14-23321507-C-A

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP4

The NM_004643.4(PABPN1):​c.38C>A​(p.Ala13Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000163 in 1,230,392 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A13P) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 9.3e-7 ( 0 hom. )

Consequence

PABPN1
NM_004643.4 missense

Scores

2
3
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.41

Publications

0 publications found
Variant links:
Genes affected
PABPN1 (HGNC:8565): (poly(A) binding protein nuclear 1) This gene encodes an abundant nuclear protein that binds with high affinity to nascent poly(A) tails. The protein is required for progressive and efficient polymerization of poly(A) tails at the 3' ends of eukaryotic transcripts and controls the size of the poly(A) tail to about 250 nt. At steady-state, this protein is localized in the nucleus whereas a different poly(A) binding protein is localized in the cytoplasm. This gene contains a GCG trinucleotide repeat at the 5' end of the coding region, and expansion of this repeat from the normal 6 copies to 8-13 copies leads to autosomal dominant oculopharyngeal muscular dystrophy (OPMD) disease. Related pseudogenes have been identified on chromosomes 19 and X. Read-through transcription also exists between this gene and the neighboring upstream BCL2-like 2 (BCL2L2) gene. [provided by RefSeq, Dec 2010]
BCL2L2-PABPN1 (HGNC:42959): (BCL2L2-PABPN1 readthrough) This locus represents naturally occurring read-through transcription between the neighboring BCL2L2 (BCL2-like 2) and PABPN1 (poly(A) binding protein, nuclear 1) genes on chromosome 14. The read-through transcript encodes a fusion protein that shares sequence identity with each individual gene product. [provided by RefSeq, Dec 2010]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.29600587).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004643.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PABPN1
NM_004643.4
MANE Select
c.38C>Ap.Ala13Asp
missense
Exon 1 of 7NP_004634.1Q86U42-1
PABPN1
NM_001360551.3
c.38C>Ap.Ala13Asp
missense
Exon 1 of 6NP_001347480.1Q86U42-2
BCL2L2-PABPN1
NM_001387340.1
c.550-674C>A
intron
N/ANP_001374269.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PABPN1
ENST00000216727.9
TSL:1 MANE Select
c.38C>Ap.Ala13Asp
missense
Exon 1 of 7ENSP00000216727.4Q86U42-1
PABPN1
ENST00000397276.6
TSL:1
c.38C>Ap.Ala13Asp
missense
Exon 1 of 6ENSP00000380446.2Q86U42-2
BCL2L2-PABPN1
ENST00000553781.5
TSL:2
c.433-674C>A
intron
N/AENSP00000451320.1Q92843-2

Frequencies

GnomAD3 genomes
AF:
0.00000664
AC:
1
AN:
150688
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000148
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
9.26e-7
AC:
1
AN:
1079704
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
513812
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
22230
American (AMR)
AF:
0.00
AC:
0
AN:
7902
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
13408
East Asian (EAS)
AF:
0.00
AC:
0
AN:
25308
South Asian (SAS)
AF:
0.00
AC:
0
AN:
20020
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
27602
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2862
European-Non Finnish (NFE)
AF:
0.00000109
AC:
1
AN:
917872
Other (OTH)
AF:
0.00
AC:
0
AN:
42500
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.325
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00000664
AC:
1
AN:
150688
Hom.:
0
Cov.:
32
AF XY:
0.0000136
AC XY:
1
AN XY:
73558
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41264
American (AMR)
AF:
0.00
AC:
0
AN:
15130
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3456
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5172
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10004
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.0000148
AC:
1
AN:
67540
Other (OTH)
AF:
0.00
AC:
0
AN:
2068
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Inborn genetic diseases (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Benign
0.0093
T
BayesDel_noAF
Benign
-0.22
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Benign
0.095
T
Eigen
Benign
-0.033
Eigen_PC
Benign
0.035
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.50
T
M_CAP
Pathogenic
0.99
D
MetaRNN
Benign
0.30
T
MetaSVM
Benign
-0.88
T
MutationAssessor
Benign
0.34
N
PhyloP100
1.4
PROVEAN
Benign
-0.23
N
REVEL
Benign
0.20
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.0040
D
Polyphen
0.33
B
Vest4
0.36
MutPred
0.21
Loss of helix (P = 0.0444)
MVP
0.54
MPC
1.3
ClinPred
0.64
D
GERP RS
3.4
PromoterAI
-0.014
Neutral
RBP_binding_hub_radar
0.97
RBP_regulation_power_radar
2.8
Varity_R
0.65
gMVP
0.46
Mutation Taster
=68/32
polymorphism

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

Other links and lift over

dbSNP: rs1888259528; hg19: chr14-23790716; API