18-10468652-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_153000.5(APCDD1):​c.242G>A​(p.Gly81Asp) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,090 control chromosomes in the GnomAD database, with no homozygous occurrence. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

APCDD1
NM_153000.5 missense, splice_region

Scores

1
8
10
Splicing: ADA: 0.9997
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.45
Variant links:
Genes affected
APCDD1 (HGNC:15718): (APC down-regulated 1) This locus encodes an inhibitor of the Wnt signaling pathway. Mutations at this locus have been associated with hereditary hypotrichosis simplex. Increased expression of this gene may also be associated with colorectal carcinogenesis.[provided by RefSeq, Sep 2010]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
APCDD1NM_153000.5 linkuse as main transcriptc.242G>A p.Gly81Asp missense_variant, splice_region_variant 2/5 ENST00000355285.10 NP_694545.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
APCDD1ENST00000355285.10 linkuse as main transcriptc.242G>A p.Gly81Asp missense_variant, splice_region_variant 2/51 NM_153000.5 ENSP00000347433 P1
APCDD1ENST00000578882.1 linkuse as main transcriptc.242G>A p.Gly81Asp missense_variant, splice_region_variant 2/53 ENSP00000463104
APCDD1ENST00000423585.2 linkuse as main transcriptc.58+13613G>A intron_variant, NMD_transcript_variant 3 ENSP00000404930
APCDD1ENST00000582723.1 linkuse as main transcriptc.59-2878G>A intron_variant, NMD_transcript_variant 3 ENSP00000463110

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461090
Hom.:
0
Cov.:
33
AF XY:
0.00000138
AC XY:
1
AN XY:
726876
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Alfa
AF:
0.0000843
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpApr 07, 2023This variant has not been reported in the literature in individuals affected with APCDD1-related conditions. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing (PMID: 17576681, 9536098). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be disruptive. This variant is not present in population databases (gnomAD no frequency). This sequence change replaces glycine, which is neutral and non-polar, with aspartic acid, which is acidic and polar, at codon 81 of the APCDD1 protein (p.Gly81Asp). This variant also falls at the last nucleotide of exon 2, which is part of the consensus splice site for this exon. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.49
BayesDel_addAF
Benign
0.0044
T
BayesDel_noAF
Benign
-0.23
CADD
Pathogenic
31
DANN
Benign
0.94
DEOGEN2
Benign
0.062
T;T
Eigen
Uncertain
0.45
Eigen_PC
Uncertain
0.52
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.97
D;D
M_CAP
Benign
0.010
T
MetaRNN
Uncertain
0.67
D;D
MetaSVM
Benign
-1.1
T
MutationAssessor
Uncertain
2.4
M;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.77
T
PROVEAN
Uncertain
-2.9
D;.
REVEL
Benign
0.17
Sift
Benign
0.46
T;.
Sift4G
Benign
0.14
T;T
Polyphen
0.60
P;.
Vest4
0.67
MutPred
0.52
Loss of sheet (P = 0.0817);Loss of sheet (P = 0.0817);
MVP
0.50
MPC
0.85
ClinPred
0.90
D
GERP RS
5.3
Varity_R
0.45
gMVP
0.52

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.99
SpliceAI score (max)
0.53
Details are displayed if max score is > 0.2
DS_DL_spliceai
0.53
Position offset: 0

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: rs2030776317; hg19: chr18-10468649; COSMIC: COSV62372143; COSMIC: COSV62372143; API