VCV002910464.1 - ClinVar

NM_000022.4(ADA):c.1018_1019del (p.Lys340fs)

Germline

Classification

The aggregate germline classification for this variant, typically for a monogenic or Mendelian disorder as in the ACMG/AMP guidelines, or for response to a drug. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the aggregate classification.

(1)

Stars represent the aggregate review status, or the level of review supporting the aggregate germline classification for this VCV record. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. The number of submissions which contribute to this review status is shown in parentheses.

Pathogenic

criteria provided, single submitter

Somatic

No data submitted for somatic clinical impact

Somatic

No data submitted for oncogenicity

Variant Details

Identifiers

NM_000022.4(ADA):c.1018_1019del (p.Lys340fs)

Variation ID: 2910464 Accession: VCV002910464.1

Type and length

Deletion, 2 bp

Location

Cytogenetic: 20q13.12 20: 44620358-44620359 (GRCh38) [ NCBI UCSC ] 20: 43248999-43249000 (GRCh37) [ NCBI UCSC ]

Timeline in ClinVar

	First in ClinVar Help The date this variant first appeared in ClinVar with each type of classification.	Last submission Help The date of the most recent submission for each type of classification for this variant.	Last evaluated Help The most recent date that a submitter evaluated this variant for each type of classification.
Germline	Feb 20, 2024	Feb 20, 2024	Aug 28, 2023

HGVS

Nucleotide	Protein	Molecular consequence
NM_000022.4:c.1018_1019del MANE Select Help Transcripts from the Matched Annotation from the NCBI and EMBL-EBI (MANE) collaboration.	NP_000013.2:p.Lys340fs	frameshift
NM_001322050.2:c.613_614del	NP_001308979.1:p.Lys205fs	frameshift
NM_001322051.2:c.946_947del	NP_001308980.1:p.Lys316fs	frameshift
NR_136160.2:n.1045_1046del		non-coding transcript variant
NC_000020.11:g.44620360_44620361del
NC_000020.10:g.43249001_43249002del
NG_007385.1:g.36377_36378del
LRG_16:g.36377_36378del
LRG_16t1:c.1016_1017del	LRG_16p1:p.Lys340Glufs

... more HGVS ... less HGVS

Protein change

K340fs, K205fs, K316fs

Other names

Canonical SPDI

NC_000020.11:44620357:TTTT:TT

Functional consequence Help The effect of the variant on RNA or protein function, based on experimental evidence from submitters.

Global minor allele frequency (GMAF) Help The global minor allele frequency calculated by the 1000 Genomes Project. The minor allele at this location is indicated in parentheses and may be different from the allele represented by this VCV record.

Allele frequency Help The frequency of the allele represented by this VCV record.

Links

VarSome

Genes

Gene	OMIM	ClinGen Gene Dosage Sensitivity Curation		Variation Viewer Help Links to Variation Viewer, a genome browser to view variation data from NCBI databases.	Related variants
Gene	OMIM	HI score Help The haploinsufficiency score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team.	TS score Help The triplosensitivity score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team.		Within gene Help The number of variants in ClinVar that are contained within this gene, with a link to view the list of variants.	All Help The number of variants in ClinVar for this gene, including smaller variants within the gene and larger CNVs that overlap or fully contain the gene.
ADA		-	-	GRCh38 GRCh37	531	685

Conditions - Germline

Condition Help The condition for this variant-condition (RCV) record in ClinVar.	Classification Help The aggregate germline classification for this variant-condition (RCV) record in ClinVar. The number of submissions that contribute to this aggregate classification is shown in parentheses. (# of submissions)	Review status Help The aggregate review status for this variant-condition (RCV) record in ClinVar. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status.	Last evaluated Help The most recent date that a submitter evaluated this variant for the condition.	Variation/condition record Help The RCV accession number, with most recent version number, for the variant-condition record, with a link to the RCV web page.
Severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-negative, due to adenosine deaminase deficiency	Pathogenic (1)	criteria provided, single submitter	Aug 28, 2023	RCV003603838.2

Submissions - Germline

Classification Help The submitted germline classification for each SCV record. (Last evaluated)	Review status Help Stars represent the review status, or the level of review supporting the submitted (SCV) record. This value is calculated by NCBI based on data from the submitter. Read our rules for calculating the review status. This column also includes a link to the submitter’s assertion criteria if provided, and the collection method. (Assertion criteria)	Condition Help The condition for the classification, provided by the submitter for this submitted (SCV) record. This column also includes the affected status and allele origin of individuals observed with this variant.	Submitter Help The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar.	More information Help This column includes more information supporting the classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter.
Pathogenic (Aug 28, 2023)	criteria provided, single submitter (Invitae Variant Classification Sherloc (09022015)) Method: clinical testing	Severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-negative, due to adenosine deaminase deficiency Affected status: unknown Allele origin: germline	Labcorp Genetics (formerly Invitae), Labcorp Accession: SCV004539097.1 First in ClinVar: Feb 20, 2024 Last updated: Feb 20, 2024	Publications: PubMed (2) PubMed: 8227344‚ 28747913 Comment: For these reasons, this variant has been classified as Pathogenic. This variant disrupts a region of the ADA protein in which other variant(s) (p.Arg341Glyfs8) have … (more) For these reasons, this variant has been classified as Pathogenic. This variant disrupts a region of the ADA protein in which other variant(s) (p.Arg341Glyfs8) have been determined to be pathogenic (PMID: 8227344; Invitae). This suggests that this is a clinically significant region of the protein, and that variants that disrupt it are likely to be disease-causing. This premature translational stop signal has been observed in individual(s) with severe combined immunodeficiency (PMID: 28747913). This variant is not present in population databases (gnomAD no frequency). This sequence change creates a premature translational stop signal (p.Lys340Glufs*9) in the ADA gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 24 amino acid(s) of the ADA protein. (less)

Comment:

For these reasons, this variant has been classified as Pathogenic. This variant disrupts a region of the ADA protein in which other variant(s) (p.Arg341Glyfs*8) have been determined to be pathogenic (PMID: 8227344; Invitae). This suggests that this is a clinically significant region of the protein, and that variants that disrupt it are likely to be disease-causing. This premature translational stop signal has been observed in individual(s) with severe combined immunodeficiency (PMID: 28747913). This variant is not present in population databases (gnomAD no frequency). This sequence change creates a premature translational stop signal (p.Lys340Glufs*9) in the ADA gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 24 amino acid(s) of the ADA protein.

Germline Functional Evidence

There is no functional evidence in ClinVar for this variation. If you have generated functional data for this variation, please consider submitting that data to ClinVar.

Comment:

Citations for germline classification of this variant

Title	Author	Journal	Year	Link
Family History of Early Infant Death Correlates with Earlier Age at Diagnosis But Not Shorter Time to Diagnosis for Severe Combined Immunodeficiency.	Luk ADW	Frontiers in immunology	2017	PMID: 28747913
Novel splicing, missense, and deletion mutations in seven adenosine deaminase-deficient patients with late/delayed onset of combined immunodeficiency disease. Contribution of genotype to phenotype.	Santisteban I	The Journal of clinical investigation	1993	PMID: 8227344

Text-mined citations for this variant ...

Record last updated Sep 30, 2024

ClinVar Genomic variation as it relates to human health

NM_000022.4(ADA):c.1018_1019del (p.Lys340fs)

Variant Details

Genes

Conditions - Germline

Submissions - Germline

Germline Functional Evidence

Citations for germline classification of this variant

Text-mined citations for this variant ...