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NM_000053.4(ATP7B):c.3061-1G>A AND Wilson disease

Germline classification:
Pathogenic (4 submissions)
Last evaluated:
Feb 2, 2023
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:
RCV002037652.6

Allele description [Variation Report for NM_000053.4(ATP7B):c.3061-1G>A]

NM_000053.4(ATP7B):c.3061-1G>A

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.3061-1G>A
HGVS:
  • NC_000013.11:g.51944292C>T
  • NG_008806.1:g.72203G>A
  • NM_000053.4:c.3061-1G>AMANE SELECT
  • NM_001005918.3:c.2440-1G>A
  • NM_001243182.2:c.2728-1G>A
  • NM_001330578.2:c.2827-1G>A
  • NM_001330579.2:c.2809-1G>A
  • NM_001406511.1:c.3061-1G>A
  • NM_001406512.1:c.3061-1G>A
  • NM_001406513.1:c.3061-7G>A
  • NM_001406514.1:c.3028-1G>A
  • NM_001406515.1:c.3007-1G>A
  • NM_001406516.1:c.3007-1G>A
  • NM_001406517.1:c.2965-1G>A
  • NM_001406518.1:c.2965-1G>A
  • NM_001406519.1:c.2926-1G>A
  • NM_001406520.1:c.2917-1G>A
  • NM_001406521.1:c.2917-1G>A
  • NM_001406522.1:c.2917-1G>A
  • NM_001406523.1:c.3061-1738G>A
  • NM_001406524.1:c.2884-1G>A
  • NM_001406525.1:c.2866-1G>A
  • NM_001406526.1:c.3061-1G>A
  • NM_001406527.1:c.2827-1G>A
  • NM_001406528.1:c.2827-1G>A
  • NM_001406530.1:c.2821-1G>A
  • NM_001406531.1:c.2809-1G>A
  • NM_001406532.1:c.2809-1G>A
  • NM_001406534.1:c.2773-1G>A
  • NM_001406535.1:c.2731-1G>A
  • NM_001406536.1:c.2731-1G>A
  • NM_001406537.1:c.2722-1G>A
  • NM_001406538.1:c.2827-1G>A
  • NM_001406539.1:c.2632-1G>A
  • NM_001406540.1:c.2614-1G>A
  • NM_001406541.1:c.2575-1G>A
  • NM_001406542.1:c.2575-1G>A
  • NM_001406543.1:c.2713-1G>A
  • NM_001406544.1:c.2479-1G>A
  • NM_001406545.1:c.2413-1G>A
  • NM_001406546.1:c.2380-1G>A
  • NM_001406547.1:c.2218-1G>A
  • NM_001406548.1:c.1771-1G>A
  • NC_000013.10:g.52518428C>T
  • NM_000053.3:c.3061-1G>A
Links:
dbSNP: rs780955130
NCBI 1000 Genomes Browser:
rs780955130
Molecular consequence:
  • NM_001406513.1:c.3061-7G>A - intron variant - [Sequence Ontology: SO:0001627]
  • NM_001406523.1:c.3061-1738G>A - intron variant - [Sequence Ontology: SO:0001627]
  • NM_000053.4:c.3061-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001005918.3:c.2440-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001243182.2:c.2728-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001330578.2:c.2827-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001330579.2:c.2809-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406511.1:c.3061-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406512.1:c.3061-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406514.1:c.3028-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406515.1:c.3007-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406516.1:c.3007-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406517.1:c.2965-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406518.1:c.2965-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406519.1:c.2926-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406520.1:c.2917-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406521.1:c.2917-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406522.1:c.2917-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406524.1:c.2884-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406525.1:c.2866-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406526.1:c.3061-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406527.1:c.2827-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406528.1:c.2827-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406530.1:c.2821-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406531.1:c.2809-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406532.1:c.2809-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406534.1:c.2773-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406535.1:c.2731-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406536.1:c.2731-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406537.1:c.2722-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406538.1:c.2827-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406539.1:c.2632-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406540.1:c.2614-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406541.1:c.2575-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406542.1:c.2575-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406543.1:c.2713-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406544.1:c.2479-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406545.1:c.2413-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406546.1:c.2380-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406547.1:c.2218-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]
  • NM_001406548.1:c.1771-1G>A - splice acceptor variant - [Sequence Ontology: SO:0001574]

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
SCV002234665Invitae
criteria provided, single submitter

(Invitae Variant Classification Sherloc (09022015))
Pathogenic
(Jun 13, 2022)
germlineclinical testing

PubMed (7)
[See all records that cite these PMIDs]

SCV002819644Women's Health and Genetics/Laboratory Corporation of America, LabCorp
criteria provided, single submitter

(LabCorp Variant Classification Summary - May 2015)
Pathogenic
(Dec 19, 2022)
germlineclinical testing

PubMed (2)
[See all records that cite these PMIDs]

Citation Link,

SCV004216498Baylor Genetics
criteria provided, single submitter

(ACMG Guidelines, 2015)
Pathogenic
(Sep 5, 2022)
unknownclinical testing

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

SCV004847815Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
criteria provided, single submitter

(ACMG Guidelines, 2015)
Pathogenic
(Feb 2, 2023)
germlineclinical testing

PubMed (6)
[See all records that cite these PMIDs]

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

A new ATP7B gene mutation with severe condition in two unrelated Iranian families with Wilson disease.

Dastsooz H, Dehghani SM, Imanieh MH, Haghighat M, Moini M, Fardaei M.

Gene. 2013 Feb 1;514(1):48-53. doi: 10.1016/j.gene.2012.10.085. Epub 2012 Nov 13.

PubMed [citation]
PMID:
23159873

Splicing in action: assessing disease causing sequence changes.

Baralle D, Baralle M.

J Med Genet. 2005 Oct;42(10):737-48. Review.

PubMed [citation]
PMID:
16199547
PMCID:
PMC1735933
See all PubMed Citations (12)

Details of each submission

From Invitae, SCV002234665.3

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (7)

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. Disruption of this splice site has been observed in individuals with Wilson disease (PMID: 8931691, 22308153, 23159873). This variant is not present in population databases (gnomAD no frequency). This sequence change affects an acceptor splice site in intron 13 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 Women's Health and Genetics/Laboratory Corporation of America, LabCorp, SCV002819644.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (2)

Description

Variant summary: ATP7B c.3061-1G>A 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: Four predict the variant abolishes a 3' acceptor site. However, these predictions have yet to be confirmed by functional studies. The variant was absent in 246446 control chromosomes (gnomAD). c.3061-1G>A has been reported in the literature in multiple individuals affected with Wilson Disease (e.g. Dastsooz_2013, Loudianos_2016). These data indicate that the variant is very likely to be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. A ClinVar submitter (evaluation after 2014) cites the variant as pathogenic. 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 Baylor Genetics, SCV004216498.1

#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 Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine, SCV004847815.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (6)

Description

The c.3061-1G>A variant in ATP7B has been reported in the homozygous state in 4 individuals and the heterozygous state without a second variant detailed in 3 individuals with Wilson disease (Dastsooz 2013, Loudianos 1996). It was absent from large population studies. This variant occurs within the canonical splice site (+/- 1,2) and is predicted to cause altered splicing leading to an abnormal or absent protein. Loss of function of the ATP7B gene is an established disease mechanism in autosomal recessive Wilson disease. In summary, although additional studies are required to fully establish its clinical significance, this variant meets criteria to be classified as likely pathogenic for autosomal recessive Wilson disease. ACMG/AMP criteria applied: PM3, PVS1_Strong, PM2_Supporting.

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

Last Updated: May 7, 2024