14-20455958-A-C

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 4P and 2B. PM1PM2BP4_Moderate

The NM_001641.4(APEX1):ā€‹c.103A>Cā€‹(p.Lys35Gln) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000338 in 1,614,168 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: š‘“ 0.00015 ( 0 hom., cov: 33)
Exomes š‘“: 0.00036 ( 0 hom. )

Consequence

APEX1
NM_001641.4 missense

Scores

7
12

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 8.09
Variant links:
Genes affected
APEX1 (HGNC:587): (apurinic/apyrimidinic endodeoxyribonuclease 1) The APEX gene encodes the major AP endonuclease in human cells. It encodes the APEX endonuclease, a DNA repair enzyme with apurinic/apyrimidinic (AP) activity. Such AP activity sites occur frequently in DNA molecules by spontaneous hydrolysis, by DNA damaging agents or by DNA glycosylases that remove specific abnormal bases. The AP sites are the most frequent pre-mutagenic lesions that can prevent normal DNA replication. Splice variants have been found for this gene; all encode the same protein. Disruptions in the biological functions related to APEX are associated with many various malignancies and neurodegenerative diseases.[provided by RefSeq, Dec 2019]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM1
In a modified_residue N6-acetyllysine (size 0) in uniprot entity APEX1_HUMAN
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.095855445).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
APEX1NM_001641.4 linkuse as main transcriptc.103A>C p.Lys35Gln missense_variant 3/5 ENST00000216714.8 NP_001632.2
APEX1NM_001244249.2 linkuse as main transcriptc.103A>C p.Lys35Gln missense_variant 3/5 NP_001231178.1
APEX1NM_080648.3 linkuse as main transcriptc.103A>C p.Lys35Gln missense_variant 3/5 NP_542379.1
APEX1NM_080649.3 linkuse as main transcriptc.103A>C p.Lys35Gln missense_variant 3/5 NP_542380.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
APEX1ENST00000216714.8 linkuse as main transcriptc.103A>C p.Lys35Gln missense_variant 3/51 NM_001641.4 ENSP00000216714 P1

Frequencies

GnomAD3 genomes
AF:
0.000151
AC:
23
AN:
152174
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000309
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000187
AC:
47
AN:
251312
Hom.:
0
AF XY:
0.000199
AC XY:
27
AN XY:
135866
show subpopulations
Gnomad AFR exome
AF:
0.0000616
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:
0.000334
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000358
AC:
523
AN:
1461876
Hom.:
0
Cov.:
31
AF XY:
0.000336
AC XY:
244
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000671
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000812
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000447
Gnomad4 OTH exome
AF:
0.000265
GnomAD4 genome
AF:
0.000151
AC:
23
AN:
152292
Hom.:
0
Cov.:
33
AF XY:
0.000134
AC XY:
10
AN XY:
74476
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000309
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000322
Hom.:
1
Bravo
AF:
0.000117
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.000157
AC:
19
EpiCase
AF:
0.000218
EpiControl
AF:
0.000593

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.15
CADD
Uncertain
24
DANN
Uncertain
0.99
DEOGEN2
Benign
0.19
T;T;T;T;T;T;.;T;T;T;.
Eigen
Uncertain
0.58
Eigen_PC
Uncertain
0.61
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.81
.;.;T;T;T;T;T;D;T;T;T
M_CAP
Benign
0.077
D
MetaRNN
Benign
0.096
T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Uncertain
-0.24
T
MutationAssessor
Uncertain
2.1
M;M;.;.;M;.;.;.;.;.;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-1.2
N;N;N;N;N;N;N;D;N;N;N
REVEL
Benign
0.13
Sift
Uncertain
0.027
D;D;D;D;D;D;D;D;D;T;T
Sift4G
Benign
0.074
T;T;T;T;T;T;T;D;T;T;T
Polyphen
0.99
D;D;.;.;D;.;.;.;.;.;.
Vest4
0.39
MVP
0.85
MPC
0.53
ClinPred
0.12
T
GERP RS
5.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.28
gMVP
0.64

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: rs61757709; hg19: chr14-20924117; COSMIC: COSV99164556; COSMIC: COSV99164556; API