rs4634

Variant summary

Our verdict is Benign. The variant received -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:8

Conservation

PhyloP100: 0.237

Publications

29 publications found
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]
EFCAB13-DT (HGNC:55338): (EFCAB13 divergent transcript)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -10 ACMG points.

BP4
For more information check the summary or visit ClinGen Evidence Repository.
BP7
For more information check the summary or visit ClinGen Evidence Repository.
BA1
For more information check the summary or visit ClinGen Evidence Repository.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ITGB3NM_000212.3 linkc.1545G>A p.Arg515Arg synonymous_variant Exon 10 of 15 ENST00000559488.7 NP_000203.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ITGB3ENST00000559488.7 linkc.1545G>A p.Arg515Arg synonymous_variant Exon 10 of 15 1 NM_000212.3 ENSP00000452786.2
ENSG00000259753ENST00000560629.1 linkn.1509G>A non_coding_transcript_exon_variant Exon 10 of 18 2 ENSP00000456711.2

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
GnomAD2 exomes
AF:
0.286
AC:
71672
AN:
250356
AF XY:
0.289
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 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
African (AFR)
AF:
0.274
AC:
9152
AN:
33440
American (AMR)
AF:
0.235
AC:
10506
AN:
44678
Ashkenazi Jewish (ASJ)
AF:
0.288
AC:
7510
AN:
26050
East Asian (EAS)
AF:
0.341
AC:
13532
AN:
39630
South Asian (SAS)
AF:
0.294
AC:
25340
AN:
86190
European-Finnish (FIN)
AF:
0.291
AC:
15486
AN:
53248
Middle Eastern (MID)
AF:
0.300
AC:
1726
AN:
5752
European-Non Finnish (NFE)
AF:
0.290
AC:
321260
AN:
1109612
Other (OTH)
AF:
0.293
AC:
17631
AN:
60268
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.466
Heterozygous variant carriers
0
17997
35995
53992
71990
89987
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10620
21240
31860
42480
53100
<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:
0.286
AC:
43552
AN:
152158
Hom.:
6387
Cov.:
33
AF XY:
0.285
AC XY:
21226
AN XY:
74366
show subpopulations
African (AFR)
AF:
0.265
AC:
11020
AN:
41520
American (AMR)
AF:
0.280
AC:
4277
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.282
AC:
979
AN:
3472
East Asian (EAS)
AF:
0.333
AC:
1720
AN:
5166
South Asian (SAS)
AF:
0.294
AC:
1417
AN:
4824
European-Finnish (FIN)
AF:
0.283
AC:
2991
AN:
10586
Middle Eastern (MID)
AF:
0.289
AC:
85
AN:
294
European-Non Finnish (NFE)
AF:
0.297
AC:
20181
AN:
67988
Other (OTH)
AF:
0.303
AC:
639
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.487
Heterozygous variant carriers
0
1552
3104
4656
6208
7760
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
452
904
1356
1808
2260
<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:
0.288
Hom.:
3871
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:8
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

not specified Benign:3
-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
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

- -

-
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: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

- -

Jun 09, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Glanzmann thrombasthenia Benign:2
Jan 12, 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. -

Jan 17, 2023
ClinGen Platelet Disorders Variant Curation Expert Panel, ClinGen
Significance:Benign
Review Status:reviewed by expert panel
Collection Method:curation

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). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.55
CADD
Benign
6.6
DANN
Benign
0.49
PhyloP100
0.24
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: rs4634; hg19: chr17-45369789; COSMIC: COSV71383299; COSMIC: COSV71383299; API