rs61747288

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_001282225.2(ADA2):​c.194C>T​(p.Thr65Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000411 in 1,613,938 control chromosomes in the GnomAD database, including 8 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. T65T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00040 ( 1 hom., cov: 31)
Exomes 𝑓: 0.00041 ( 7 hom. )

Consequence

ADA2
NM_001282225.2 missense

Scores

17

Clinical Significance

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

Conservation

PhyloP100: 0.0620

Publications

4 publications found
Variant links:
Genes affected
ADA2 (HGNC:1839): (adenosine deaminase 2) This gene encodes a member of a subfamily of the adenosine deaminase protein family. The encoded protein is one of two adenosine deaminases found in humans, which regulate levels of the signaling molecule, adenosine. The encoded protein is secreted from monocytes undergoing differentiation and may regulate cell proliferation and differentiation. This gene may be responsible for some of the phenotypic features associated with cat eye syndrome. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2013]
ADA2 Gene-Disease associations (from GenCC):
  • deficiency of adenosine deaminase 2
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • vasculitis due to ADA2 deficiency
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet, Labcorp Genetics (formerly Invitae)
  • Sneddon syndrome
    Inheritance: AD, AR Classification: MODERATE, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp
  • polyarteritis nodosa
    Inheritance: AR Classification: MODERATE Submitted by: Genomics England PanelApp
  • Diamond-Blackfan anemia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.021809012).
BP6
Variant 22-17209484-G-A is Benign according to our data. Variant chr22-17209484-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 582996.
BS2
High Homozygotes in GnomAdExome4 at 7 AR,AD gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001282225.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ADA2
NM_001282225.2
MANE Select
c.194C>Tp.Thr65Met
missense
Exon 2 of 10NP_001269154.1Q9NZK5-1
ADA2
NM_001282226.2
c.194C>Tp.Thr65Met
missense
Exon 2 of 10NP_001269155.1Q9NZK5-1
ADA2
NM_001282227.2
c.68C>Tp.Thr23Met
missense
Exon 2 of 10NP_001269156.1B4E3Q4

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ADA2
ENST00000399837.8
TSL:1 MANE Select
c.194C>Tp.Thr65Met
missense
Exon 2 of 10ENSP00000382731.2Q9NZK5-1
ADA2
ENST00000262607.3
TSL:1
c.194C>Tp.Thr65Met
missense
Exon 1 of 9ENSP00000262607.2Q9NZK5-1
ADA2
ENST00000885359.1
c.194C>Tp.Thr65Met
missense
Exon 2 of 11ENSP00000555418.1

Frequencies

GnomAD3 genomes
AF:
0.000401
AC:
61
AN:
152056
Hom.:
1
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000656
Gnomad ASJ
AF:
0.0130
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000206
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000676
AC:
170
AN:
251434
AF XY:
0.000611
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.0133
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000255
Gnomad OTH exome
AF:
0.000978
GnomAD4 exome
AF:
0.000412
AC:
602
AN:
1461882
Hom.:
7
Cov.:
30
AF XY:
0.000402
AC XY:
292
AN XY:
727246
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33480
American (AMR)
AF:
0.0000447
AC:
2
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0143
AC:
373
AN:
26136
East Asian (EAS)
AF:
0.0000504
AC:
2
AN:
39700
South Asian (SAS)
AF:
0.0000580
AC:
5
AN:
86258
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53420
Middle Eastern (MID)
AF:
0.000173
AC:
1
AN:
5766
European-Non Finnish (NFE)
AF:
0.000148
AC:
165
AN:
1112002
Other (OTH)
AF:
0.000894
AC:
54
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.483
Heterozygous variant carriers
0
39
77
116
154
193
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome 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
GnomAD4 genome
AF:
0.000401
AC:
61
AN:
152056
Hom.:
1
Cov.:
31
AF XY:
0.000431
AC XY:
32
AN XY:
74260
show subpopulations
African (AFR)
AF:
0.0000242
AC:
1
AN:
41386
American (AMR)
AF:
0.0000656
AC:
1
AN:
15242
Ashkenazi Jewish (ASJ)
AF:
0.0130
AC:
45
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5198
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10584
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.000206
AC:
14
AN:
68032
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
3
7
10
14
17
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:
0.000753
Hom.:
1
Bravo
AF:
0.000472
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.000461
AC:
56
EpiCase
AF:
0.000164
EpiControl
AF:
0.000237

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
Autoinflammatory syndrome (1)
-
1
-
not provided (1)
-
1
-
Sneddon syndrome;C3887654:Vasculitis due to ADA2 deficiency (1)
-
-
1
Vasculitis due to ADA2 deficiency (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.078
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
8.0
DANN
Benign
0.83
DEOGEN2
Benign
0.29
T
Eigen
Benign
-0.75
Eigen_PC
Benign
-0.76
FATHMM_MKL
Benign
0.15
N
LIST_S2
Benign
0.32
T
M_CAP
Benign
0.014
T
MetaRNN
Benign
0.022
T
MetaSVM
Benign
-1.0
T
PhyloP100
0.062
PrimateAI
Benign
0.34
T
PROVEAN
Benign
-1.4
N
REVEL
Benign
0.057
Sift
Benign
0.18
T
Sift4G
Benign
0.14
T
Polyphen
0.42
B
Vest4
0.10
MVP
0.28
MPC
0.071
ClinPred
0.018
T
GERP RS
3.5
PromoterAI
-0.12
Neutral
Varity_R
0.045
gMVP
0.44
Mutation Taster
=96/4
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: rs61747288; hg19: chr22-17690374; COSMIC: COSV52830344; COSMIC: COSV52830344; API