rs72650699

Variant summary

Our verdict is Pathogenic. Variant got 16 ACMG points: 16P and 0B. PVS1PP5_Very_Strong

The ENST00000205557.12(ABCC6):​c.1132C>T​(p.Gln378Ter) variant causes a stop gained change. The variant allele was found at a frequency of 0.00019 in 152,314 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.00019 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000041 ( 1 hom. )
Failed GnomAD Quality Control

Consequence

ABCC6
ENST00000205557.12 stop_gained

Scores

3
3
1

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:5

Conservation

PhyloP100: 5.07
Variant links:
Genes affected
ABCC6 (HGNC:57): (ATP binding cassette subfamily C member 6) The 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 intra-cellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, White). The encoded protein, a member of the MRP subfamily, is involved in multi-drug resistance. Mutations in this gene cause pseudoxanthoma elasticum. Alternatively spliced transcript variants that encode different proteins have been described for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 16 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PP5
Variant 16-16202045-G-A is Pathogenic according to our data. Variant chr16-16202045-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 372294.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-16202045-G-A is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ABCC6NM_001171.6 linkuse as main transcriptc.1132C>T p.Gln378Ter stop_gained 9/31 ENST00000205557.12 NP_001162.5
ABCC6NM_001351800.1 linkuse as main transcriptc.790C>T p.Gln264Ter stop_gained 9/31 NP_001338729.1
ABCC6NR_147784.1 linkuse as main transcriptn.1169C>T non_coding_transcript_exon_variant 9/29

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ABCC6ENST00000205557.12 linkuse as main transcriptc.1132C>T p.Gln378Ter stop_gained 9/311 NM_001171.6 ENSP00000205557 P1O95255-1

Frequencies

GnomAD3 genomes
AF:
0.000191
AC:
29
AN:
152196
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000434
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000963
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000588
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000478
AC:
12
AN:
251138
Hom.:
0
AF XY:
0.0000368
AC XY:
5
AN XY:
135726
show subpopulations
Gnomad AFR exome
AF:
0.000185
Gnomad AMR exome
AF:
0.0000289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000326
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000881
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000411
AC:
60
AN:
1461508
Hom.:
1
Cov.:
32
AF XY:
0.0000426
AC XY:
31
AN XY:
727060
show subpopulations
Gnomad4 AFR exome
AF:
0.000120
Gnomad4 AMR exome
AF:
0.0000447
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000883
Gnomad4 SAS exome
AF:
0.0000812
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000989
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
AF:
0.000190
AC:
29
AN:
152314
Hom.:
0
Cov.:
31
AF XY:
0.000134
AC XY:
10
AN XY:
74468
show subpopulations
Gnomad4 AFR
AF:
0.000433
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000965
Gnomad4 SAS
AF:
0.000415
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000588
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.00000824
AC:
1

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Autosomal recessive inherited pseudoxanthoma elasticum Pathogenic:2
Pathogenic, criteria provided, single submitterclinical testingCenter for Genomic Medicine, King Faisal Specialist Hospital and Research CenterApr 04, 2024- -
Pathogenic, no assertion criteria providedresearchPXE InternationalMar 12, 2021- -
ABCC6-related disorder Pathogenic:1
Pathogenic, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJan 04, 2024The ABCC6 c.1132C>T variant is predicted to result in premature protein termination (p.Gln378*). This variant has been reported in individuals with pseudoxanthoma elasticum (PXE) (Cai et al. 2001. PubMed ID: 11692167; Katagiri et al. 2017. PubMed ID: 28912966; Mitre et al. 2018. PubMed ID: 30537162; Boraldi et al. 2021. PubMed ID: 34205333; Jin et al. 2021. PubMed ID: 34440381). However, this variant also localizes to the ABCC6P1 pseudogene and may be transferred to the native ABCC6 gene through gene conversion in some individuals (Cai et al. 2001. PubMed ID: 11692167; Casola. 2012. PubMed ID: 22090377; Katagiri et al. 2017. PubMed ID: 28912966).This variant is reported in 0.040% of alleles in individuals of East Asian descent in gnomAD. However, this variant falls within a highly paralogous region. Allele frequency data should be interpreted with caution. Nonsense variants in ABCC6 are expected to be pathogenic. This variant is interpreted as pathogenic. -
not provided Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingGeneDxNov 30, 2022Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss-of-function is a known mechanism of disease; This variant is associated with the following publications: (PMID: 17617515, 11536079, 11702217, 22090377, 34205333, 34906475, 28912966, 25525159, 12673275, 23978319, 22522722, 11692167, 11474653, 15459974, 25367056, 26705105, 30537162, 34440381, 31589614, 35261845, 27535533) -
Autosomal recessive inherited pseudoxanthoma elasticum;C1867450:Pseudoxanthoma elasticum, forme fruste;C3276161:Arterial calcification, generalized, of infancy, 2 Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsOct 01, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.63
D
BayesDel_noAF
Pathogenic
0.60
CADD
Pathogenic
39
DANN
Uncertain
1.0
Eigen
Pathogenic
0.81
Eigen_PC
Uncertain
0.57
FATHMM_MKL
Uncertain
0.84
D
MutationTaster
Benign
1.0
A
Vest4
0.94
GERP RS
2.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs72650699; hg19: chr16-16295902; API