19-44909032-C-T
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Variant summary
Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PP3_ModeratePP5
The NM_000041.4(APOE):c.736C>T(p.Arg246Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000531 in 1,545,348 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).
Frequency
Genomes: 𝑓 0.000099 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000048 ( 0 hom. )
Consequence
APOE
NM_000041.4 missense
NM_000041.4 missense
Scores
1
10
8
Clinical Significance
Conservation
PhyloP100: 1.19
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 3 ACMG points.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.879
PP5
Variant 19-44909032-C-T is Pathogenic according to our data. Variant chr19-44909032-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 17859.Status of the report is no_assertion_criteria_provided, 0 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
APOE | NM_000041.4 | c.736C>T | p.Arg246Cys | missense_variant | 4/4 | ENST00000252486.9 | NP_000032.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
APOE | ENST00000252486.9 | c.736C>T | p.Arg246Cys | missense_variant | 4/4 | 1 | NM_000041.4 | ENSP00000252486 | P1 | |
APOE | ENST00000434152.5 | downstream_gene_variant | 2 | ENSP00000413653 |
Frequencies
GnomAD3 genomes AF: 0.0000986 AC: 15AN: 152108Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.0000416 AC: 6AN: 144096Hom.: 0 AF XY: 0.0000635 AC XY: 5AN XY: 78684
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GnomAD4 exome AF: 0.0000481 AC: 67AN: 1393240Hom.: 0 Cov.: 33 AF XY: 0.0000494 AC XY: 34AN XY: 688454
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GnomAD4 genome AF: 0.0000986 AC: 15AN: 152108Hom.: 0 Cov.: 32 AF XY: 0.0000942 AC XY: 7AN XY: 74318
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:2
Revision: no assertion criteria provided
LINK: link
Submissions by phenotype
APOE2-DUNEDIN Pathogenic:1
Pathogenic, no assertion criteria provided | literature only | OMIM | Mar 01, 1991 | - - |
HYPERLIPOPROTEINEMIA, TYPE IV/V, DUE TO APOE2-DUNEDIN Pathogenic:1
Pathogenic, no assertion criteria provided | literature only | OMIM | Mar 01, 1991 | - - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
BayesDel_addAF
Uncertain
T
BayesDel_noAF
Uncertain
CADD
Uncertain
DANN
Uncertain
DEOGEN2
Benign
T
Eigen
Benign
Eigen_PC
Benign
FATHMM_MKL
Benign
N
LIST_S2
Benign
T
M_CAP
Uncertain
D
MetaRNN
Pathogenic
D
MetaSVM
Benign
T
MutationAssessor
Uncertain
M
MutationTaster
Benign
A
PrimateAI
Uncertain
T
PROVEAN
Uncertain
D
REVEL
Uncertain
Sift
Uncertain
D
Sift4G
Uncertain
D
Polyphen
D
Vest4
MVP
MPC
ClinPred
D
GERP RS
RBP_binding_hub_radar
RBP_regulation_power_radar
Varity_R
gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at