rs72657689

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM1BP6

The NM_001171.6(ABCC6):​c.2848G>A​(p.Ala950Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000301 in 1,579,638 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A950V) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00037 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00029 ( 1 hom. )

Consequence

ABCC6
NM_001171.6 missense

Scores

4
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:6

Conservation

PhyloP100: 0.456
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 Uncertain_significance. Variant got 1 ACMG points.

PM1
In a domain ABC transmembrane type-1 2 (size 281) in uniprot entity MRP6_HUMAN there are 55 pathogenic changes around while only 14 benign (80%) in NM_001171.6
BP6
Variant 16-16169793-C-T is Benign according to our data. Variant chr16-16169793-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 381637.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=1, Likely_benign=2, Benign=4}. Variant chr16-16169793-C-T is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ABCC6NM_001171.6 linkuse as main transcriptc.2848G>A p.Ala950Thr missense_variant 22/31 ENST00000205557.12
ABCC6NM_001351800.1 linkuse as main transcriptc.2506G>A p.Ala836Thr missense_variant 22/31
ABCC6NR_147784.1 linkuse as main transcriptn.2710G>A non_coding_transcript_exon_variant 21/29

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ABCC6ENST00000205557.12 linkuse as main transcriptc.2848G>A p.Ala950Thr missense_variant 22/311 NM_001171.6 P1O95255-1
ABCC6ENST00000622290.5 linkuse as main transcriptc.2848G>A p.Ala950Thr missense_variant, NMD_transcript_variant 22/325
ABCC6ENST00000456970.6 linkuse as main transcriptc.*57G>A 3_prime_UTR_variant, NMD_transcript_variant 21/292 O95255-3

Frequencies

GnomAD3 genomes
AF:
0.000361
AC:
55
AN:
152194
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.0127
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000132
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000551
AC:
104
AN:
188620
Hom.:
0
AF XY:
0.000562
AC XY:
57
AN XY:
101428
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000109
Gnomad ASJ exome
AF:
0.00957
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000138
Gnomad OTH exome
AF:
0.00100
GnomAD4 exome
AF:
0.000294
AC:
419
AN:
1427326
Hom.:
1
Cov.:
33
AF XY:
0.000320
AC XY:
226
AN XY:
706934
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000180
Gnomad4 ASJ exome
AF:
0.0110
Gnomad4 EAS exome
AF:
0.0000264
Gnomad4 SAS exome
AF:
0.0000122
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000639
Gnomad4 OTH exome
AF:
0.000998
GnomAD4 genome
AF:
0.000368
AC:
56
AN:
152312
Hom.:
0
Cov.:
33
AF XY:
0.000376
AC XY:
28
AN XY:
74470
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.0000653
Gnomad4 ASJ
AF:
0.0127
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000132
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000677
Hom.:
0
Bravo
AF:
0.000382
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000583
AC:
5
ExAC
AF:
0.000293
AC:
35

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:6
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:2
Uncertain significance, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenApr 01, 2022- -
Likely benign, criteria provided, single submitterclinical testingGeneDxJan 13, 2020This variant is associated with the following publications: (PMID: 17617515, 23485117) -
Benign, criteria provided, single submitterclinical testingInvitaeJan 27, 2024- -
Autosomal recessive inherited pseudoxanthoma elasticum Uncertain:1Benign:1
Uncertain significance, no assertion criteria providedresearchPXE InternationalMar 01, 2021- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabDec 05, 2021- -
Pseudoxanthoma elasticum, forme fruste Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabDec 05, 2021- -
Arterial calcification, generalized, of infancy, 2 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabDec 05, 2021- -
ABCC6-related disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesAug 08, 2019This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.068
BayesDel_addAF
Uncertain
0.020
T
BayesDel_noAF
Uncertain
0.040
CADD
Benign
13
DANN
Benign
0.72
DEOGEN2
Benign
0.16
T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.018
N
LIST_S2
Benign
0.63
T
M_CAP
Uncertain
0.26
D
MetaRNN
Benign
0.017
T
MetaSVM
Benign
-0.44
T
MutationAssessor
Benign
-0.55
N
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.28
T
PROVEAN
Benign
0.65
N
REVEL
Uncertain
0.53
Sift
Benign
1.0
T
Sift4G
Benign
0.30
T
Polyphen
0.0070
B
Vest4
0.094
MVP
0.40
MPC
0.066
ClinPred
0.026
T
GERP RS
-2.3
Varity_R
0.049
gMVP
0.14

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.24
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.24
Position offset: -24

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: rs72657689; hg19: chr16-16263650; COSMIC: COSV105065936; COSMIC: COSV105065936; API