Variant detail
mut_id 269 · c.4006C>T · p.Arg1336Trp
Evidence at a glance
6
Linked patients
6
Patient-variant records
5
Linked references
3
Countries reported
cTTP (6)
Common phenotype
compound_heterozygous (6)
Common zygosity
Summary
Point missense_variant Not provided Residue 133 AlphaMissense key R133W
HGVS
c.4006C>T
Protein change
p.Arg1336Trp
rsID
rs281875308
ClinVar ID
68821
GRCh38 coordinate
133458023
Location
exon 28
gnomAD AF
0.00001054
Domain
Metalloprotease
Gene
ADAMTS13
References
A Case Report of Congenital Thrombotic Thrombocytopenic Purpura: The Peripheral Blood Smear Lights the Diagnosis
Inherited Thrombotic Thrombocytopenic Purpura Revealed by Recurrent Strokes in a Male Adult: Case Report and Literature Review
Mutation analysis and clinical implications of von Willebrand factor-cleaving protease deficiency
Application of high-throughput sequencing for hereditary thrombocytopenia in southwestern China
Risk of diagnostic delay in congenital thrombotic thrombocytopenic purpura
Amino-acid property change
Residue substitution
R → W at 133
AlphaMissense score
Not available
No local AlphaMissense row found for R133W.
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 133 highlighted in red.
AlphaFold Q76LX8 ADAMTS13 structure
Domain: Metalloprotease
Domain colours match the homepage domain viewer.
Patient summary
Countries represented
Japan (2); Austria (2); Switzerland (2)
Phenotype
cTTP (6)
Zygosity
compound_heterozygous (6)
Sex
male (4); female (2)
Pregnancy-related
no (4); yes (1); unknown (1)
Triggers
none (5); pregnancy (1)
Treatment
unknown (5); PI (1)
ADAMTS13 activity
n=6; median=1.95; range=0.5–3
Age of onset
n=1; median=28; range=28–28
Age of diagnosis
n=3; median=21; range=18–28
Platelet count
n=1; median=21; range=21–21
Variant fields
mut_syn_HGVS
c.4006C>T
cdna_numb_HGVS
4006
cdna_numb_legacy
4006
nt_change
C>T
n_bp
1
nuc_numb
4006
g_numb
g16
aa_numb_HGVS
133
aa_numb_legacy
133
aa_first
Arg
aa_last
Trp
aa_syn
p.Arg1336Trp
codon_first
CGG
codon_last
TGG
coordinate_GRCh38
133458023
gnomAD_AC
17
gnomAD_AN
1613338
gnomAD_AF
0.00001054
clinvar_id
68821
clinvar_classification
Not provided
g_id
g16
g_name
ADAMTS13
comments
not provided
refState
complete
ref_id
48, 71, 182, 205, 216
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 161 | 269 | 51 | 216 | cTTP | compound_heterozygous | Japan | female | 28 | 28 | <0.5 | 21 | yes | pregnancy | unknown |
| 162 | 269 | 51 | 216 | cTTP | compound_heterozygous | Japan | female | unknown | unknown | 2.9 | unknown | unknown | none | unknown |
| 293 | 269 | 4 | 182 | cTTP | compound_heterozygous | Austria | male | unknown | unknown | <3 | unknown | no | none | unknown |
| 294 | 269 | 4 | 182 | cTTP | compound_heterozygous | Austria | male | unknown | unknown | <3 | unknown | no | none | unknown |
| 365 | 269 | 315 | 48 | cTTP | compound_heterozygous | Switzerland | male | unknown | 21 | <1 | unknown | no | none | unknown |
| 366 | 269 | 315 | 48 | cTTP | compound_heterozygous | Switzerland | male | unknown | 18 | <1 | unknown | no | none | PI |