rs4634

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP7BA1BP4

This summary comes from the ClinGen Evidence Repository: After a comprehensive literature search of the synonymous variant NM_000212.3(ITGB3):c.1545G>A (p.Arg515=), no individuals with Glanzmann thrombasthenia were reported with the variant. Moreover, the variant has a minor allele frequency of 0.3455 (6891/19946 alleles) in gnomAD, found in the East Asian population, which is considerably higher than the expected frequency of the disease(BA1). In silico predictor spliceAI revealed that the synonymous mutation is not expected to impact splicing and a PhyloP score of 0.285 shows that the nucleotide position is not highly conserved (BP4, BP7). In summary, this variant meets the criteria to be classified as Benign for autosomal recessive Glanzmann Thrombasthenia based on the ACMG/AMP criteria applied, as specified by the ClinGen PD VCEP: BA1, BP4, BP7 (PD VCEP specifications version 2.1). LINK:https://erepo.genome.network/evrepo/ui/classification/CA8623284/MONDO:0100326/011

Frequency

Genomes: 𝑓 0.29 ( 6387 hom., cov: 33)
Exomes 𝑓: 0.29 ( 61521 hom. )

Consequence

ITGB3
NM_000212.3 synonymous

Scores

2

Clinical Significance

Benign reviewed by expert panel B:7

Conservation

PhyloP100: 0.237
Variant links:
Genes affected
ITGB3 (HGNC:6156): (integrin subunit beta 3) The ITGB3 protein product is the integrin beta chain beta 3. Integrins are integral cell-surface proteins composed of an alpha chain and a beta chain. A given chain may combine with multiple partners resulting in different integrins. Integrin beta 3 is found along with the alpha IIb chain in platelets. Integrins are known to participate in cell adhesion as well as cell-surface mediated signalling. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

BP4
BP7
BA1

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ITGB3NM_000212.3 linkuse as main transcriptc.1545G>A p.Arg515= synonymous_variant 10/15 ENST00000559488.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ITGB3ENST00000559488.7 linkuse as main transcriptc.1545G>A p.Arg515= synonymous_variant 10/151 NM_000212.3 P1P05106-1
ITGB3ENST00000696963.1 linkuse as main transcriptc.1545G>A p.Arg515= synonymous_variant 10/14 P05106-2

Frequencies

GnomAD3 genomes
AF:
0.286
AC:
43520
AN:
152040
Hom.:
6378
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.265
Gnomad AMI
AF:
0.266
Gnomad AMR
AF:
0.280
Gnomad ASJ
AF:
0.282
Gnomad EAS
AF:
0.332
Gnomad SAS
AF:
0.295
Gnomad FIN
AF:
0.283
Gnomad MID
AF:
0.294
Gnomad NFE
AF:
0.297
Gnomad OTH
AF:
0.306
GnomAD3 exomes
AF:
0.286
AC:
71672
AN:
250356
Hom.:
10352
AF XY:
0.289
AC XY:
39068
AN XY:
135296
show subpopulations
Gnomad AFR exome
AF:
0.266
Gnomad AMR exome
AF:
0.230
Gnomad ASJ exome
AF:
0.291
Gnomad EAS exome
AF:
0.345
Gnomad SAS exome
AF:
0.293
Gnomad FIN exome
AF:
0.291
Gnomad NFE exome
AF:
0.294
Gnomad OTH exome
AF:
0.292
GnomAD4 exome
AF:
0.289
AC:
422143
AN:
1458868
Hom.:
61521
Cov.:
38
AF XY:
0.289
AC XY:
209879
AN XY:
725170
show subpopulations
Gnomad4 AFR exome
AF:
0.274
Gnomad4 AMR exome
AF:
0.235
Gnomad4 ASJ exome
AF:
0.288
Gnomad4 EAS exome
AF:
0.341
Gnomad4 SAS exome
AF:
0.294
Gnomad4 FIN exome
AF:
0.291
Gnomad4 NFE exome
AF:
0.290
Gnomad4 OTH exome
AF:
0.293
GnomAD4 genome
AF:
0.286
AC:
43552
AN:
152158
Hom.:
6387
Cov.:
33
AF XY:
0.285
AC XY:
21226
AN XY:
74366
show subpopulations
Gnomad4 AFR
AF:
0.265
Gnomad4 AMR
AF:
0.280
Gnomad4 ASJ
AF:
0.282
Gnomad4 EAS
AF:
0.333
Gnomad4 SAS
AF:
0.294
Gnomad4 FIN
AF:
0.283
Gnomad4 NFE
AF:
0.297
Gnomad4 OTH
AF:
0.303
Alfa
AF:
0.290
Hom.:
3354
Bravo
AF:
0.282
Asia WGS
AF:
0.337
AC:
1171
AN:
3478
EpiCase
AF:
0.297
EpiControl
AF:
0.304

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

not specified Benign:3
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Glanzmann thrombasthenia Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This 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. -
Benign, reviewed by expert panelcurationClinGen Platelet Disorders Variant Curation Expert Panel, ClinGenJan 17, 2023After a comprehensive literature search of the synonymous variant NM_000212.3(ITGB3):c.1545G>A (p.Arg515=), no individuals with Glanzmann thrombasthenia were reported with the variant. Moreover, the variant has a minor allele frequency of 0.3455 (6891/19946 alleles) in gnomAD, found in the East Asian population, which is considerably higher than the expected frequency of the disease(BA1). In silico predictor spliceAI revealed that the synonymous mutation is not expected to impact splicing and a PhyloP score of 0.285 shows that the nucleotide position is not highly conserved (BP4, BP7). In summary, this variant meets the criteria to be classified as Benign for autosomal recessive Glanzmann Thrombasthenia based on the ACMG/AMP criteria applied, as specified by the ClinGen PD VCEP: BA1, BP4, BP7 (PD VCEP specifications version 2.1). -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxJun 09, 2021- -
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.55
CADD
Benign
6.6
DANN
Benign
0.49

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: rs4634; hg19: chr17-45369789; COSMIC: COSV71383299; COSMIC: COSV71383299; API