rs472908

Variant summary

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

The NM_000350.3(ABCA4):​c.4773+48C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.576 in 1,606,414 control chromosomes in the GnomAD database, including 269,572 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.62 ( 29725 hom., cov: 31)
Exomes 𝑓: 0.57 ( 239847 hom. )

Consequence

ABCA4
NM_000350.3 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9O:1

Conservation

PhyloP100: -0.444
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=-0.84).
BP6
Variant 1-94021798-G-A is Benign according to our data. Variant chr1-94021798-G-A is described in ClinVar as [Benign]. Clinvar id is 99319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.735 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ABCA4NM_000350.3 linkuse as main transcriptc.4773+48C>T intron_variant ENST00000370225.4 NP_000341.2 P78363Q6AI28
ABCA4XM_047416704.1 linkuse as main transcriptc.4551+48C>T intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ABCA4ENST00000370225.4 linkuse as main transcriptc.4773+48C>T intron_variant 1 NM_000350.3 ENSP00000359245.3 P78363
ABCA4ENST00000460514.1 linkuse as main transcriptn.267+48C>T intron_variant 5

Frequencies

GnomAD3 genomes
AF:
0.619
AC:
94022
AN:
151824
Hom.:
29678
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.742
Gnomad AMI
AF:
0.509
Gnomad AMR
AF:
0.607
Gnomad ASJ
AF:
0.624
Gnomad EAS
AF:
0.454
Gnomad SAS
AF:
0.543
Gnomad FIN
AF:
0.620
Gnomad MID
AF:
0.528
Gnomad NFE
AF:
0.568
Gnomad OTH
AF:
0.583
GnomAD3 exomes
AF:
0.584
AC:
146325
AN:
250422
Hom.:
43571
AF XY:
0.578
AC XY:
78368
AN XY:
135696
show subpopulations
Gnomad AFR exome
AF:
0.752
Gnomad AMR exome
AF:
0.670
Gnomad ASJ exome
AF:
0.622
Gnomad EAS exome
AF:
0.447
Gnomad SAS exome
AF:
0.552
Gnomad FIN exome
AF:
0.608
Gnomad NFE exome
AF:
0.559
Gnomad OTH exome
AF:
0.562
GnomAD4 exome
AF:
0.572
AC:
831607
AN:
1454472
Hom.:
239847
Cov.:
31
AF XY:
0.571
AC XY:
413306
AN XY:
724100
show subpopulations
Gnomad4 AFR exome
AF:
0.755
Gnomad4 AMR exome
AF:
0.661
Gnomad4 ASJ exome
AF:
0.623
Gnomad4 EAS exome
AF:
0.463
Gnomad4 SAS exome
AF:
0.552
Gnomad4 FIN exome
AF:
0.605
Gnomad4 NFE exome
AF:
0.565
Gnomad4 OTH exome
AF:
0.577
GnomAD4 genome
AF:
0.620
AC:
94129
AN:
151942
Hom.:
29725
Cov.:
31
AF XY:
0.621
AC XY:
46083
AN XY:
74232
show subpopulations
Gnomad4 AFR
AF:
0.742
Gnomad4 AMR
AF:
0.607
Gnomad4 ASJ
AF:
0.624
Gnomad4 EAS
AF:
0.454
Gnomad4 SAS
AF:
0.543
Gnomad4 FIN
AF:
0.620
Gnomad4 NFE
AF:
0.568
Gnomad4 OTH
AF:
0.588
Alfa
AF:
0.573
Hom.:
45251
Bravo
AF:
0.627
Asia WGS
AF:
0.527
AC:
1833
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:9Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3Other:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
not provided, no classification providedliterature onlyRetina International-- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015This variant is associated with the following publications: (PMID: 23953153, 27884173, 29555955) -
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesSep 13, 2022- -
not specified Benign:2
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Dec 01, 2016- -
Age related macular degeneration 2 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 14, 2021- -
Severe early-childhood-onset retinal dystrophy Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 14, 2021- -
Retinitis pigmentosa 19 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 14, 2021- -
Cone-rod dystrophy 3 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 14, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.84
CADD
Benign
0.80
DANN
Benign
0.56

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: rs472908; hg19: chr1-94487354; COSMIC: COSV64672019; COSMIC: COSV64672019; API