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GeneBe

rs61750129

Variant summary

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

The NM_000350.3(ABCA4):c.3899G>A(p.Arg1300Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00381 in 1,613,304 control chromosomes in the GnomAD database, including 183 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R1300L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.019 ( 105 hom., cov: 32)
Exomes 𝑓: 0.0022 ( 78 hom. )

Consequence

ABCA4
NM_000350.3 missense

Scores

14

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:11O:1

Conservation

PhyloP100: 0.0150
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 (MetaRNN=0.0024959445).
BP6
Variant 1-94032007-C-T is Benign according to our data. Variant chr1-94032007-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 99246.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-94032007-C-T is described in Lovd as [Likely_benign]. Variant chr1-94032007-C-T is described in Lovd as [Likely_pathogenic]. Variant chr1-94032007-C-T is described in Lovd as [Benign]. Variant chr1-94032007-C-T is described in Lovd as [Likely_pathogenic].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0644 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ABCA4NM_000350.3 linkuse as main transcriptc.3899G>A p.Arg1300Gln missense_variant 27/50 ENST00000370225.4
ABCA4XM_047416704.1 linkuse as main transcriptc.3677G>A p.Arg1226Gln missense_variant 26/49

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ABCA4ENST00000370225.4 linkuse as main transcriptc.3899G>A p.Arg1300Gln missense_variant 27/501 NM_000350.3 P1

Frequencies

GnomAD3 genomes
AF:
0.0194
AC:
2948
AN:
151986
Hom.:
105
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0665
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00806
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000832
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0127
Gnomad NFE
AF:
0.000456
Gnomad OTH
AF:
0.0177
GnomAD3 exomes
AF:
0.00514
AC:
1278
AN:
248808
Hom.:
32
AF XY:
0.00392
AC XY:
528
AN XY:
134854
show subpopulations
Gnomad AFR exome
AF:
0.0675
Gnomad AMR exome
AF:
0.00327
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000294
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000668
Gnomad OTH exome
AF:
0.00213
GnomAD4 exome
AF:
0.00218
AC:
3191
AN:
1461200
Hom.:
78
Cov.:
32
AF XY:
0.00194
AC XY:
1413
AN XY:
726916
show subpopulations
Gnomad4 AFR exome
AF:
0.0683
Gnomad4 AMR exome
AF:
0.00360
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000336
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000334
Gnomad4 OTH exome
AF:
0.00520
GnomAD4 genome
AF:
0.0194
AC:
2956
AN:
152104
Hom.:
105
Cov.:
32
AF XY:
0.0184
AC XY:
1369
AN XY:
74412
show subpopulations
Gnomad4 AFR
AF:
0.0665
Gnomad4 AMR
AF:
0.00805
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000833
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000456
Gnomad4 OTH
AF:
0.0175
Alfa
AF:
0.00213
Hom.:
10
Bravo
AF:
0.0221
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.0617
AC:
272
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.00636
AC:
772
Asia WGS
AF:
0.00491
AC:
17
AN:
3478
EpiCase
AF:
0.000436
EpiControl
AF:
0.00101

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:11Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3Other:1
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 22, 2023- -
Benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsMay 30, 2017- -
not provided, no classification providedliterature onlyRetina International-- -
Benign, criteria provided, single submitterclinical testingInvitaeJan 31, 2024- -
not specified Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxMar 18, 2015This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jun 11, 2015- -
Retinitis Pigmentosa, Recessive Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Stargardt Disease, Recessive Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
ABCA4-related disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -
Macular dystrophy Benign:1
Likely benign, no assertion criteria providedresearchNIHR Bioresource Rare Diseases, University of CambridgeJan 01, 2015- -
Cone-Rod Dystrophy, Recessive Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Macular degeneration Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.071
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.36
Cadd
Benign
6.3
Dann
Benign
0.88
DEOGEN2
Benign
0.17
T;T
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.091
N
LIST_S2
Benign
0.70
T;T
MetaRNN
Benign
0.0025
T;T
MetaSVM
Benign
-0.89
T
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.19
T
Sift4G
Benign
0.65
T;T
Polyphen
0.14
.;B
Vest4
0.18
MVP
0.69
MPC
0.097
ClinPred
0.0015
T
GERP RS
3.0
Varity_R
0.048
gMVP
0.24

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs61750129; hg19: chr1-94497563; API