rs4147830

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000350.3(ABCA4):​c.1240-14C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.465 in 1,576,202 control chromosomes in the GnomAD database, including 172,216 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.47 ( 17130 hom., cov: 31)
Exomes 𝑓: 0.46 ( 155086 hom. )

Consequence

ABCA4
NM_000350.3 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:17O:1

Conservation

PhyloP100: 0.185
Variant links:
Genes affected
ABCA4 (HGNC:34): (ATP binding cassette subfamily A 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 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. This protein is a retina-specific ABC transporter with N-retinylidene-PE as a substrate. It is expressed exclusively in retina photoreceptor cells, and the gene product mediates transport of an essental molecule, all-trans-retinal aldehyde (atRAL), across the photoreceptor cell membrane. Mutations in this gene are found in patients diagnosed with Stargardt disease, a form of juvenile-onset macular degeneration. Mutations in this gene are also associated with retinitis pigmentosa-19, cone-rod dystrophy type 3, early-onset severe retinal dystrophy, fundus flavimaculatus, and macular degeneration age-related 2. [provided by RefSeq, Sep 2019]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.66).
BP6
Variant 1-94078720-G-A is Benign according to our data. Variant chr1-94078720-G-A is described in ClinVar as [Benign]. Clinvar id is 99037.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-94078720-G-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.552 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ABCA4NM_000350.3 linkc.1240-14C>T intron_variant Intron 9 of 49 ENST00000370225.4 NP_000341.2 P78363Q6AI28
ABCA4NM_001425324.1 linkc.1240-14C>T intron_variant Intron 9 of 48 NP_001412253.1
LOC124904222XR_007066231.1 linkn.203-5009G>A intron_variant Intron 1 of 1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ABCA4ENST00000370225.4 linkc.1240-14C>T intron_variant Intron 9 of 49 1 NM_000350.3 ENSP00000359245.3 P78363
ABCA4ENST00000649773.1 linkc.1240-14C>T intron_variant Intron 9 of 18 ENSP00000496882.1 A0A3B3IRV8

Frequencies

GnomAD3 genomes
AF:
0.474
AC:
71857
AN:
151692
Hom.:
17122
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.478
Gnomad AMI
AF:
0.578
Gnomad AMR
AF:
0.514
Gnomad ASJ
AF:
0.534
Gnomad EAS
AF:
0.570
Gnomad SAS
AF:
0.483
Gnomad FIN
AF:
0.458
Gnomad MID
AF:
0.478
Gnomad NFE
AF:
0.452
Gnomad OTH
AF:
0.459
GnomAD3 exomes
AF:
0.486
AC:
122181
AN:
251464
Hom.:
30182
AF XY:
0.481
AC XY:
65407
AN XY:
135904
show subpopulations
Gnomad AFR exome
AF:
0.475
Gnomad AMR exome
AF:
0.562
Gnomad ASJ exome
AF:
0.545
Gnomad EAS exome
AF:
0.564
Gnomad SAS exome
AF:
0.472
Gnomad FIN exome
AF:
0.458
Gnomad NFE exome
AF:
0.455
Gnomad OTH exome
AF:
0.485
GnomAD4 exome
AF:
0.464
AC:
661409
AN:
1424392
Hom.:
155086
Cov.:
27
AF XY:
0.464
AC XY:
329854
AN XY:
710954
show subpopulations
Gnomad4 AFR exome
AF:
0.473
Gnomad4 AMR exome
AF:
0.556
Gnomad4 ASJ exome
AF:
0.548
Gnomad4 EAS exome
AF:
0.582
Gnomad4 SAS exome
AF:
0.467
Gnomad4 FIN exome
AF:
0.459
Gnomad4 NFE exome
AF:
0.453
Gnomad4 OTH exome
AF:
0.480
GnomAD4 genome
AF:
0.474
AC:
71902
AN:
151810
Hom.:
17130
Cov.:
31
AF XY:
0.475
AC XY:
35251
AN XY:
74178
show subpopulations
Gnomad4 AFR
AF:
0.478
Gnomad4 AMR
AF:
0.514
Gnomad4 ASJ
AF:
0.534
Gnomad4 EAS
AF:
0.569
Gnomad4 SAS
AF:
0.483
Gnomad4 FIN
AF:
0.458
Gnomad4 NFE
AF:
0.452
Gnomad4 OTH
AF:
0.462
Alfa
AF:
0.464
Hom.:
10214
Bravo
AF:
0.480
Asia WGS
AF:
0.544
AC:
1893
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:17Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
Nov 07, 2014
Eurofins Ntd Llc (ga)
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

- -

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

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Aug 16, 2011
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. -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

not provided Benign:2Other:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Retina International
Significance: not provided
Review Status: no classification provided
Collection Method: literature only

- -

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

- -

Retinitis Pigmentosa, Recessive Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Stargardt Disease, Recessive Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Age related macular degeneration 2 Benign:1
Jul 14, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

ABCA4-related disorder 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. -

Severe early-childhood-onset retinal dystrophy Benign:1
Jul 14, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Cone-Rod Dystrophy, Recessive Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Retinitis pigmentosa 19 Benign:1
Jul 14, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Cone-rod dystrophy 3 Benign:1
Jul 14, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Macular degeneration Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
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
-0.66
CADD
Benign
9.8
DANN
Benign
0.77

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs4147830; hg19: chr1-94544276; API