.0231
AC:
89
ESP6500AA
AF:
0.161
AC:
710
ESP6500EA
AF:
0.0317
AC:
273
ExAC
AF:
0.0382
AC:
4636
Asia WGS
AF:
0.0250
AC:
89
AN:
3478
EpiCase
AF:
0.0322
EpiControl
AF:
0.0298

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Oct 01, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 11257261, 24503134, 20880529) -

-
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

- -

ABCA1-related disorder Benign:1
Mar 01, 2019
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Cardiovascular phenotype Benign:1
Apr 30, 2019
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Tangier disease Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -

Hypoalphalipoproteinemia, primary, 1 Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to rule this variant out of causing disease. Therefore, this variant is classified as benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.54
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
21
DANN
Benign
0.97
DEOGEN2
Benign
0.30
T
Eigen
Benign
-0.49
Eigen_PC
Benign
-0.29
FATHMM_MKL
Uncertain
0.88
D
LIST_S2
Benign
0.78
T
MetaRNN
Benign
0.0017
T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
1.7
L
PhyloP100
0.90
PrimateAI
Uncertain
0.73
T
PROVEAN
Benign
-0.49
N
REVEL
Uncertain
0.33
Sift
Benign
0.32
T
Sift4G
Benign
0.52
T
Polyphen
0.0010
B
Vest4
0.23
MutPred
0.25
Loss of sheet (P = 0.0315);
MPC
0.34
ClinPred
0.0074
T
GERP RS
4.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.26
gMVP
0.45
Mutation Taster
=91/9
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: rs33918808; hg19: chr9-107579632; COSMIC: COSV66065920; API