11-130121762-A-G

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_001142276.2(APLP2):ā€‹c.665A>Gā€‹(p.Glu222Gly) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000744 in 1,331,134 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000042 ( 0 hom., cov: 31)
Exomes š‘“: 0.000078 ( 0 hom. )

Consequence

APLP2
NM_001142276.2 missense

Scores

1
5
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.68
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.087197274).
BS2
High AC in GnomAd4 at 5 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
APLP2NM_001142276.2 linkuse as main transcriptc.665A>G p.Glu222Gly missense_variant 5/17 ENST00000338167.10 NP_001135748.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
APLP2ENST00000338167.10 linkuse as main transcriptc.665A>G p.Glu222Gly missense_variant 5/171 NM_001142276.2 ENSP00000345444 A2Q06481-3

Frequencies

GnomAD3 genomes
AF:
0.0000418
AC:
5
AN:
119726
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000772
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000225
Gnomad FIN
AF:
0.000113
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000361
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000637
AC:
16
AN:
251166
Hom.:
0
AF XY:
0.0000663
AC XY:
9
AN XY:
135778
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000868
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000163
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000704
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000776
AC:
94
AN:
1211338
Hom.:
0
Cov.:
30
AF XY:
0.0000942
AC XY:
57
AN XY:
604886
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000254
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000114
Gnomad4 FIN exome
AF:
0.0000226
Gnomad4 NFE exome
AF:
0.0000734
Gnomad4 OTH exome
AF:
0.000222
GnomAD4 genome
AF:
0.0000417
AC:
5
AN:
119796
Hom.:
0
Cov.:
31
AF XY:
0.0000508
AC XY:
3
AN XY:
59028
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000771
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000225
Gnomad4 FIN
AF:
0.000113
Gnomad4 NFE
AF:
0.0000361
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000114
Hom.:
0
Bravo
AF:
0.0000264
ExAC
AF:
0.0000764
AC:
8
EpiCase
AF:
0.000164
EpiControl
AF:
0.0000593

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsDec 21, 2021The c.665A>G (p.E222G) alteration is located in exon 5 (coding exon 5) of the APLP2 gene. This alteration results from a A to G substitution at nucleotide position 665, causing the glutamic acid (E) at amino acid position 222 to be replaced by a glycine (G). 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
0.094
BayesDel_addAF
Benign
-0.061
T
BayesDel_noAF
Uncertain
-0.070
CADD
Benign
22
DANN
Uncertain
0.98
DEOGEN2
Benign
0.17
T;.;T;.;.
Eigen
Benign
-0.46
Eigen_PC
Benign
-0.44
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.84
.;T;T;T;T
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.087
T;T;T;T;T
MetaSVM
Uncertain
-0.12
T
MutationAssessor
Benign
1.3
L;L;L;L;.
MutationTaster
Benign
1.0
D;N;N;N;N;N;N
PrimateAI
Benign
0.33
T
PROVEAN
Benign
-1.2
.;N;N;N;N
REVEL
Benign
0.28
Sift
Benign
0.061
.;T;D;D;D
Sift4G
Uncertain
0.014
.;D;T;T;T
Polyphen
0.32
B;B;B;B;.
Vest4
0.32, 0.28, 0.26, 0.27
MVP
0.57
MPC
0.16
ClinPred
0.15
T
GERP RS
3.0
Varity_R
0.050
gMVP
0.11

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

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

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs565247278; hg19: chr11-129991657; API