rs56355310

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 2P and 8B. PM1BP4_StrongBS2

The NM_001374385.1(ATP8B1):​c.607A>G​(p.Lys203Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0015 in 1,614,088 control chromosomes in the GnomAD database, including 6 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00096 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0016 ( 4 hom. )

Consequence

ATP8B1
NM_001374385.1 missense

Scores

3
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:9B:2

Conservation

PhyloP100: 1.78

Publications

13 publications found
Variant links:
Genes affected
ATP8B1 (HGNC:3706): (ATPase phospholipid transporting 8B1) This gene encodes a member of the P-type cation transport ATPase family, which belongs to the subfamily of aminophospholipid-transporting ATPases. The aminophospholipid translocases transport phosphatidylserine and phosphatidylethanolamine from one side of a bilayer to another. Mutations in this gene may result in progressive familial intrahepatic cholestasis type 1 and in benign recurrent intrahepatic cholestasis. [provided by RefSeq, Jul 2008]
ATP8B1-AS1 (HGNC:56042): (ATP8B1 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

PM1
In a topological_domain Cytoplasmic (size 183) in uniprot entity AT8B1_HUMAN there are 8 pathogenic changes around while only 3 benign (73%) in NM_001374385.1
BP4
Computational evidence support a benign effect (MetaRNN=0.022702247).
BS2
High Homozygotes in GnomAd4 at 2 AR,Unknown gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001374385.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ATP8B1
NM_001374385.1
MANE Select
c.607A>Gp.Lys203Glu
missense
Exon 7 of 28NP_001361314.1O43520
ATP8B1
NM_005603.6
c.607A>Gp.Lys203Glu
missense
Exon 7 of 28NP_005594.2O43520
ATP8B1
NM_001374386.1
c.457A>Gp.Lys153Glu
missense
Exon 6 of 27NP_001361315.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ATP8B1
ENST00000648908.2
MANE Select
c.607A>Gp.Lys203Glu
missense
Exon 7 of 28ENSP00000497896.1O43520
ATP8B1
ENST00000857621.1
c.607A>Gp.Lys203Glu
missense
Exon 7 of 28ENSP00000527680.1
ATP8B1
ENST00000857625.1
c.607A>Gp.Lys203Glu
missense
Exon 8 of 29ENSP00000527684.1

Frequencies

GnomAD3 genomes
AF:
0.000960
AC:
146
AN:
152146
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000531
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00164
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000944
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00134
Gnomad OTH
AF:
0.00335
GnomAD2 exomes
AF:
0.000887
AC:
223
AN:
251398
AF XY:
0.000890
show subpopulations
Gnomad AFR exome
AF:
0.000615
Gnomad AMR exome
AF:
0.00153
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.0000924
Gnomad NFE exome
AF:
0.00132
Gnomad OTH exome
AF:
0.000978
GnomAD4 exome
AF:
0.00156
AC:
2274
AN:
1461824
Hom.:
4
Cov.:
33
AF XY:
0.00151
AC XY:
1100
AN XY:
727228
show subpopulations
African (AFR)
AF:
0.000568
AC:
19
AN:
33476
American (AMR)
AF:
0.00183
AC:
82
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26136
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39696
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86256
European-Finnish (FIN)
AF:
0.000131
AC:
7
AN:
53414
Middle Eastern (MID)
AF:
0.000173
AC:
1
AN:
5768
European-Non Finnish (NFE)
AF:
0.00187
AC:
2079
AN:
1111962
Other (OTH)
AF:
0.00137
AC:
83
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.472
Heterozygous variant carriers
0
114
228
342
456
570
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
84
168
252
336
420
<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:
0.000959
AC:
146
AN:
152264
Hom.:
2
Cov.:
32
AF XY:
0.000860
AC XY:
64
AN XY:
74424
show subpopulations
African (AFR)
AF:
0.000529
AC:
22
AN:
41558
American (AMR)
AF:
0.00163
AC:
25
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5174
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4822
European-Finnish (FIN)
AF:
0.0000944
AC:
1
AN:
10598
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00134
AC:
91
AN:
68024
Other (OTH)
AF:
0.00332
AC:
7
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
7
15
22
30
37
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00132
Hom.:
1
Bravo
AF:
0.00130
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.00259
AC:
10
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00186
AC:
16
ExAC
AF:
0.000799
AC:
97
EpiCase
AF:
0.00169
EpiControl
AF:
0.00166

ClinVar

ClinVar submissions as Germline
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
5
1
not provided (6)
-
2
-
not specified (2)
-
-
1
ATP8B1-related disorder (1)
-
1
-
Cholestasis, intrahepatic, of pregnancy, 1;C4551898:Progressive familial intrahepatic cholestasis type 1;C4551899:Benign recurrent intrahepatic cholestasis type 1 (1)
-
1
-
Progressive familial intrahepatic cholestasis type 1 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.25
T
BayesDel_noAF
Benign
-0.13
CADD
Benign
23
DANN
Benign
0.51
DEOGEN2
Benign
0.22
T
Eigen
Benign
-0.38
Eigen_PC
Benign
-0.14
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.92
D
M_CAP
Benign
0.032
D
MetaRNN
Benign
0.023
T
MetaSVM
Benign
-0.38
T
MutationAssessor
Benign
0.97
L
PhyloP100
1.8
PrimateAI
Benign
0.36
T
PROVEAN
Benign
1.9
N
REVEL
Uncertain
0.37
Sift
Benign
1.0
T
Sift4G
Benign
1.0
T
Polyphen
0.034
B
Vest4
0.26
MVP
0.82
ClinPred
0.028
T
GERP RS
6.0
Varity_R
0.13
gMVP
0.68
Mutation Taster
=98/2
polymorphism

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: rs56355310; hg19: chr18-55365047; API