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GeneBe

19-44907864-C-G

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_000041.4(APOE):c.148C>G(p.Arg50Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,720 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R50S) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

APOE
NM_000041.4 missense

Scores

4
11
4

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.44
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 Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.844

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
APOENM_000041.4 linkuse as main transcriptc.148C>G p.Arg50Gly missense_variant 3/4 ENST00000252486.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
APOEENST00000252486.9 linkuse as main transcriptc.148C>G p.Arg50Gly missense_variant 3/41 NM_000041.4 P1
APOEENST00000425718.1 linkuse as main transcriptc.148C>G p.Arg50Gly missense_variant 2/31
APOEENST00000434152.5 linkuse as main transcriptc.226C>G p.Arg76Gly missense_variant 3/42
APOEENST00000446996.5 linkuse as main transcriptc.148C>G p.Arg50Gly missense_variant 3/42

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000399
AC:
1
AN:
250808
Hom.:
0
AF XY:
0.00000737
AC XY:
1
AN XY:
135688
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
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:
0.00
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461720
Hom.:
0
Cov.:
32
AF XY:
0.00000138
AC XY:
1
AN XY:
727142
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.:
32
ExAC
AF:
0.00000824
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.28
BayesDel_addAF
Pathogenic
0.20
D
BayesDel_noAF
Uncertain
0.050
Cadd
Uncertain
24
Dann
Uncertain
1.0
DEOGEN2
Uncertain
0.51
D;T;.;.
Eigen
Uncertain
0.49
Eigen_PC
Uncertain
0.37
FATHMM_MKL
Benign
0.62
D
LIST_S2
Uncertain
0.86
D;D;D;D
M_CAP
Uncertain
0.25
D
MetaRNN
Pathogenic
0.84
D;D;D;D
MetaSVM
Uncertain
0.69
D
MutationAssessor
Pathogenic
3.2
M;.;.;.
MutationTaster
Benign
0.55
D
PrimateAI
Benign
0.42
T
PROVEAN
Pathogenic
-5.1
D;D;.;D
REVEL
Uncertain
0.53
Sift
Uncertain
0.0010
D;D;.;D
Sift4G
Uncertain
0.0080
D;D;D;D
Polyphen
1.0
D;.;.;.
Vest4
0.60
MutPred
0.57
Loss of MoRF binding (P = 0.0523);Loss of MoRF binding (P = 0.0523);.;Loss of MoRF binding (P = 0.0523);
MVP
0.96
MPC
1.8
ClinPred
0.97
D
GERP RS
4.8
Varity_R
0.83
gMVP
0.76

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: rs11542029; hg19: chr19-45411121; API