Variant detail
mut_id 263 · c.3655C>T · p.Arg1219Trp
Evidence at a glance
7
Linked patients
7
Patient-variant records
5
Linked references
4
Countries reported
cTTP (7)
Common phenotype
heterozygous (3)
Common zygosity
Summary
Point missense_variant Not provided Residue 121 AlphaMissense key R121W
HGVS
c.3655C>T
Protein change
p.Arg1219Trp
rsID
rs281875339
ClinVar ID
68818
Location
exon 26
gnomAD AF
0.00000433
Domain
Metalloprotease
Gene
ADAMTS13
References
Case of maternal and fetal deaths due to severe congenital thrombotic thrombocytopenic purpura (Upshaw-Schulman syndrome) during pregnancy
[Thrombotic thrombocytopenic purpura in a newborn]
Mutations and Common Polymorphisms in ADAMTS13 and vWF Genes Responsible for Increasing Risk of Thrombosis
Congenital late onset thrombotic thrombocytopenic purpura: a diagnostic challenge
Two newborn-onset patients of Upshaw-Schulman syndrome with distinct subsequent clinical courses
Amino-acid property change
Residue substitution
R → W at 121
AlphaMissense score
Not available
No local AlphaMissense row found for R121W.
Hydrophobicity
hydrophilic → hydrophobic
Charge
postive → neutral
Polarity
polar → nonpolar
Size
large → large (unchanged)
Residue type
basic → aromatic
Typical protein position
surface → buried
Hydropathy index
-4.5 → -0.9
Molecular weight
174.2 → 204.2
Original residue details
R
· arginine
code: Arg
hydro: hydrophilic
charge: postive
polarity: polar
size: large
type: basic
code: Arg
hydro: hydrophilic
charge: postive
polarity: polar
size: large
type: basic
Variant residue details
W
· tryptophan
code: Trp
hydro: hydrophobic
charge: neutral
polarity: nonpolar
size: large
type: aromatic
code: Trp
hydro: hydrophobic
charge: neutral
polarity: nonpolar
size: large
type: aromatic
Interactive AlphaFold structure
Interactive local 3D view of the AlphaFold Q76LX8 ADAMTS13 structure.
Drag to rotate, shift-drag to move, and use the mouse wheel to zoom in and out. The default view shows the full ADAMTS13 structure, with residue 121 highlighted in red.
AlphaFold Q76LX8 ADAMTS13 structure
Domain: Metalloprotease
Domain colours match the homepage domain viewer.
Patient summary
Countries represented
Israel (2); Italy (2); Germany (2); India (1)
Phenotype
cTTP (7)
Zygosity
heterozygous (3); compound_heterozygous (2); homozygous (2)
Sex
male (7)
Pregnancy-related
no (7)
Triggers
none (4); infection (2); unknown (1)
Treatment
PI (3); none (2); unknown (2); Splenectomy (1)
ADAMTS13 activity
n=7; median=3; range=1–7
Age of onset
n=7; median=1; range=1–35
Age of diagnosis
n=1; median=26; range=26–26
Platelet count
Not available
Variant fields
mut_syn_HGVS
c.3655C>T
cdna_numb_HGVS
3655
cdna_numb_legacy
3655
nt_change
C>T
n_bp
1
nuc_numb
3655
g_numb
g16
aa_numb_HGVS
121
aa_numb_legacy
121
aa_first
Arg
aa_last
Trp
aa_syn
p.Arg1219Trp
codon_first
CGG
codon_last
TGG
gnomAD_AC
7
gnomAD_AN
1613402
gnomAD_AF
0.00000433
clinvar_id
68818
clinvar_classification
Not provided
g_id
g16
g_name
ADAMTS13
comments
not provided
refState
complete
ref_id
121, 163, 220, 233, 246
Patients linked by mut_id
| patient_id | mut_id | compound_partner_mut_id | ref_id | phenotype | zygosity | country | sex | age_of_onset | age_of_diagnosis | ad13_activity | platelet_count | pregnancy_related | triggers | treatment |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 95 | 263 | 239 | 121 | cTTP | compound_heterozygous | Israel | male | <1 | unknown | <1 | unknown | no | infection | PI |
| 96 | 263 | 239 | 121 | cTTP | compound_heterozygous | Israel | male | 1 | unknown | <1 | unknown | no | unknown | PI, Splenectomy |
| 205 | 263 | . | 233 | cTTP | homozygous | Italy | male | 35 | unknown | <6 | unknown | no | none | none |
| 206 | 263 | . | 233 | cTTP | homozygous | Italy | male | 28 | unknown | <6 | unknown | no | none | none |
| 229 | 263 | 263 | 246 | cTTP | heterozygous | India | male | 26 | 26 | <7 | unknown | no | infection | PI |
| 332 | 263 | . | 220 | cTTP | heterozygous | Germany | male | <1 | unknown | <3 | unknown | no | none | unknown |
| 333 | 263 | . | 220 | cTTP | heterozygous | Germany | male | <1 | unknown | <3 | unknown | no | none | unknown |