rs57467915

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_005689.4(ABCB6):​c.826C>T​(p.Arg276Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0122 in 1,585,890 control chromosomes in the GnomAD database, including 164 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R276P) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0094 ( 13 hom., cov: 32)
Exomes 𝑓: 0.013 ( 151 hom. )

Consequence

ABCB6
NM_005689.4 missense

Scores

6
9
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 2.12

Publications

26 publications found
Variant links:
Genes affected
ABCB6 (HGNC:47): (ATP binding cassette subfamily B member 6 (LAN blood group)) This gene encodes a member of the ATP-binding cassette (ABC) transporter superfamily. ABC proteins transport various molecules across extra- and intra-cellular membranes. This protein is a member of the heavy metal importer subfamily and plays a role in porphyrin transport. This gene is the molecular basis of the Langereis (Lan) blood group antigen and mutations in this gene underlie familial pseudohyperkalemia and dyschromatosis universalis hereditaria. [provided by RefSeq, Mar 2017]
ABCB6 Gene-Disease associations (from GenCC):
  • dyschromatosis universalis hereditaria 3
    Inheritance: AD Classification: STRONG, LIMITED Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • dyschromatosis universalis hereditaria
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • familial pseudohyperkalemia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • microphthalmia, isolated, with coloboma
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • microphthalmia, isolated, with coloboma 7
    Inheritance: AD Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia, G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.010985106).
BP6
Variant 2-219216694-G-A is Benign according to our data. Variant chr2-219216694-G-A is described in ClinVar as Benign. ClinVar VariationId is 235291.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00938 (1428/152236) while in subpopulation NFE AF = 0.0138 (940/68010). AF 95% confidence interval is 0.0131. There are 13 homozygotes in GnomAd4. There are 722 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High AC in GnomAd4 at 1428 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ABCB6NM_005689.4 linkc.826C>T p.Arg276Trp missense_variant Exon 3 of 19 ENST00000265316.9 NP_005680.1
ABCB6NM_001349828.2 linkc.688C>T p.Arg230Trp missense_variant Exon 2 of 18 NP_001336757.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ABCB6ENST00000265316.9 linkc.826C>T p.Arg276Trp missense_variant Exon 3 of 19 1 NM_005689.4 ENSP00000265316.3
ENSG00000284820ENST00000446716.5 linkn.*2599C>T non_coding_transcript_exon_variant Exon 8 of 22 2 ENSP00000398528.1
ENSG00000284820ENST00000446716.5 linkn.*2599C>T 3_prime_UTR_variant Exon 8 of 22 2 ENSP00000398528.1

Frequencies

GnomAD3 genomes
AF:
0.00938
AC:
1427
AN:
152118
Hom.:
13
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00266
Gnomad AMI
AF:
0.0197
Gnomad AMR
AF:
0.00425
Gnomad ASJ
AF:
0.00807
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00124
Gnomad FIN
AF:
0.0232
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0138
Gnomad OTH
AF:
0.00669
GnomAD2 exomes
AF:
0.00878
AC:
1807
AN:
205742
AF XY:
0.00871
show subpopulations
Gnomad AFR exome
AF:
0.00268
Gnomad AMR exome
AF:
0.00346
Gnomad ASJ exome
AF:
0.00428
Gnomad EAS exome
AF:
0.0000671
Gnomad FIN exome
AF:
0.0194
Gnomad NFE exome
AF:
0.0129
Gnomad OTH exome
AF:
0.00678
GnomAD4 exome
AF:
0.0125
AC:
17964
AN:
1433654
Hom.:
151
Cov.:
31
AF XY:
0.0121
AC XY:
8634
AN XY:
710922
show subpopulations
African (AFR)
AF:
0.00218
AC:
71
AN:
32616
American (AMR)
AF:
0.00388
AC:
155
AN:
39964
Ashkenazi Jewish (ASJ)
AF:
0.00517
AC:
132
AN:
25548
East Asian (EAS)
AF:
0.0000791
AC:
3
AN:
37942
South Asian (SAS)
AF:
0.00268
AC:
222
AN:
82736
European-Finnish (FIN)
AF:
0.0192
AC:
985
AN:
51422
Middle Eastern (MID)
AF:
0.00122
AC:
7
AN:
5740
European-Non Finnish (NFE)
AF:
0.0144
AC:
15804
AN:
1098258
Other (OTH)
AF:
0.00984
AC:
585
AN:
59428
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.460
Heterozygous variant carriers
0
939
1878
2816
3755
4694
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
600
1200
1800
2400
3000
<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:
0.00938
AC:
1428
AN:
152236
Hom.:
13
Cov.:
32
AF XY:
0.00970
AC XY:
722
AN XY:
74422
show subpopulations
African (AFR)
AF:
0.00265
AC:
110
AN:
41528
American (AMR)
AF:
0.00431
AC:
66
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.00807
AC:
28
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.00124
AC:
6
AN:
4826
European-Finnish (FIN)
AF:
0.0232
AC:
246
AN:
10598
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0138
AC:
940
AN:
68010
Other (OTH)
AF:
0.00662
AC:
14
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
73
146
219
292
365
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.0112
Hom.:
30
Bravo
AF:
0.00765
TwinsUK
AF:
0.0138
AC:
51
ALSPAC
AF:
0.0148
AC:
57
ESP6500AA
AF:
0.00386
AC:
17
ESP6500EA
AF:
0.0133
AC:
114
ExAC
AF:
0.00794
AC:
960
Asia WGS
AF:
0.00260
AC:
9
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Dec 23, 2015
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Aug 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

ABCB6: BS1, BS2

Dec 19, 2024
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

Acute intermittent porphyria Benign:1
Aug 16, 2021
Phillips Lab, Hematology, University of Utah
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variegate porphyria Benign:1
Aug 16, 2021
Phillips Lab, Hematology, University of Utah
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Protoporphyria, erythropoietic, 1 Benign:1
Aug 16, 2021
Phillips Lab, Hematology, University of Utah
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Hereditary coproporphyria Benign:1
Aug 16, 2021
Phillips Lab, Hematology, University of Utah
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.91
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Uncertain
0.020
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.75
D;.
Eigen
Uncertain
0.46
Eigen_PC
Uncertain
0.33
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Uncertain
0.96
D;D
MetaRNN
Benign
0.011
T;T
MetaSVM
Uncertain
0.77
D
MutationAssessor
Pathogenic
3.4
M;.
PhyloP100
2.1
PrimateAI
Uncertain
0.63
T
PROVEAN
Pathogenic
-7.3
D;.
REVEL
Pathogenic
0.72
Sift
Pathogenic
0.0
D;.
Sift4G
Pathogenic
0.0
D;.
Vest4
0.85
ClinPred
0.044
T
GERP RS
3.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.91
gMVP
0.91
Mutation Taster
=64/36
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.18
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: rs57467915; hg19: chr2-220081416; COSMIC: COSV54693588; COSMIC: COSV54693588; API