19-44906322-C-T

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 0P and 14B. BP4_StrongBP6_ModerateBS1BS2

The NM_000041.4(APOE):​c.-23-280C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.029 ( 29 hom., cov: 17)
Exomes 𝑓: 0.019 ( 69 hom. )

Consequence

APOE
NM_000041.4 intron

Scores

2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: -0.685
Variant links:
Genes affected
APOE (HGNC:613): (apolipoprotein E) The protein encoded by this gene is a major apoprotein of the chylomicron. It binds to a specific liver and peripheral cell receptor, and is essential for the normal catabolism of triglyceride-rich lipoprotein constituents. This gene maps to chromosome 19 in a cluster with the related apolipoprotein C1 and C2 genes. Mutations in this gene result in familial dysbetalipoproteinemia, or type III hyperlipoproteinemia (HLP III), in which increased plasma cholesterol and triglycerides are the consequence of impaired clearance of chylomicron and VLDL remnants. [provided by RefSeq, Jun 2016]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -14 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.77).
BP6
Variant 19-44906322-C-T is Benign according to our data. Variant chr19-44906322-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 1329718.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr19-44906322-C-T is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0291 (1955/67166) while in subpopulation NFE AF= 0.0416 (1543/37048). AF 95% confidence interval is 0.0399. There are 29 homozygotes in gnomad4. There are 860 alleles in male gnomad4 subpopulation. Median coverage is 17. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 29 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
APOENM_000041.4 linkuse as main transcriptc.-23-280C>T intron_variant ENST00000252486.9
APOENM_001302688.2 linkuse as main transcriptc.56-280C>T intron_variant
APOENM_001302689.2 linkuse as main transcriptc.-24+278C>T intron_variant
APOENM_001302691.2 linkuse as main transcriptc.-38-265C>T intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
APOEENST00000252486.9 linkuse as main transcriptc.-23-280C>T intron_variant 1 NM_000041.4 P1

Frequencies

GnomAD3 genomes
AF:
0.0291
AC:
1955
AN:
67120
Hom.:
29
Cov.:
17
show subpopulations
Gnomad AFR
AF:
0.00843
Gnomad AMI
AF:
0.0230
Gnomad AMR
AF:
0.0226
Gnomad ASJ
AF:
0.0121
Gnomad EAS
AF:
0.000477
Gnomad SAS
AF:
0.0243
Gnomad FIN
AF:
0.0412
Gnomad MID
AF:
0.0116
Gnomad NFE
AF:
0.0417
Gnomad OTH
AF:
0.0191
GnomAD4 exome
AF:
0.0188
AC:
6656
AN:
354092
Hom.:
69
Cov.:
0
AF XY:
0.0181
AC XY:
3371
AN XY:
186710
show subpopulations
Gnomad4 AFR exome
AF:
0.00298
Gnomad4 AMR exome
AF:
0.00660
Gnomad4 ASJ exome
AF:
0.00726
Gnomad4 EAS exome
AF:
0.0000422
Gnomad4 SAS exome
AF:
0.0112
Gnomad4 FIN exome
AF:
0.0138
Gnomad4 NFE exome
AF:
0.0253
Gnomad4 OTH exome
AF:
0.0189
GnomAD4 genome
AF:
0.0291
AC:
1955
AN:
67166
Hom.:
29
Cov.:
17
AF XY:
0.0284
AC XY:
860
AN XY:
30242
show subpopulations
Gnomad4 AFR
AF:
0.00841
Gnomad4 AMR
AF:
0.0225
Gnomad4 ASJ
AF:
0.0121
Gnomad4 EAS
AF:
0.000477
Gnomad4 SAS
AF:
0.0243
Gnomad4 FIN
AF:
0.0412
Gnomad4 NFE
AF:
0.0416
Gnomad4 OTH
AF:
0.0189
Alfa
AF:
0.0211
Hom.:
27
Bravo
AF:
0.0129

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingGeneDxJun 21, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.77
CADD
Benign
4.1
DANN
Benign
0.90

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: rs769448; hg19: chr19-45409579; API