rs61750601
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Variant summary
Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP6BS2
The NM_000552.5(VWF):c.5170+10C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00429 in 1,614,122 control chromosomes in the GnomAD database, including 27 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Genomes: 𝑓 0.0039 ( 3 hom., cov: 32)
Exomes 𝑓: 0.0043 ( 24 hom. )
Consequence
VWF
NM_000552.5 intron
NM_000552.5 intron
Scores
2
Clinical Significance
Conservation
PhyloP100: -2.86
Genes affected
VWF (HGNC:12726): (von Willebrand factor) This gene encodes a glycoprotein involved in hemostasis. The encoded preproprotein is proteolytically processed following assembly into large multimeric complexes. These complexes function in the adhesion of platelets to sites of vascular injury and the transport of various proteins in the blood. Mutations in this gene result in von Willebrand disease, an inherited bleeding disorder. An unprocessed pseudogene has been found on chromosome 22. [provided by RefSeq, Oct 2015]
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ACMG classification
Classification made for transcript
Verdict is Likely_benign. Variant got -5 ACMG points.
BP6
Variant 12-6016744-G-A is Benign according to our data. Variant chr12-6016744-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 100418.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=3, Likely_benign=2, not_provided=1, Benign=2}. Variant chr12-6016744-G-A is described in Lovd as [Likely_benign].
BS2
High AC in GnomAd4 at 595 AD gene.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.00391 AC: 595AN: 152180Hom.: 3 Cov.: 32
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GnomAD3 exomes AF: 0.00403 AC: 1014AN: 251476Hom.: 4 AF XY: 0.00405 AC XY: 551AN XY: 135912
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GnomAD4 exome AF: 0.00433 AC: 6326AN: 1461824Hom.: 24 Cov.: 32 AF XY: 0.00429 AC XY: 3118AN XY: 727220
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GnomAD4 genome AF: 0.00391 AC: 595AN: 152298Hom.: 3 Cov.: 32 AF XY: 0.00402 AC XY: 299AN XY: 74466
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ClinVar
Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:5Other:1
Revision: criteria provided, conflicting classifications
LINK: link
Submissions by phenotype
not provided Uncertain:2Benign:2Other:1
Uncertain significance, criteria provided, single submitter | clinical testing | Mayo Clinic Laboratories, Mayo Clinic | Oct 15, 2021 | - - |
not provided, no classification provided | literature only | Academic Unit of Haematology, University of Sheffield | - | - - |
Uncertain significance, criteria provided, single submitter | clinical testing | GeneDx | Dec 08, 2022 | Observed in patients with features of von Willebrand disease in published literature, however, the variant was seen with other VWF variant(s) on the same allele and/or another VWF variant on the opposite allele (in trans) in most cases (Baronciani et al., 2003; Fidalgo et al., 2016; Borras et al., 2017); Observed in heterozygous state in patients with von Willebrand disease type 1, however, the variant was also observed in unaffected family members (Cumming et al., 2006; Goodeve et al., 2007); Observed in the homozygous state in a patient with features of von Willebrand disease type 3, however, this patient was also homozygous for another splice variant in the VWF gene that may have contributed to the phenotype (Corrales et al., 2011); Studies of mRNA from patient leukocytes suggest normal mRNA processing, however additional studies are needed to validate the functional effect of this variant (Corrales et al., 2011); In silico analysis supports a deleterious effect on splicing; This variant is associated with the following publications: (PMID: 16985174, 26988807, 11057846, 28971901, 34426522, 17080221, 21251206, 12737944, 33550700) - |
Benign, criteria provided, single submitter | clinical testing | ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories | Sep 14, 2023 | - - |
Benign, criteria provided, single submitter | clinical testing | Quest Diagnostics Nichols Institute San Juan Capistrano | Sep 22, 2020 | - - |
Hereditary von Willebrand disease Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Illumina Laboratory Services, Illumina | Apr 27, 2017 | This 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). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. - |
not specified Benign:1
Likely benign, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Nov 28, 2023 | Variant summary: VWF c.5170+10C>T alters a non-conserved nucleotide located at a position not widely known to affect splicing. Consensus agreement among computation tools predict no significant impact on normal splicing. Consistently, functional studies evaluating an impact on splicing have identified no visible splicing impact in leukocytes and platelets (example, Corrales_2011). The variant allele was found at a frequency of 0.004 in 251476 control chromosomes in the gnomAD database, including 4 homozygotes. c.5170+10C>T has been reported in the literature as a compound heterozygous and compound homozygous genotype in individuals affected with Von Willebrand Disease type I, type 1H and type 3 (example, Baronciani_2000, Borras_2017, Ornaghi_2021), without strong evidence for causality. These data do not allow any conclusion about variant significance. Multiple reports of co-occurrences with another pathogenic variant in cis have been reported (VWF c.7730-1G>C, Borras_2017, Corrales_2011), providing supporting evidence for a benign role. The following publications have been ascertained in the context of this evaluation (PMID: 11057846, 28971901, 21251206, 33550700). Six submitters have cited clinical-significance assessments for this variant to ClinVar after 2014. Multiple submitters reported the variant with conflicting assessments (VUS, n=3; Benign/Likely benign, n=3). Based on the evidence outlined above, the variant was classified as likely benign. - |
von Willebrand disease type 3 Benign:1
Likely benign, no assertion criteria provided | clinical testing | Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico | Nov 01, 2020 | ClinGen Pathogenicity Calculator - |
von Willebrand disease type 1 Benign:1
Likely benign, criteria provided, single submitter | research | Laboratory of Hematology, Radboud University Medical Center | Dec 10, 2020 | - - |
Computational scores
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BayesDel_noAF
Benign
CADD
Benign
DANN
Benign
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Details are displayed if max score is > 0.2
DS_DG_spliceai
Position offset: 6
Find out detailed SpliceAI scores and Pangolin per-transcript scores at