19-10092744-A-G

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_031917.3(ANGPTL6):​c.1258T>C​(p.Tyr420His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 32)

Consequence

ANGPTL6
NM_031917.3 missense

Scores

8
9
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.25
Variant links:
Genes affected
ANGPTL6 (HGNC:23140): (angiopoietin like 6) Predicted to enable signaling receptor binding activity. Predicted to be involved in angiogenesis and cell differentiation. Located in extracellular exosome. Part of collagen-containing extracellular matrix. [provided by Alliance of Genome Resources, Apr 2022]
SHFL (HGNC:25649): (shiftless antiviral inhibitor of ribosomal frameshifting) This gene is an interferon stimulated gene (ISG) that inhibits viral replication. The encoded protein binds nucleic acids and inhibits programmed -1 ribosomal frameshifting required for translation by many RNA viruses. Viruses inhibited by the protein include Zika virus, dengue virus and the coronaviruses, SARS-CoV and SARS-CoV2. [provided by RefSeq, Aug 2021]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.942

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ANGPTL6NM_031917.3 linkuse as main transcriptc.1258T>C p.Tyr420His missense_variant 6/6 ENST00000253109.5 NP_114123.2 Q8NI99A0A024R7A9
SHFLNM_018381.4 linkuse as main transcriptc.*442A>G 3_prime_UTR_variant 8/8 ENST00000253110.16 NP_060851.2 Q9NUL5-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ANGPTL6ENST00000253109.5 linkuse as main transcriptc.1258T>C p.Tyr420His missense_variant 6/61 NM_031917.3 ENSP00000253109.3 Q8NI99
SHFLENST00000253110.16 linkuse as main transcriptc.*442A>G 3_prime_UTR_variant 8/82 NM_018381.4 ENSP00000253110.10 Q9NUL5-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsOct 28, 2024The c.1258T>C (p.Y420H) alteration is located in exon 6 (coding exon 5) of the ANGPTL6 gene. This alteration results from a T to C substitution at nucleotide position 1258, causing the tyrosine (Y) at amino acid position 420 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.99
BayesDel_addAF
Pathogenic
0.26
D
BayesDel_noAF
Uncertain
0.13
CADD
Pathogenic
28
DANN
Uncertain
1.0
DEOGEN2
Benign
0.098
T;T;T
Eigen
Pathogenic
0.72
Eigen_PC
Uncertain
0.64
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.97
D;.;D
M_CAP
Uncertain
0.21
D
MetaRNN
Pathogenic
0.94
D;D;D
MetaSVM
Uncertain
0.72
D
MutationAssessor
Uncertain
2.7
.;M;M
PrimateAI
Uncertain
0.75
T
PROVEAN
Pathogenic
-4.7
.;.;D
REVEL
Pathogenic
0.88
Sift
Pathogenic
0.0
.;.;D
Sift4G
Uncertain
0.018
D;D;D
Polyphen
1.0
.;D;D
Vest4
0.77
MutPred
0.87
.;Loss of sheet (P = 0.1158);Loss of sheet (P = 0.1158);
MVP
0.87
ClinPred
1.0
D
GERP RS
4.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Varity_R
0.93
gMVP
0.75

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr19-10203420; COSMIC: COSV53461491; COSMIC: COSV53461491; API