ClinVar Miner

Submissions for variant NM_000419.5(ITGA2B):c.2674del (p.Ile892fs)

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Total submissions: 1
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
ClinGen Platelet Disorders Variant Curation Expert Panel, ClinGen RCV004577677 SCV005061664 pathogenic Glanzmann thrombasthenia 2024-03-07 reviewed by expert panel curation The c.2674del (p.Ile892SerfsTer18) variant in exon 26 is a frameshift variant predicted to cause a premature stop codon in biologically-relevant-exon 27 and is predicted to lead to nonsense mediated decay in a gene in which loss-of-function is an established disease mechanism (PVS1). At least one patient (Patient 13 in PMID: 19172520) with this variant displayed mucocutaneous bleeding and impaired aggregation with all agonists except ristocetin, which is highly specific for Glanzmann thrombasthenia. Additionally, αIIbβ3 surface expression was reduced to <10% (from GT database), as measured by flow cytometry (PP4_moderate). This variant has been detected in at least 1 proband with Glanzmann thrombasthenia (Patient 13 in PMID: 19172520). This individual was homozygous for the variant (PMID: 19172520; PM3_Supporting). This variant is also absent from gnomAD v2.1.1 (PM2_Supporting). In summary, this variant meets the criteria to be classified as Pathogenic for autosomal recessive Glanzmann Thrombasthenia based on the ACMG/AMP criteria applied, as specified by the ClinGen PD VCEP: PVS1, PP4_Moderate, PM2_Supporting and PM3_Supporting (VCEP specifications version 2).

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