ITGA2B p.Pro464=
c.1392A>G · rs1349170783 · VCV2674649
ClinGen expert panel — Platelet Disorders VCEP
Uncertain Significance for Glanzmann thrombasthenia. Applied ACMG criteria (verbatim):
PM3_Supporting PM2_Supporting
Curation rationale (ClinGen, verbatim)
The NM_000419.5(ITGA2B):c.1392A>G (p.Pro464=) has been reported in a patient (Patient 10, PMID: 31029159) with a clinical diagnosis of GT but insufficient information for a highly specific diagnosis. This variant is reported in gnomAD v4.1 in the non-Finnish European population with a MAF of 0.000001695 (2/1180034 alleles). This MAF is less than the 0.0001 MAF established by the PD VCEP to assign this code (PM2_Supporting). This variant was homozygous in the reported individual (Patient 10, PMID: 31029159) with a clinical diagnosis of GT. Since this was a homozygous occurrence and this variant was not seen in the literature elsewhere; per SVI recommendations this receives 0.5pt since this variant has a MAF of <0.0001 (PM3_Supporting). This variant was identified as heterozygous in parents and not homozygous in healthy individuals in the family. In summary, this variant meets the criteria to be classified as uncertain significance for autosomal recessive Glanzmann Thrombasthenia based on the ACMG/AMP criteria applied, as specified by the ClinGen PD VCEP: PM2_supporting, PM3_Supporting (VCEP specifications version 2.1).
ClinGen Evidence Repository → · reported verbatim, not re-tallied by Sugi Variant.
Computational evidence
| Protein change | ||
| Missense predictors do not apply to this variant type; conservation/SpliceAI carries the signal. | ||
| Splicing | ||
| SpliceAI | Δ0.47 | donor loss, 1 bp away · masked 0 · deltas |
|---|---|---|
| Pangolin | Δ0.37 | loss · gain 0.05 · agrees with SpliceAI · independent |
| Constraint at this position | ||
| Conservation | phyloP 6.1 | GERP 1.9, phastCons 1 |
| Overall | ||
| CADD | 22.0 | PHRED · no single calibrated threshold — expert panels disagree |
Population frequency
Rarity supports pathogenicity (ACMG PM2); frequency above a disease-specific BA1/BS1 threshold argues against it. A variant frequent in one ancestry group can be near-absent in others, so a single global figure can mislead.
Variant & gene context
- Gene
- ITGA2B
- Protein
- p.Pro464=
- Coding
- c.1392A>G
- MANE Select
- NM_000419
- dbSNP
- rs1349170783
- Type
- single nucleotide variant
- Location
- chr17:44380880 (GRCh38)
- Gene constraint
- LOEUF 0.763 · pLI <0.01 (gnomAD)
- Structure
- AlphaFold pLDDT 88.00 · 80 PDB
Disease context
Glanzmann thrombasthenia — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatmentsFor Glanzmann thrombasthenia (Orphanet):
- Inheritance
- Autosomal recessive
- Onset
- Infancy, Neonatal
Similar variants
- ITGA2B c.1210+105A>G Likely pathogenic ★★★ same condition
- ITGA2B c.1210+5G>A Likely pathogenic ★★★ same condition
- ITGA2B c.1211-1G>C Likely pathogenic ★★★ same condition
- ITGA2B c.1544+1G>A Pathogenic ★★★ same condition
- ITGA2B c.1545-1G>A Pathogenic ★★★ same condition
- ITGA2B c.1600+1G>A Pathogenic ★★★ same condition
- ITGA2B c.1752+2T>C Pathogenic ★★★ same condition
- ITGA2B c.1753-1G>A Likely pathogenic ★★★ same condition
Built on 18 open, versioned datasets — ClinVar, gnomAD, AlphaMissense, REVEL, ClinGen & more — plus Sugi Variant's own cross-source analysis. Source data 2026-01–2026-10, ClinVar 2026-10. Full sources & versions →
Cite Sugi Variant
Gür T. Sugi Variant: A Deterministic Per-Variant Germline Reference from a Knowledge Graph for Humans and AI Agents. 2026. doi:10.5281/zenodo.21509445. This variant: https://sugi.bio/variant/itga2b-p-pro464 (accessed [today's date]).
Preprint & method: sugi.bio/variant/method Machine-readable: this page as Markdown