APOA1
protein-codingapolipoprotein A1, the group of Apolipoproteins
Gene summary
This gene encodes apolipoprotein A-I, which is the major protein component of high density lipoprotein (HDL) in plasma. The encoded preproprotein is proteolytically processed to generate the mature protein, which promotes cholesterol efflux from tissues to the liver for excretion, and is a cofactor for lecithin cholesterolacyltransferase (LCAT), an enzyme responsible for the formation of most plasma cholesteryl esters. This gene is closely linked with two other apolipoprotein genes on chromosome 11. Defects in this gene are associated with HDL deficiencies, including Tangier disease, and with systemic non-neuropathic amyloidosis. Alternative splicing results in multiple transcript variants, at least one of which encodes a preproprotein. [provided by RefSeq, Dec 2015]
MANE transcript
Inheritance
ClinVar variants
Top phenotype
gnomAD constraint
Max pathogenic AF
Genomic locus
External References & Databases
Transcript & Mutation Effects
hg38 • Region Span ~1.9 kbGenCC Phenotypes & Disease Associations
Curated gene-disease validity assertions and inheritance patterns
Inheritance Pattern: SD
Disease ID:MONDO:0032766
Submitter: PanelApp Australia
Inheritance Pattern: AD
Disease ID:MONDO:0100189
Submitter: Orphanet
Inheritance Pattern: AD
Disease ID:MONDO:0971008
Submitter: PanelApp Australia
Inheritance Pattern: AD
Disease ID:MONDO:0007099
Submitter: Labcorp Genetics (formerly Invitae)
Inheritance Pattern: AD
Disease ID:MONDO:0007099
Submitter: Ambry Genetics
Inheritance Pattern: AR
Disease ID:MONDO:0032766
Submitter: Labcorp Genetics (formerly Invitae)
Inheritance Pattern: AD
Disease ID:MONDO:0019731
Submitter: Orphanet
Clinical Genomic Database (CGD)
Manifestation: Cardiovascular; Endocrine; Dermatologic; Gastrointestinal; Ophthalmologic; Renal
Intervention: Cardiovascular; Endocrine; Gastrointestinal; Pharmacogenomic
Rationale: In Hypoalphalipoproteinemia, primary 2, intervention to decrease risk factors contributing to cardiovascular disease (eg, CAD and stroke), as well as early surveillance and intervention in the case of findings such as CAD, may be beneficial; In Hereditary amyloidosis, individuals may manifest with sequelae affecting multiple organ systems, and awareness may allow early diagnossi and medical management (eg, related to endocrine or renal insufficiency); Liver transplantation can correct the underlying metabolic defect
Comments: Though manifestations have been described in adults, surveillance and interventions should likely begin in the pediatric period; Hypoalphalipoproteinemia, primary, 2, intermediate has not been described as involving cardiovascular risk
ClinVar Associated Diseases & Phenotypes
Reported disease conditions connected to APOA1 variants in ClinVar
ClinVar Variants & Pathogenicity by Type
Statistics based on transcript NM_000039.3. Only rare variants are included.
We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.
Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.
| Effect | PathogenicP | Likely pathogenicLP | VUS | Likely benignLB | BenignB | Sum |
|---|---|---|---|---|---|---|
| synonymous | 3 | 99 | 102 | |||
| missense | 14 | 2 | 185 | 19 | 2 | 222 |
| nonsense | 8 | 2 | 5 | 15 | ||
| start loss | 0 | |||||
| frameshift | 1 | 4 | 3 | 8 | ||
| splice donor/acceptor (+/-2bp) | 3 | 1 | 4 | |||
| Total | 26 | 8 | 197 | 118 | 2 | 351 |
Highest pathogenic variant AF is 0.000012394845
Transcript Catalog
Annotated transcript isoforms across RefSeq and Ensembl databases
| Transcript ID | Source | Protein ID | Coding Exons | MANE Status |
|---|---|---|---|---|
| RefSeq | NP_000030.1 | 3 | MANE Select | |
| Ensembl | ENSP00000236850.3 | 3 | MANE Select | |
| RefSeq | NP_001304946.1 | 3 | Standard | |
| RefSeq | NP_001304947.1 | 3 | Standard |
Gene Ontology (GO) Annotations & Pathways
Biological processes, molecular functions, cellular components and pathways
Pathways ConsensusPathDB
- Fat digestion and absorption - Homo sapiens (human)
- Vitamin digestion and absorption - Homo sapiens (human)
- African trypanosomiasis - Homo sapiens (human)
- Cholesterol metabolism - Homo sapiens (human)
- PPAR signaling pathway - Homo sapiens (human)
Biological Process
- retinoid metabolic process
- regulation of protein phosphorylation
- endothelial cell proliferation
- platelet degranulation
- negative regulation of cytokine secretion involved in immune response
Molecular Function
- amyloid-beta binding
- protein binding
- phospholipid binding
- phospholipid transporter activity
- high-density lipoprotein particle binding
Cellular Component
- extracellular region
- extracellular space
- nucleus
- early endosome
- endoplasmic reticulum lumen
gnomAD Constraint
Source:
- Gene type
- protein_coding
- Transcript type
- protein_coding
- Transcript
- ENST00000236850
- Coding exons
- 3
- Length
- 2200
- Individuals with no LoFs
- 125741
- Homozygous LoFs
- 0
- Heterozygous LoFs
- 7
- Defined
- 125748
- p
- 0.0000278
| Z-Score | Observed | Expected | Observed/Expected | Mutation Rate | Total Possible | |
|---|---|---|---|---|---|---|
| Missense | 0.510 | 135 | 153 | 0.884 | 0.00000779 | 1740 |
| Missense (PolyPhen) | 35 | 43.341 | 0.80754 | 556 | ||
| Synonymous | -0.839 | 80 | 71.0 | 1.13 | 0.00000386 | 523 |
| Loss of Function | 0.879 | 6 | 8.82 | 0.680 | 3.84e-7 | 96 |
Population LoF Frequency
| Population | CAF | p-value | Status |
|---|---|---|---|
| African | 0 | 0.0 | absent |
| Latino/Admixed American | 0.000058 | 0.000058 | rare |
| Ashkenazi Jewish | 0 | 0.0 | absent |
| East Asian | 0.000054 | 0.000054 | rare |
| Finnish | 0 | 0.0 | absent |
| European (Non-Finnish) | 0.000027 | 0.000026 | rare |
| South Asian | 0.000033 | 0.000033 | rare |
| Other | 0 | 0.0 | absent |
dbNSFP Gene Annotations
Source:
- Function
- FUNCTION: Participates in the reverse transport of cholesterol from tissues to the liver for excretion by promoting cholesterol efflux from tissues and by acting as a cofactor for the lecithin cholesterol acyltransferase (LCAT). As part of the SPAP complex, activates spermatozoa motility. {ECO:0000269|PubMed:1909888}.;
- Disease
- DISEASE: High density lipoprotein deficiency 2 (HDLD2) [MIM:604091]: Inherited as autosomal dominant trait. It is characterized by moderately low HDL cholesterol, predilection toward premature coronary artery disease (CAD) and a reduction in cellular cholesterol efflux. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: High density lipoprotein deficiency 1 (HDLD1) [MIM:205400]: Recessive disorder characterized by absence of high density lipoprotein (HDL) cholesterol from plasma, accumulation of cholesteryl esters, premature coronary artery disease (CAD), hepatosplenomegaly, recurrent peripheral neuropathy and progressive muscle wasting and weakness. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Note=APOA1 mutations may be involved in the pathogenesis of amyloid polyneuropathy-nephropathy Iowa type, also known as amyloidosis van Allen type or familial amyloid polyneuropathy type III (PubMed:3142462 and PubMed:2123470). The clinical picture is dominated by neuropathy in the early stages of the disease and nephropathy late in the course. Death is due in most cases to renal amyloidosis.; DISEASE: Amyloidosis 8 (AMYL8) [MIM:105200]: A form of hereditary generalized amyloidosis. Clinical features include extensive visceral amyloid deposits, renal amyloidosis resulting in nephrotic syndrome, arterial hypertension, hepatosplenomegaly, cholestasis, petechial skin rash. There is no involvement of the nervous system. {ECO:0000269|PubMed:1502149, ECO:0000269|PubMed:2123470, ECO:0000269|PubMed:3142462, ECO:0000269|PubMed:8208902}. Note=The disease is caused by mutations affecting the gene represented in this entry.;
Intolerance Scores
- LoFtool
- 0.397
- RVIS EVS
- -0.47
- RVIS percentile EVS
- 23.04
Essentials
- Essential (CRISPR)
- N
- Essential (CRISPR2)
- N
- Essential (gene trap)
- N
- Indispensability pred.
- E
- Indispensability score
- 0.998
Gene Damage Prediction
| All | Recessive | Dominant | |
|---|---|---|---|
| Mendelian | Medium | Medium | Medium |
| Primary Immunodeficiency | Medium | Medium | Medium |
| Cancer | Medium | Medium | Medium |