rs76066357

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BA1BP4

This summary comes from the ClinGen Evidence Repository: The NM_000419.5:c.439C>G variant in ITGA2B is a missense variant predicted to cause substitution of Leucine by Valine at amino acid 147 (p.Leu147Val). The highest population minor allele frequency in gnomAD v2.1.1 is 0.01420 (1822/128308 alleles) in the European (non-Finnish) population, which is higher than the ClinGen PD VCEP threshold (>0.0024) for BA1, and therefore meets this criterion (BA1). The computational predictor REVEL gives a score of 0.053, which is below the ClinGen PD VCEP threshold of <0.25 and predicts no damaging effect on ITGA2B function (BP4). This variant is also classified as Benign/Likely benign in ClinVar and was observed as part of a predisposition screen in an ostensibly healthy population by Illumina. In summary, this variant meets the criteria to be classified as Benign for autosomal recessive Glanzmann Thrombasthenia based on the ACMG/AMP criteria applied, as specified by the ClinGen PDVCEP: BA1 and BP4 (VCEP specifications version 2). LINK:https://erepo.genome.network/evrepo/ui/classification/CA351291/MONDO:0100326/011

Frequency

Genomes: 𝑓 0.0092 ( 9 hom., cov: 33)
Exomes 𝑓: 0.012 ( 135 hom. )

Consequence

ITGA2B
NM_000419.5 missense

Scores

1
17

Clinical Significance

Benign reviewed by expert panel B:7

Conservation

PhyloP100: 0.0980
Variant links:
Genes affected
ITGA2B (HGNC:6138): (integrin subunit alpha 2b) This gene encodes a member of the integrin alpha chain family of proteins. The encoded preproprotein is proteolytically processed to generate light and heavy chains that associate through disulfide linkages to form a subunit of the alpha-IIb/beta-3 integrin cell adhesion receptor. This receptor plays a crucial role in the blood coagulation system, by mediating platelet aggregation. Mutations in this gene are associated with platelet-type bleeding disorders, which are characterized by a failure of platelet aggregation, including Glanzmann thrombasthenia. [provided by RefSeq, Jan 2016]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
For more information check the summary or visit ClinGen Evidence Repository.
BA1
For more information check the summary or visit ClinGen Evidence Repository.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ITGA2BNM_000419.5 linkc.439C>G p.Leu147Val missense_variant Exon 4 of 30 ENST00000262407.6 NP_000410.2 P08514-1
ITGA2BXM_011524749.2 linkc.592C>G p.Leu198Val missense_variant Exon 4 of 29 XP_011523051.2 P08514
ITGA2BXM_011524750.2 linkc.592C>G p.Leu198Val missense_variant Exon 4 of 29 XP_011523052.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ITGA2BENST00000262407.6 linkc.439C>G p.Leu147Val missense_variant Exon 4 of 30 1 NM_000419.5 ENSP00000262407.5 P08514-1
ITGA2BENST00000592944.1 linkn.124C>G non_coding_transcript_exon_variant Exon 1 of 6 5

Frequencies

GnomAD3 genomes
AF:
0.00922
AC:
1403
AN:
152248
Hom.:
9
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00234
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00870
Gnomad ASJ
AF:
0.00864
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00310
Gnomad FIN
AF:
0.00715
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0151
Gnomad OTH
AF:
0.0115
GnomAD2 exomes
AF:
0.00915
AC:
2280
AN:
249236
AF XY:
0.00916
show subpopulations
Gnomad AFR exome
AF:
0.00231
Gnomad AMR exome
AF:
0.00622
Gnomad ASJ exome
AF:
0.0139
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00755
Gnomad NFE exome
AF:
0.0141
Gnomad OTH exome
AF:
0.0107
GnomAD4 exome
AF:
0.0116
AC:
17008
AN:
1461340
Hom.:
135
Cov.:
35
AF XY:
0.0116
AC XY:
8424
AN XY:
727004
show subpopulations
Gnomad4 AFR exome
AF:
0.00203
AC:
68
AN:
33480
Gnomad4 AMR exome
AF:
0.00644
AC:
288
AN:
44722
Gnomad4 ASJ exome
AF:
0.0126
AC:
330
AN:
26132
Gnomad4 EAS exome
AF:
0.0000252
AC:
1
AN:
39698
Gnomad4 SAS exome
AF:
0.00289
AC:
249
AN:
86254
Gnomad4 FIN exome
AF:
0.00697
AC:
369
AN:
52928
Gnomad4 NFE exome
AF:
0.0136
AC:
15093
AN:
1111978
Gnomad4 Remaining exome
AF:
0.00911
AC:
550
AN:
60382
Heterozygous variant carriers
0
1135
2269
3404
4538
5673
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Exome Het
Exome Hom
Variant carriers
0
540
1080
1620
2160
2700
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00920
AC:
1402
AN:
152366
Hom.:
9
Cov.:
33
AF XY:
0.00871
AC XY:
649
AN XY:
74504
show subpopulations
Gnomad4 AFR
AF:
0.00233
AC:
0.00233229
AN:
0.00233229
Gnomad4 AMR
AF:
0.00869
AC:
0.008686
AN:
0.008686
Gnomad4 ASJ
AF:
0.00864
AC:
0.00864055
AN:
0.00864055
Gnomad4 EAS
AF:
0.00
AC:
0
AN:
0
Gnomad4 SAS
AF:
0.00311
AC:
0.00310559
AN:
0.00310559
Gnomad4 FIN
AF:
0.00715
AC:
0.00715361
AN:
0.00715361
Gnomad4 NFE
AF:
0.0151
AC:
0.0150803
AN:
0.0150803
Gnomad4 OTH
AF:
0.0114
AC:
0.0113529
AN:
0.0113529
Heterozygous variant carriers
0
74
147
221
294
368
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0126
Hom.:
16
Bravo
AF:
0.00867
TwinsUK
AF:
0.0129
AC:
48
ALSPAC
AF:
0.0132
AC:
51
ESP6500AA
AF:
0.00318
AC:
14
ESP6500EA
AF:
0.0131
AC:
113
ExAC
AF:
0.00928
AC:
1127
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.0149
EpiControl
AF:
0.0153

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

Glanzmann thrombasthenia Benign:3
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Feb 02, 2023
ClinGen Platelet Disorders Variant Curation Expert Panel, ClinGen
Significance:Benign
Review Status:reviewed by expert panel
Collection Method:curation

The NM_000419.5:c.439C>G variant in ITGA2B is a missense variant predicted to cause substitution of Leucine by Valine at amino acid 147 (p.Leu147Val). The highest population minor allele frequency in gnomAD v2.1.1 is 0.01420 (1822/128308 alleles) in the European (non-Finnish) population, which is higher than the ClinGen PD VCEP threshold (>0.0024) for BA1, and therefore meets this criterion (BA1). The computational predictor REVEL gives a score of 0.053, which is below the ClinGen PD VCEP threshold of <0.25 and predicts no damaging effect on ITGA2B function (BP4). This variant is also classified as Benign/Likely benign in ClinVar and was observed as part of a predisposition screen in an ostensibly healthy population by Illumina. In summary, this variant meets the criteria to be classified as Benign for autosomal recessive Glanzmann Thrombasthenia based on the ACMG/AMP criteria applied, as specified by the ClinGen PD VCEP: BA1 and BP4 (VCEP specifications version 2). -

not specified Benign:2
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 10, 2020
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Feb 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

ITGA2B: BP4, BS1, BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.086
BayesDel_addAF
Benign
-0.48
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
15
DANN
Benign
0.94
DEOGEN2
Benign
0.050
T
Eigen
Benign
-0.77
Eigen_PC
Benign
-0.76
FATHMM_MKL
Benign
0.25
N
LIST_S2
Benign
0.74
T
MetaRNN
Benign
0.0041
T
MetaSVM
Benign
-0.92
T
MutationAssessor
Uncertain
2.0
M
PrimateAI
Benign
0.38
T
PROVEAN
Benign
-0.99
N
REVEL
Benign
0.053
Sift
Benign
0.12
T
Sift4G
Benign
0.29
T
Polyphen
0.15
B
Vest4
0.22
MVP
0.60
MPC
1.2
ClinPred
0.0028
T
GERP RS
3.5
Varity_R
0.15
gMVP
0.63
Mutation Taster
=79/21
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs76066357; hg19: chr17-42463054; COSMIC: COSV99289415; COSMIC: COSV99289415; API