rs4148217

Variant summary

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

The NM_022437.3(ABCG8):​c.1199C>A​(p.Thr400Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.193 in 1,613,206 control chromosomes in the GnomAD database, including 31,756 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. T400T) has been classified as Benign.

Frequency

Genomes: 𝑓 0.22 ( 3926 hom., cov: 32)
Exomes 𝑓: 0.19 ( 27830 hom. )

Consequence

ABCG8
NM_022437.3 missense

Scores

18

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 1.85
Variant links:
Genes affected
ABCG8 (HGNC:13887): (ATP binding cassette subfamily G member 8) The 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 White subfamily. The protein encoded by this gene functions to exclude non-cholesterol sterol entry at the intestinal level, promote excretion of cholesterol and sterols into bile, and to facilitate transport of sterols back into the intestinal lumen. It is expressed in a tissue-specific manner in the liver, intestine, and gallbladder. This gene is tandemly arrayed on chromosome 2, in a head-to-head orientation with family member ABCG5. Mutations in this gene may contribute to sterol accumulation and atherosclerosis, and have been observed in patients with sitosterolemia. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.005831182).
BP6
Variant 2-43872294-C-A is Benign according to our data. Variant chr2-43872294-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 198902.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-43872294-C-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.275 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ABCG8NM_022437.3 linkc.1199C>A p.Thr400Lys missense_variant Exon 8 of 13 ENST00000272286.4 NP_071882.1 Q9H221-1
ABCG8NM_001357321.2 linkc.1196C>A p.Thr399Lys missense_variant Exon 8 of 13 NP_001344250.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ABCG8ENST00000272286.4 linkc.1199C>A p.Thr400Lys missense_variant Exon 8 of 13 1 NM_022437.3 ENSP00000272286.2 Q9H221-1
ABCG8ENST00000644611.1 linkc.1211C>A p.Thr404Lys missense_variant Exon 8 of 9 ENSP00000495423.1 A0A2R8Y6M1

Frequencies

GnomAD3 genomes
AF:
0.221
AC:
33571
AN:
151940
Hom.:
3916
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.280
Gnomad AMI
AF:
0.147
Gnomad AMR
AF:
0.275
Gnomad ASJ
AF:
0.225
Gnomad EAS
AF:
0.112
Gnomad SAS
AF:
0.150
Gnomad FIN
AF:
0.219
Gnomad MID
AF:
0.239
Gnomad NFE
AF:
0.187
Gnomad OTH
AF:
0.229
GnomAD3 exomes
AF:
0.212
AC:
52929
AN:
250160
Hom.:
6204
AF XY:
0.202
AC XY:
27393
AN XY:
135292
show subpopulations
Gnomad AFR exome
AF:
0.284
Gnomad AMR exome
AF:
0.349
Gnomad ASJ exome
AF:
0.229
Gnomad EAS exome
AF:
0.107
Gnomad SAS exome
AF:
0.148
Gnomad FIN exome
AF:
0.219
Gnomad NFE exome
AF:
0.190
Gnomad OTH exome
AF:
0.213
GnomAD4 exome
AF:
0.190
AC:
278140
AN:
1461148
Hom.:
27830
Cov.:
36
AF XY:
0.188
AC XY:
136853
AN XY:
726846
show subpopulations
Gnomad4 AFR exome
AF:
0.288
Gnomad4 AMR exome
AF:
0.342
Gnomad4 ASJ exome
AF:
0.228
Gnomad4 EAS exome
AF:
0.118
Gnomad4 SAS exome
AF:
0.147
Gnomad4 FIN exome
AF:
0.217
Gnomad4 NFE exome
AF:
0.184
Gnomad4 OTH exome
AF:
0.204
GnomAD4 genome
AF:
0.221
AC:
33612
AN:
152058
Hom.:
3926
Cov.:
32
AF XY:
0.223
AC XY:
16558
AN XY:
74310
show subpopulations
Gnomad4 AFR
AF:
0.280
Gnomad4 AMR
AF:
0.276
Gnomad4 ASJ
AF:
0.225
Gnomad4 EAS
AF:
0.112
Gnomad4 SAS
AF:
0.150
Gnomad4 FIN
AF:
0.219
Gnomad4 NFE
AF:
0.187
Gnomad4 OTH
AF:
0.229
Alfa
AF:
0.176
Hom.:
1634
Bravo
AF:
0.232
TwinsUK
AF:
0.182
AC:
675
ALSPAC
AF:
0.173
AC:
666
ESP6500AA
AF:
0.273
AC:
1202
ESP6500EA
AF:
0.192
AC:
1647
ExAC
AF:
0.207
AC:
25115
Asia WGS
AF:
0.189
AC:
658
AN:
3478
EpiCase
AF:
0.190
EpiControl
AF:
0.187

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5
Dec 12, 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

- -

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

- -

Apr 04, 2023
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

not provided Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

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

- -

Jul 05, 2018
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 24498041, 25525159, 11893785, 24691589) -

Sitosterolemia 1 Benign:2
Mar 06, 2018
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

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

- -

Cardiovascular phenotype Benign:1
Dec 03, 2018
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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.57
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
15
DANN
Benign
0.88
DEOGEN2
Benign
0.32
.;T;T
Eigen
Benign
-0.82
Eigen_PC
Benign
-0.79
FATHMM_MKL
Benign
0.12
N
LIST_S2
Benign
0.65
T;.;T
MetaRNN
Benign
0.0058
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.99
.;L;L
PrimateAI
Benign
0.32
T
PROVEAN
Benign
-1.4
.;.;N
REVEL
Benign
0.053
Sift
Benign
0.27
.;.;T
Sift4G
Benign
0.34
.;.;T
Polyphen
0.059
.;B;B
Vest4
0.20
MPC
0.017
ClinPred
0.0071
T
GERP RS
3.9
Varity_R
0.18
gMVP
0.58

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs4148217; hg19: chr2-44099433; COSMIC: COSV55393511; API