ClinVar Miner

Submissions for variant NM_000392.5(ABCC2):c.2077G>A (p.Gly693Arg)

gnomAD frequency: 0.00001  dbSNP: rs765570396
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Total submissions: 5
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Eurofins Ntd Llc (ga) RCV000734633 SCV000862789 uncertain significance not provided 2018-08-07 criteria provided, single submitter clinical testing
Labcorp Genetics (formerly Invitae), Labcorp RCV000734633 SCV003451318 pathogenic not provided 2024-03-16 criteria provided, single submitter clinical testing This sequence change replaces glycine, which is neutral and non-polar, with arginine, which is basic and polar, at codon 693 of the ABCC2 protein (p.Gly693Arg). This variant is present in population databases (rs765570396, gnomAD 0.01%). This missense change has been observed in individuals with Dubin-Johnson syndrome (PMID: 31544333, 32183854). ClinVar contains an entry for this variant (Variation ID: 598277). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt ABCC2 protein function with a positive predictive value of 80%. Experimental studies have shown that this missense change affects ABCC2 function (PMID: 32183854). For these reasons, this variant has been classified as Pathogenic.
Neuberg Centre For Genomic Medicine, NCGM RCV004720281 SCV005329623 pathogenic Dubin-Johnson syndrome 2023-05-20 criteria provided, single submitter clinical testing The observed missense c.2077G>A(p.Gly693Arg) variant in ABCC2 gene has been reported previously in individuals affected with Dubin-Johnson syndrome (Liu T, et al., 2023; Wu L, et al., 2020; Corpechot C, et al., 2020). Experimental studies have shown that this missense change affects ABCC2 function (Wu L, et al., 2020). The p.Gly693Arg variant has been reported with allele frequency of 0.004% in gnomAD Exomes. This variant has been submitted to the ClinVar database as Uncertain Significance / Pathogenic. The amino acid change p.Gly693Arg in ABCC2 is predicted as conserved by GERP++ and PhyloP across 100 vertebrates. The amino acid Gly at position 693 is changed to a Arg changing protein sequence and it might alter its composition and physico-chemical properties. Multiple lines of computational evidences (Polyphen - Probably damaging, SIFT - Damaging and MutationTaster - Disease causing) predict a damaging effect on protein structure and function for this variant. For these reasons, this variant has been classified as Pathogenic.
Mayo Clinic Laboratories, Mayo Clinic RCV000734633 SCV005413958 pathogenic not provided 2023-07-07 criteria provided, single submitter clinical testing PP3, PM2_moderate, PS3, PS4
PreventionGenetics, part of Exact Sciences RCV004745575 SCV005350721 pathogenic ABCC2-related disorder 2024-05-03 no assertion criteria provided clinical testing The ABCC2 c.2077G>A variant is predicted to result in the amino acid substitution p.Gly693Arg. This variant has been reported in an individual with autosomal recessive Dubin-Johnson syndrome and functional in vitro studies showed this variant led to decreased expression, mislocalization and decreased organic anion transport activity of the ABCC2 encoded MPR2 protein (Wu et al. 2018. PubMed ID: 30344695; Wu et al. 2020. PubMed ID: 32183854). This variant is reported in 0.013% of alleles in individuals of South Asian descent in gnomAD. This variant is interpreted as pathogenic.

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