Variant detail
mut_id 264 · c.3656G>A · p.Arg1219Gln
Evidence at a glance
3
Linked patients
3
Patient-variant records
4
Linked references
3
Countries reported
cTTP (3)
Common phenotype
compound_heterozygous (3)
Common zygosity
Summary
Point missense_variant Likely pathogenic Residue 121 AlphaMissense key R121Q
HGVS
c.3656G>A
Protein change
p.Arg1219Gln
rsID
rs782649881
ClinVar ID
1163512
Location
exon 26
gnomAD AF
0.00002417
Domain
Metalloprotease
Gene
ADAMTS13
References
Hereditary Thrombotic Thrombocytopenic Purpura in a 9-Month-old: Diagnosing and Managing an Ultra-rare Disorder
The International Hereditary Thrombotic Thrombocytopenic Purpura Registry: key findings at enrollment until 2017
[Novel ADAMTS13 compound heterozygous mutation in a patient with hereditary thrombotic thrombocytopenic purpura]
ADAMTS13 and its variants promote angiogenesis via upregulation of VEGF and VEGFR2
Amino-acid property change
Residue substitution
R → Q at 121
AlphaMissense score
Not available
No local AlphaMissense row found for R121Q.
Hydrophobicity
hydrophilic → hydrophilic (unchanged)
Charge
postive → neutral
Polarity
polar → polar (unchanged)
Size
large → large (unchanged)
Residue type
basic → Unknown
Typical protein position
surface → surface (unchanged)
Hydropathy index
-4.5 → -3.5
Molecular weight
174.2 → 146.1
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
Q
· glutamine
code: Gln
hydro: hydrophilic
charge: neutral
polarity: polar
size: large
type:
code: Gln
hydro: hydrophilic
charge: neutral
polarity: polar
size: large
type:
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
USA (1); Switzerland (1); UK (1)
Phenotype
cTTP (3)
Zygosity
compound_heterozygous (3)
Sex
female (3)
Pregnancy-related
no (1); unknown (1); yes (1)
Triggers
none (1); unknown (1); pregnancy (1)
Treatment
unknown (3)
ADAMTS13 activity
n=2; median=4.5; range=3–6
Age of onset
n=1; median=16; range=16–16
Age of diagnosis
Not available
Platelet count
n=1; median=41; range=41–41
Variant fields
mut_syn_HGVS
c.3656G>A
cdna_numb_HGVS
3656
cdna_numb_legacy
3656
nt_change
G>A
n_bp
1
nuc_numb
3656
g_numb
g16
aa_numb_HGVS
121
aa_numb_legacy
121
aa_first
Arg
aa_last
Gln
aa_syn
p.Arg1219Gln
codon_first
CGG
codon_last
CAG
gnomAD_AC
39
gnomAD_AN
1613420
gnomAD_AF
0.00002417
clinvar_id
1163512
clinvar_classification
Likely pathogenic
g_id
g16
g_name
ADAMTS13
comments
Uncertain
significance
refState
complete
ref_id
56, 72, 93, 239, 332
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 22 | 264 | 94 | 56 | cTTP | compound_heterozygous | USA | female | 16 | 6 | 41 | no | none | unknown | |
| 105 | 264 | 330 | 93 | cTTP | compound_heterozygous | Switzerland | female | unknown | unknown | 3 | unknown | unknown | unknown | unknown |
| 183 | 264 | 330 | 239 | cTTP | compound_heterozygous | UK | female | unknown | unknown | unknown | unknown | yes | pregnancy | unknown |