rs752916287

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 5P and 1B. PM1PM2PP2BP4

The NM_000443.4(ABCB4):​c.2906G>C​(p.Arg969Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,204 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 6.8e-7 ( 0 hom. )

Consequence

ABCB4
NM_000443.4 missense

Scores

5
14

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.319
Variant links:
Genes affected
ABCB4 (HGNC:45): (ATP binding cassette subfamily B 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 intra-cellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, White). This protein is a member of the MDR/TAP subfamily. Members of the MDR/TAP subfamily are involved in multidrug resistance as well as antigen presentation. This gene encodes a full transporter and member of the p-glycoprotein family of membrane proteins with phosphatidylcholine as its substrate. The function of this protein has not yet been determined; however, it may involve transport of phospholipids from liver hepatocytes into bile. Alternative splicing of this gene results in several products of undetermined function. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM1
In a domain ABC transmembrane type-1 2 (size 288) in uniprot entity MDR3_HUMAN there are 13 pathogenic changes around while only 1 benign (93%) in NM_000443.4
PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the ABCB4 gene, where missense mutations are typically associated with disease (based on misZ statistic). The gene has 32 curated pathogenic missense variants (we use a threshold of 10). The gene has 6 curated benign missense variants. Gene score misZ: 1.9749 (below the threshold of 3.09). Trascript score misZ: 3.5425 (above the threshold of 3.09). GenCC associations: The gene is linked to pancreatitis, low phospholipid associated cholelithiasis, progressive familial intrahepatic cholestasis type 3.
BP4
Computational evidence support a benign effect (MetaRNN=0.39253074).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ABCB4NM_000443.4 linkc.2906G>C p.Arg969Pro missense_variant Exon 23 of 28 ENST00000649586.2 NP_000434.1 P21439-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ABCB4ENST00000649586.2 linkc.2906G>C p.Arg969Pro missense_variant Exon 23 of 28 NM_000443.4 ENSP00000496956.2 P21439-2
ABCB4ENST00000265723.8 linkc.2906G>C p.Arg969Pro missense_variant Exon 23 of 28 1 ENSP00000265723.4 P21439-1
ABCB4ENST00000359206.8 linkc.2906G>C p.Arg969Pro missense_variant Exon 23 of 28 1 ENSP00000352135.3 P21439-2
ABCB4ENST00000453593.5 linkc.2783+1706G>C intron_variant Intron 21 of 25 5 ENSP00000392983.1 P21439-3

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000399
AC:
1
AN:
250890
Hom.:
0
AF XY:
0.00000737
AC XY:
1
AN XY:
135624
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461204
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
726954
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
ExAC
AF:
0.00000824
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.26
BayesDel_addAF
Uncertain
0.039
T
BayesDel_noAF
Uncertain
-0.080
CADD
Benign
18
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.46
.;T;.
Eigen
Benign
-0.26
Eigen_PC
Benign
-0.21
FATHMM_MKL
Benign
0.28
N
LIST_S2
Benign
0.79
.;T;T
M_CAP
Benign
0.046
D
MetaRNN
Benign
0.39
T;T;T
MetaSVM
Benign
-0.71
T
MutationAssessor
Benign
0.30
N;N;N
PrimateAI
Benign
0.47
T
PROVEAN
Benign
-1.7
.;N;N
REVEL
Uncertain
0.49
Sift
Benign
0.27
.;T;T
Sift4G
Benign
0.27
.;T;T
Polyphen
0.87
P;P;P
Vest4
0.58, 0.56
MutPred
0.46
Loss of catalytic residue at R969 (P = 0.011);Loss of catalytic residue at R969 (P = 0.011);Loss of catalytic residue at R969 (P = 0.011);
MVP
0.65
MPC
0.63
ClinPred
0.68
D
GERP RS
3.6
Varity_R
0.53
gMVP
0.75

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.11
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: rs752916287; hg19: chr7-87041227; API