11-130109429-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001142276.2(APLP2):​c.106G>T​(p.Ala36Ser) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 33)

Consequence

APLP2
NM_001142276.2 missense, splice_region

Scores

3
7
9
Splicing: ADA: 0.9998
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.60
Variant links:
Genes affected
APLP2 (HGNC:598): (amyloid beta precursor like protein 2) This gene encodes amyloid precursor- like protein 2 (APLP2), which is a member of the APP (amyloid precursor protein) family including APP, APLP1 and APLP2. This protein is ubiquitously expressed. It contains heparin-, copper- and zinc- binding domains at the N-terminus, BPTI/Kunitz inhibitor and E2 domains in the middle region, and transmembrane and intracellular domains at the C-terminus. This protein interacts with major histocompatibility complex (MHC) class I molecules. The synergy of this protein and the APP is required to mediate neuromuscular transmission, spatial learning and synaptic plasticity. This protein has been implicated in the pathogenesis of Alzheimer's disease. Multiple alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Aug 2011]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
APLP2NM_001142276.2 linkc.106G>T p.Ala36Ser missense_variant, splice_region_variant Exon 2 of 17 ENST00000338167.10 NP_001135748.1 Q06481-3A0A140VJE9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
APLP2ENST00000338167.10 linkc.106G>T p.Ala36Ser missense_variant, splice_region_variant Exon 2 of 17 1 NM_001142276.2 ENSP00000345444.5 Q06481-3

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
30
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Aug 21, 2024
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.106G>T (p.A36S) alteration is located in exon 2 (coding exon 2) of the APLP2 gene. This alteration results from a G to T substitution at nucleotide position 106, causing the alanine (A) at amino acid position 36 to be replaced by a serine (S). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Pathogenic
0.21
D
BayesDel_noAF
Uncertain
0.060
CADD
Pathogenic
31
DANN
Uncertain
1.0
DEOGEN2
Benign
0.14
T;.;.;.;T;.;.;.
Eigen
Uncertain
0.61
Eigen_PC
Pathogenic
0.72
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.32
.;T;T;D;D;D;D;T
M_CAP
Benign
0.074
D
MetaRNN
Benign
0.37
T;T;T;T;T;T;T;T
MetaSVM
Uncertain
0.68
D
MutationAssessor
Benign
1.1
L;.;.;L;L;L;L;.
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
-1.5
.;N;N;N;N;N;N;N
REVEL
Uncertain
0.41
Sift
Benign
0.067
.;T;D;T;T;T;T;D
Sift4G
Uncertain
0.012
.;D;T;D;D;D;D;T
Polyphen
0.97
D;.;.;D;D;D;P;.
Vest4
0.57, 0.57, 0.59, 0.58
MutPred
0.36
Gain of glycosylation at A36 (P = 0.0306);.;.;Gain of glycosylation at A36 (P = 0.0306);Gain of glycosylation at A36 (P = 0.0306);Gain of glycosylation at A36 (P = 0.0306);Gain of glycosylation at A36 (P = 0.0306);.;
MVP
0.74
MPC
0.55
ClinPred
0.76
D
GERP RS
6.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.15
gMVP
0.59

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.99
SpliceAI score (max)
0.080
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr11-129979324; API