ClinVar Miner

Submissions for variant NM_000352.6(ABCC8):c.560T>A (p.Val187Asp)

gnomAD frequency: 0.00022  dbSNP: rs137852672
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Total submissions: 6
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Eurofins Ntd Llc (ga) RCV000723825 SCV000230073 pathogenic not provided 2014-06-13 criteria provided, single submitter clinical testing
Counsyl RCV000009667 SCV000485103 pathogenic Hyperinsulinemic hypoglycemia, familial, 1 2016-02-19 criteria provided, single submitter clinical testing
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV000009667 SCV001339055 pathogenic Hyperinsulinemic hypoglycemia, familial, 1 2020-03-09 criteria provided, single submitter clinical testing Variant summary: ABCC8 c.560T>A (p.Val187Asp) results in a non-conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.00015 in 235200 control chromosomes (gnomAD). This frequency is not higher than expected for a pathogenic variant in ABCC8 causing Congenital Hyperinsulinism (0.00015 vs 0.0034), allowing no conclusion about variant significance. c.560T>A has been reported in the literature in multiple families affected with Congenital Hyperinsulinism (Otonkoski_1999, Henquin_2011). At least one publication has reported the variant to result in non-functional channel (Otonkoski_1999). One clinical diagnostic laboratory has submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation and classified the variant as pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic.
Broad Center for Mendelian Genomics, Broad Institute of MIT and Harvard RCV000009667 SCV004026577 pathogenic Hyperinsulinemic hypoglycemia, familial, 1 2023-08-16 criteria provided, single submitter curation The p.Val187Asp variant in ABCC8 has been reported in >10 individuals with hyperinsulinemic hypoglycemia (PMID: 10334322, 16380471, 12364426, 19475716), and has been identified in 0.2% (42/23698) of European (Finnish) chromosomes by the Genome Aggregation Database (gnomAD, http://gnomad.broadinstitute.org; dbSNP rs137852672). Although this variant has been seen in the general population in a heterozygous state, its frequency is not high enough to rule out a pathogenic role. This variant has also been reported in ClinVar (Variation ID: 9099) and has been interpreted as pathogenic by Counsyl, OMIM, Women's Health and Genetics/Laboratory Corporation of America (LabCorp), and Eurofins NTD LLC (GA). Of the many affected individuals, at least 4 were compound heterozygotes that carried a reported pathogenic variant in trans, which increases the likelihood that the p.Val187Asp variant is pathogenic (PMID: 16380471). In vitro functional studies provide some evidence that the p.Val187Asp variant may slightly impact protein function (PMID: 10334322). However, these types of assays may not accurately represent biological function. Computational prediction tools and conservation analyses suggest that this variant may impact the protein, though this information is not predictive enough to determine pathogenicity. In summary, this variant meets criteria to be classified as pathogenic for autosomal recessive hyperinsulinemic hypoglycemia. ACMG/AMP Criteria applied: PM3_very_strong, PP3, PS3_supporting (Richards 2015).
Baylor Genetics RCV003473071 SCV004202148 likely pathogenic Type 2 diabetes mellitus 2023-05-18 criteria provided, single submitter clinical testing
OMIM RCV000009667 SCV000029885 pathogenic Hyperinsulinemic hypoglycemia, familial, 1 1999-02-01 no assertion criteria provided literature only

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