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CA400023704

Gene: ITGB3
Condition: Glanzmann's thrombasthenia
Inheritance Mode: Autosomal recessive inheritance
UUID: e113c60d-9ec3-4646-8d50-e6ea99e9f876
Approved on: 2021-06-15
Published on: 2021-08-20

HGVS expressions

NM_000212.3:c.774T>A
NC_000017.11:g.47286419T>A
CM000679.2:g.47286419T>A
NC_000017.10:g.45363785T>A
CM000679.1:g.45363785T>A
NC_000017.9:g.42718784T>A
NG_008332.2:g.37578T>A
ENST00000559488.7:c.774T>A
ENST00000559488.5:c.774T>A
ENST00000560629.1:n.739T>A
ENST00000571680.1:c.774T>A
NM_000212.2:c.774T>A

Pathogenic

Met criteria codes 4
PVS1 PM3_Supporting PM2_Supporting PP4_Moderate

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Platelet Disorders VCEP
The ITGB3 nonsense variant NM_000212.3:c.774T>A (p.Cys258Ter) is expected to introduce a premature termination codon and the resulting mRNA product is predicted to undergo nonsense mediated decay, leading to loss of normal protein function. This variant has been observed in homozygosity in one individual with a phenotype specific for Glanzmann's thrombasthenia (GT) (Patient N, PMID: 26096001). Furthermore, this variant is absent from population databases. In summary, this variant meets criteria to be classified as pathogenic for GT. GT-specific criteria applied: PVS1, PM2_supporting, PM3_supporting, PP4_moderate.
Met criteria codes
PVS1
This variant introduces a termination codon at amino acid position 258 in exon 5/15. The resulting mRNA product is predicted to undergo nonsense mediated decay, leading to loss of normal protein function.
PM3_Supporting
This variant has been observed in homozygosity in one individual (Patient N, PMID: 26096001), sufficient to apply PM3_supporting.
PM2_Supporting
This is a rare variant not reported in control population databases, including gnomAD v2.1.1, gnomAD v3, PAGE, 1000 Genomes, and ESP, meeting the criterion to apply PM2_supporting.
PP4_Moderate
All requirements for PP4_moderate are met (Patient N, PMID: 26096001): history of bleeding and impaired aggregation to at least two agonists, but normal or only mildly reduced agglutination with ristocetin.
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