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GeneBe

11-49158026-T-A

Variant summary

Our verdict is Likely benign. Variant got -1 ACMG points: 3P and 4B. PM2PP2BP4_Strong

The NM_004476.3(FOLH1):​c.1458A>T​(p.Glu486Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000485 in 1,442,528 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000049 ( 0 hom. )

Consequence

FOLH1
NM_004476.3 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.0890
Variant links:
Genes affected
FOLH1 (HGNC:3788): (folate hydrolase 1) This gene encodes a type II transmembrane glycoprotein belonging to the M28 peptidase family. The protein acts as a glutamate carboxypeptidase on different alternative substrates, including the nutrient folate and the neuropeptide N-acetyl-l-aspartyl-l-glutamate and is expressed in a number of tissues such as prostate, central and peripheral nervous system and kidney. A mutation in this gene may be associated with impaired intestinal absorption of dietary folates, resulting in low blood folate levels and consequent hyperhomocysteinemia. Expression of this protein in the brain may be involved in a number of pathological conditions associated with glutamate excitotoxicity. In the prostate the protein is up-regulated in cancerous cells and is used as an effective diagnostic and prognostic indicator of prostate cancer. This gene likely arose from a duplication event of a nearby chromosomal region. Alternative splicing gives rise to multiple transcript variants encoding several different isoforms. [provided by RefSeq, Jul 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant where missense usually causes diseases, FOLH1
BP4
Computational evidence support a benign effect (MetaRNN=0.056463033).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FOLH1NM_004476.3 linkuse as main transcriptc.1458A>T p.Glu486Asp missense_variant 14/19 ENST00000256999.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FOLH1ENST00000256999.7 linkuse as main transcriptc.1458A>T p.Glu486Asp missense_variant 14/191 NM_004476.3 P1Q04609-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000851
AC:
2
AN:
235124
Hom.:
0
AF XY:
0.00000787
AC XY:
1
AN XY:
126992
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000751
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000485
AC:
7
AN:
1442528
Hom.:
0
Cov.:
30
AF XY:
0.00000419
AC XY:
3
AN XY:
716044
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000604
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000337
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378
ExAC
AF:
0.00000824
AC:
1

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 03, 2021The c.1458A>T (p.E486D) alteration is located in exon 14 (coding exon 14) of the FOLH1 gene. This alteration results from a A to T substitution at nucleotide position 1458, causing the glutamic acid (E) at amino acid position 486 to be replaced by an aspartic acid (D). 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
0.079
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.58
CADD
Benign
14
DANN
Benign
0.91
DEOGEN2
Benign
0.098
T;.;.;.
Eigen
Benign
-0.96
Eigen_PC
Benign
-0.86
FATHMM_MKL
Benign
0.60
D
LIST_S2
Benign
0.72
T;T;T;T
M_CAP
Benign
0.0025
T
MetaRNN
Benign
0.056
T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.33
N;N;.;.
MutationTaster
Benign
1.0
D;D;D;D;D
PrimateAI
Benign
0.48
T
PROVEAN
Benign
-0.49
N;N;N;N
REVEL
Benign
0.015
Sift
Benign
0.39
T;T;T;T
Sift4G
Benign
0.58
T;T;T;T
Polyphen
0.0
B;B;B;B
Vest4
0.11
MutPred
0.31
Loss of ubiquitination at K482 (P = 0.0954);Loss of ubiquitination at K482 (P = 0.0954);.;.;
MVP
0.26
MPC
0.91
ClinPred
0.060
T
GERP RS
-0.23
Varity_R
0.13
gMVP
0.69

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: rs781660664; hg19: chr11-49179578; API