11-823729-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_020376.4(PNPLA2):​c.793C>T​(p.Pro265Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0233 in 1,469,646 control chromosomes in the GnomAD database, including 438 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.016 ( 32 hom., cov: 32)
Exomes 𝑓: 0.024 ( 406 hom. )

Consequence

PNPLA2
NM_020376.4 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 1.76
Variant links:
Genes affected
PNPLA2 (HGNC:30802): (patatin like phospholipase domain containing 2) This gene encodes an enzyme which catalyzes the first step in the hydrolysis of triglycerides in adipose tissue. Mutations in this gene are associated with neutral lipid storage disease with myopathy. [provided by RefSeq, Jul 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0033781528).
BP6
Variant 11-823729-C-T is Benign according to our data. Variant chr11-823729-C-T is described in ClinVar as [Benign]. Clinvar id is 252728.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-823729-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0164 (2483/150964) while in subpopulation NFE AF= 0.0258 (1745/67726). AF 95% confidence interval is 0.0248. There are 32 homozygotes in gnomad4. There are 1155 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 32 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PNPLA2NM_020376.4 linkuse as main transcriptc.793C>T p.Pro265Ser missense_variant 7/10 ENST00000336615.9 NP_065109.1 Q96AD5-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PNPLA2ENST00000336615.9 linkuse as main transcriptc.793C>T p.Pro265Ser missense_variant 7/101 NM_020376.4 ENSP00000337701.4 Q96AD5-1

Frequencies

GnomAD3 genomes
AF:
0.0165
AC:
2484
AN:
150838
Hom.:
32
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00377
Gnomad AMI
AF:
0.0288
Gnomad AMR
AF:
0.0133
Gnomad ASJ
AF:
0.0205
Gnomad EAS
AF:
0.000200
Gnomad SAS
AF:
0.00258
Gnomad FIN
AF:
0.0233
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0258
Gnomad OTH
AF:
0.0139
GnomAD3 exomes
AF:
0.0160
AC:
3680
AN:
229710
Hom.:
44
AF XY:
0.0158
AC XY:
1997
AN XY:
126016
show subpopulations
Gnomad AFR exome
AF:
0.00337
Gnomad AMR exome
AF:
0.00648
Gnomad ASJ exome
AF:
0.0196
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00470
Gnomad FIN exome
AF:
0.0242
Gnomad NFE exome
AF:
0.0248
Gnomad OTH exome
AF:
0.0181
GnomAD4 exome
AF:
0.0241
AC:
31789
AN:
1318682
Hom.:
406
Cov.:
41
AF XY:
0.0234
AC XY:
15473
AN XY:
660326
show subpopulations
Gnomad4 AFR exome
AF:
0.00377
Gnomad4 AMR exome
AF:
0.00729
Gnomad4 ASJ exome
AF:
0.0212
Gnomad4 EAS exome
AF:
0.0000548
Gnomad4 SAS exome
AF:
0.00501
Gnomad4 FIN exome
AF:
0.0289
Gnomad4 NFE exome
AF:
0.0280
Gnomad4 OTH exome
AF:
0.0209
GnomAD4 genome
AF:
0.0164
AC:
2483
AN:
150964
Hom.:
32
Cov.:
32
AF XY:
0.0157
AC XY:
1155
AN XY:
73772
show subpopulations
Gnomad4 AFR
AF:
0.00375
Gnomad4 AMR
AF:
0.0132
Gnomad4 ASJ
AF:
0.0205
Gnomad4 EAS
AF:
0.000200
Gnomad4 SAS
AF:
0.00258
Gnomad4 FIN
AF:
0.0233
Gnomad4 NFE
AF:
0.0258
Gnomad4 OTH
AF:
0.0138
Alfa
AF:
0.0182
Hom.:
15
Bravo
AF:
0.0141
TwinsUK
AF:
0.0259
AC:
96
ALSPAC
AF:
0.0221
AC:
85
ESP6500AA
AF:
0.00391
AC:
17
ESP6500EA
AF:
0.0245
AC:
210
ExAC
AF:
0.0154
AC:
1843
Asia WGS
AF:
0.00318
AC:
12
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, criteria provided, single submitterclinical testingGenomic Diagnostic Laboratory, Division of Genomic Diagnostics, Children's Hospital of PhiladelphiaSep 18, 2015- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Neutral lipid storage myopathy Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaMar 06, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxNov 10, 2020This variant is associated with the following publications: (PMID: 24503134, 21170305) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.46
CADD
Benign
15
DANN
Benign
0.92
DEOGEN2
Benign
0.16
T
Eigen
Benign
-0.61
Eigen_PC
Benign
-0.55
FATHMM_MKL
Benign
0.57
D
LIST_S2
Benign
0.75
T
MetaRNN
Benign
0.0034
T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
1.7
L
PrimateAI
Benign
0.48
T
PROVEAN
Benign
-0.25
N
REVEL
Benign
0.11
Sift
Benign
0.45
T
Sift4G
Benign
0.71
T
Polyphen
0.048
B
Vest4
0.13
MPC
0.23
ClinPred
0.0048
T
GERP RS
3.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.040
gMVP
0.29

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs56152088; hg19: chr11-823729; COSMIC: COSV60745475; COSMIC: COSV60745475; API