18-45922528-A-C

Variant summary

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

The NM_020964.3(EPG5):ā€‹c.2911T>Gā€‹(p.Leu971Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000807 in 1,614,212 control chromosomes in the GnomAD database, including 11 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.0045 ( 5 hom., cov: 33)
Exomes š‘“: 0.00042 ( 6 hom. )

Consequence

EPG5
NM_020964.3 missense

Scores

5
13

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 2.40
Variant links:
Genes affected
EPG5 (HGNC:29331): (ectopic P-granules 5 autophagy tethering factor) This gene encodes a large coiled coil domain-containing protein that functions in autophagy during starvation conditions. Mutations in this gene cause Vici syndrome. [provided by RefSeq, Aug 2015]

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=0.005644232).
BP6
Variant 18-45922528-A-C is Benign according to our data. Variant chr18-45922528-A-C is described in ClinVar as [Likely_benign]. Clinvar id is 466243.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr18-45922528-A-C is described in Lovd as [Benign]. Variant chr18-45922528-A-C is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00449 (684/152320) while in subpopulation AFR AF= 0.0157 (652/41570). AF 95% confidence interval is 0.0147. There are 5 homozygotes in gnomad4. There are 337 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 5 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
EPG5NM_020964.3 linkuse as main transcriptc.2911T>G p.Leu971Val missense_variant 16/44 ENST00000282041.11 NP_066015.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
EPG5ENST00000282041.11 linkuse as main transcriptc.2911T>G p.Leu971Val missense_variant 16/441 NM_020964.3 ENSP00000282041 P4Q9HCE0-1

Frequencies

GnomAD3 genomes
AF:
0.00450
AC:
685
AN:
152202
Hom.:
5
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0158
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00164
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:
0.0000147
Gnomad OTH
AF:
0.00287
GnomAD3 exomes
AF:
0.000990
AC:
247
AN:
249574
Hom.:
1
AF XY:
0.000753
AC XY:
102
AN XY:
135404
show subpopulations
Gnomad AFR exome
AF:
0.0150
Gnomad AMR exome
AF:
0.000348
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000883
Gnomad OTH exome
AF:
0.000165
GnomAD4 exome
AF:
0.000423
AC:
618
AN:
1461892
Hom.:
6
Cov.:
32
AF XY:
0.000360
AC XY:
262
AN XY:
727246
show subpopulations
Gnomad4 AFR exome
AF:
0.0156
Gnomad4 AMR exome
AF:
0.000559
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:
0.00000629
Gnomad4 OTH exome
AF:
0.00104
GnomAD4 genome
AF:
0.00449
AC:
684
AN:
152320
Hom.:
5
Cov.:
33
AF XY:
0.00452
AC XY:
337
AN XY:
74484
show subpopulations
Gnomad4 AFR
AF:
0.0157
Gnomad4 AMR
AF:
0.00163
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00284
Alfa
AF:
0.000868
Hom.:
0
Bravo
AF:
0.00504
ESP6500AA
AF:
0.0156
AC:
59
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00128
AC:
155
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxOct 03, 2022See Variant Classification Assertion Criteria. -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Vici syndrome Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.52
T
BayesDel_noAF
Benign
-0.51
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.018
T;T
Eigen
Benign
-0.11
Eigen_PC
Benign
0.041
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.75
.;T
MetaRNN
Benign
0.0056
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.0
M;M
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.55
T
PROVEAN
Benign
-0.65
N;.
REVEL
Benign
0.016
Sift
Benign
0.030
D;.
Sift4G
Uncertain
0.031
D;.
Polyphen
0.20
B;B
Vest4
0.41
MVP
0.23
MPC
0.62
ClinPred
0.012
T
GERP RS
3.6
Varity_R
0.054
gMVP
0.44

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: rs148777356; hg19: chr18-43502494; API