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Variant: NM_000212.3:c.330_336del

CA915940806

Gene: ITGB3
Condition: Glanzmann thrombasthenia
Inheritance Mode: Autosomal recessive inheritance
UUID: e609a61c-0e59-4ab2-a6f2-4841f790181f

HGVS expressions

NM_000212.3:c.330_336del
NC_000017.11:g.47283518_47283524del
CM000679.2:g.47283518_47283524del
NC_000017.10:g.45360884_45360890del
CM000679.1:g.45360884_45360890del
NC_000017.9:g.42715883_42715889del
NG_008332.2:g.34677_34683del
ENST00000559488.7:c.330_336del
ENST00000559488.5:c.330_336del
ENST00000560629.1:n.295_301del
ENST00000571680.1:c.330_336del
NM_000212.2:c.330_336del

Pathogenic

Met criteria codes 4
PM2_Supporting PVS1 PM3_Supporting PP4_Moderate

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specification: ClinGen Platelet Disorders Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines Version 2.1

Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Platelet Disorders VCEP
NM_000212.3(ITGB3):c.330_336del (p.Ser110ArgfsTer32) frameshift variant in exon 3 is predicted to cause a premature stop codon in biologically-relevant-exon 4/15 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 (UPN 10 in PMID: 16879215) with this variant displayed mucocutaneous bleeding and impaired aggregation with all agonists except ristocetin, which is highly specific for Glanzmann thrombasthenia (PP4_moderate). Additionally, αIIbβ3 surface expression was reduced to 3%, as measured by flow cytometry. UPN 10 is homozygous for this variant (PM3_supporting; PMID: 16879215). This variant is 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, PM2_supporting, PM3_supporting, PP4_moderate.
Met criteria codes
PM2_Supporting
This variant is absent from gnomAD v2.1.1 (PM2_Supporting).
PVS1
NM_000212.3(ITGB3):c.330_336del (p.Ser110ArgfsTer32) frameshift variant in exon 3 is predicted to cause a premature stop codon in biologically-relevant-exon 4/15 and is predicted to lead to nonsense mediated decay in a gene in which loss-of-function is an established disease mechanism (PVS1). RT-PCR analysis revealed a product of about the size of the normal control cDNA product, consistent with normal splicing, sequencing of which confirmed the 7-bp deletion.
PM3_Supporting
UPN 10 is homozygous for this variant (PM3_supporting; PMID: 16879215).
PP4_Moderate
At least one patient (UPN 10 in PMID: 16879215) with this variant displayed mucocutaneous bleeding and impaired aggregation with all agonists except ristocetin, which is highly specific for Glanzmann thrombasthenia (PP4_moderate). Additionally, αIIbβ3 surface expression was reduced to 3%, as measured by flow cytometry. However, ITGA2B and ITGB3 were not sequenced across all exons and intron/exon boundaries.
Approved on: 2022-10-06
Published on: 2022-12-07
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