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NM_000053.4(ATP7B):c.3556+1G>T AND Wilson disease

Germline classification:
Pathogenic/Likely pathogenic (4 submissions)
Last evaluated:
Aug 10, 2022
Review status:
2 stars out of maximum of 4 stars
criteria provided, multiple submitters, no conflicts
Somatic classification
of clinical impact:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Somatic classification
of oncogenicity:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Record status:
current
Accession:
RCV000587514.7

Allele description [Variation Report for NM_000053.4(ATP7B):c.3556+1G>T]

NM_000053.4(ATP7B):c.3556+1G>T

Gene:
ATP7B:ATPase copper transporting beta [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
13q14.3
Genomic location:
Preferred name:
NM_000053.4(ATP7B):c.3556+1G>T
HGVS:
  • NC_000013.11:g.51941080C>A
  • NG_008806.1:g.75415G>T
  • NM_000053.4:c.3556+1G>TMANE SELECT
  • NM_001005918.3:c.2935+1G>T
  • NM_001243182.2:c.3223+1G>T
  • NM_001330578.2:c.3322+1G>T
  • NM_001330579.2:c.3304+1G>T
  • NM_001406511.1:c.3556+1G>T
  • NM_001406512.1:c.3556+1G>T
  • NM_001406513.1:c.3550+1G>T
  • NM_001406514.1:c.3523+1G>T
  • NM_001406515.1:c.3502+1G>T
  • NM_001406516.1:c.3502+1G>T
  • NM_001406517.1:c.3460+1G>T
  • NM_001406518.1:c.3460+1G>T
  • NM_001406519.1:c.3421+1G>T
  • NM_001406520.1:c.3412+1G>T
  • NM_001406521.1:c.3412+1G>T
  • NM_001406522.1:c.3412+1G>T
  • NM_001406523.1:c.3373+1G>T
  • NM_001406524.1:c.3379+1G>T
  • NM_001406525.1:c.3361+1G>T
  • NM_001406526.1:c.3556+1G>T
  • NM_001406527.1:c.3322+1G>T
  • NM_001406528.1:c.3322+1G>T
  • NM_001406530.1:c.3316+1G>T
  • NM_001406531.1:c.3304+1G>T
  • NM_001406532.1:c.3304+1G>T
  • NM_001406534.1:c.3268+1G>T
  • NM_001406535.1:c.3226+1G>T
  • NM_001406536.1:c.3226+1G>T
  • NM_001406537.1:c.3217+1G>T
  • NM_001406538.1:c.3178+1306G>T
  • NM_001406539.1:c.3127+1G>T
  • NM_001406540.1:c.3109+1G>T
  • NM_001406541.1:c.3070+1G>T
  • NM_001406542.1:c.3070+1G>T
  • NM_001406543.1:c.3064+1306G>T
  • NM_001406544.1:c.2974+1G>T
  • NM_001406545.1:c.2908+1G>T
  • NM_001406546.1:c.2875+1G>T
  • NM_001406547.1:c.2713+1G>T
  • NM_001406548.1:c.2266+1G>T
  • NC_000013.10:g.52515216C>A
  • NM_000053.2:c.3556+1G>T
  • NM_000053.3:c.3556+1G>T
Links:
dbSNP: rs184388696
NCBI 1000 Genomes Browser:
rs184388696
Molecular consequence:
  • NM_001406538.1:c.3178+1306G>T - intron variant - [Sequence Ontology: SO:0001627]
  • NM_001406543.1:c.3064+1306G>T - intron variant - [Sequence Ontology: SO:0001627]
  • NM_000053.4:c.3556+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001005918.3:c.2935+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001243182.2:c.3223+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001330578.2:c.3322+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001330579.2:c.3304+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406511.1:c.3556+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406512.1:c.3556+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406513.1:c.3550+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406514.1:c.3523+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406515.1:c.3502+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406516.1:c.3502+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406517.1:c.3460+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406518.1:c.3460+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406519.1:c.3421+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406520.1:c.3412+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406521.1:c.3412+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406522.1:c.3412+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406523.1:c.3373+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406524.1:c.3379+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406525.1:c.3361+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406526.1:c.3556+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406527.1:c.3322+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406528.1:c.3322+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406530.1:c.3316+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406531.1:c.3304+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406532.1:c.3304+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406534.1:c.3268+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406535.1:c.3226+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406536.1:c.3226+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406537.1:c.3217+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406539.1:c.3127+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406540.1:c.3109+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406541.1:c.3070+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406542.1:c.3070+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406544.1:c.2974+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406545.1:c.2908+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406546.1:c.2875+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406547.1:c.2713+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]
  • NM_001406548.1:c.2266+1G>T - splice donor variant - [Sequence Ontology: SO:0001575]

Condition(s)

Name:
Wilson disease (WND)
Synonyms:
Wilson's disease; Hepatolenticular degeneration
Identifiers:
MONDO: MONDO:0010200; MedGen: C0019202; Orphanet: 905; OMIM: 277900

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV000694450Women's Health and Genetics/Laboratory Corporation of America, LabCorp
criteria provided, single submitter

(LabCorp Variant Classification Summary - May 2015)
Pathogenic
(Jul 18, 2022)
germlineclinical testing

PubMed (3)
[See all records that cite these PMIDs]

Citation Link,

SCV000791699Counsyl
criteria provided, single submitter

(Counsyl Autosomal Recessive and X-Linked Classification Criteria (2018))
Likely pathogenic
(May 26, 2017)
unknownclinical testing

PubMed (1)
[See all records that cite this PMID]

Citation Link,

SCV002234911Labcorp Genetics (formerly Invitae), Labcorp
criteria provided, single submitter

(Invitae Variant Classification Sherloc (09022015))
Pathogenic
(Aug 10, 2022)
germlineclinical testing

PubMed (8)
[See all records that cite these PMIDs]

SCV002781785Fulgent Genetics, Fulgent Genetics
criteria provided, single submitter

(ACMG Guidelines, 2015)
Likely pathogenic
(Apr 21, 2022)
unknownclinical testing

PubMed (1)
[See all records that cite this PMID]

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedgermlineunknownnot providednot providednot providednot providednot providedclinical testing
not providedunknownunknownnot providednot providednot providednot providednot providedclinical testing

Citations

PubMed

ATP7B variant spectrum in a French pediatric Wilson disease cohort.

Couchonnal E, Bouchard S, Sandahl TD, Pagan C, Lion-François L, Guillaud O, Habes D, Debray D, Lamireau T, Broué P, Fabre A, Vanlemmens C, Sobesky R, Gottrand F, Bridoux-Henno L, Belmalih A, Poujois A, Brunet AS, Lachaux A, Bost M.

Eur J Med Genet. 2021 Oct;64(10):104305. doi: 10.1016/j.ejmg.2021.104305. Epub 2021 Aug 13. Erratum in: Eur J Med Genet. 2021 Nov;64(11):104341. doi: 10.1016/j.ejmg.2021.104341. Eur J Med Genet. 2022 Mar;65(3):104453. doi: 10.1016/j.ejmg.2022.104453.

PubMed [citation]
PMID:
34400371

RNA splicing. The human splicing code reveals new insights into the genetic determinants of disease.

Xiong HY, Alipanahi B, Lee LJ, Bretschneider H, Merico D, Yuen RK, Hua Y, Gueroussov S, Najafabadi HS, Hughes TR, Morris Q, Barash Y, Krainer AR, Jojic N, Scherer SW, Blencowe BJ, Frey BJ.

Science. 2015 Jan 9;347(6218):1254806. doi: 10.1126/science.1254806. Epub 2014 Dec 18.

PubMed [citation]
PMID:
25525159
PMCID:
PMC4362528
See all PubMed Citations (11)

Details of each submission

From Women's Health and Genetics/Laboratory Corporation of America, LabCorp, SCV000694450.2

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (3)

Description

Variant summary: ATP7B c.3556+1G>T is located in a canonical splice-site and is predicted to affect mRNA splicing resulting in a significantly altered protein due to either exon skipping, shortening, or inclusion of intronic material. Several computational tools predict a significant impact on normal splicing: Two predict the variant abolishes a 5' splicing donor site. However, these predictions have yet to be confirmed by functional studies. The variant was absent in 249588 control chromosomes (gnomAD). c.3556+1G>T has been reported in the literature in individuals affected with Wilson Disease (Karunas_2000, Khidiyatova_2008 proceedings of World Medical Conference, Balashova_2020, Couchonnal_2021). These data indicate that the variant is likely to be associated with disease. A variant involving the same nucleotide, c.3556+1G>A, has been classififed as likely pathgoenic by our lab. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Two clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 and both laboratories classified the variant as pathogenic (n=1) or likely pathogenic (n=1). Based on the evidence outlined above, the variant was classified as pathogenic.

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknownnot providednot providednot providednot providednot providednot providednot provided

From Counsyl, SCV000791699.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (1)
#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1unknownunknownnot providednot providednot providednot providednot providednot providednot provided

From Labcorp Genetics (formerly Invitae), Labcorp, SCV002234911.3

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (8)

Description

For these reasons, this variant has been classified as Pathogenic. Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. ClinVar contains an entry for this variant (Variation ID: 495416). Disruption of this splice site has been observed in individuals with Wilson disease (PMID: 7626145, 10994503, 26799313, 31708252; Invitae). This variant is not present in population databases (gnomAD no frequency). This sequence change affects a donor splice site in intron 16 of the ATP7B gene. It is expected to disrupt RNA splicing. Variants that disrupt the donor or acceptor splice site typically lead to a loss of protein function (PMID: 16199547), and loss-of-function variants in ATP7B are known to be pathogenic (PMID: 10441329, 16283883).

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknownnot providednot providednot providednot providednot providednot providednot provided

From Fulgent Genetics, Fulgent Genetics, SCV002781785.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (1)
#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1unknownunknownnot providednot providednot providednot providednot providednot providednot provided

Last Updated: Sep 29, 2024