19-44909032-C-T

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

Scores

1
10
8

Clinical Significance

Pathogenic no assertion criteria provided P:2

Conservation

PhyloP100: 1.19
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]

Genome browser will be placed here

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
APOENM_000041.4 linkuse as main transcriptc.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
APOEENST00000252486.9 linkuse as main transcriptc.736C>T p.Arg246Cys missense_variant 4/41 NM_000041.4 ENSP00000252486 P1
APOEENST00000434152.5 linkuse as main transcript downstream_gene_variant 2 ENSP00000413653

Frequencies

GnomAD3 genomes
AF:
0.0000986
AC:
15
AN:
152108
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000265
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000588
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000416
AC:
6
AN:
144096
Hom.:
0
AF XY:
0.0000635
AC XY:
5
AN XY:
78684
show subpopulations
Gnomad AFR exome
AF:
0.000261
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:
0.0000702
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000481
AC:
67
AN:
1393240
Hom.:
0
Cov.:
33
AF XY:
0.0000494
AC XY:
34
AN XY:
688454
show subpopulations
Gnomad4 AFR exome
AF:
0.000345
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:
0.0000499
Gnomad4 OTH exome
AF:
0.0000344
GnomAD4 genome
AF:
0.0000986
AC:
15
AN:
152108
Hom.:
0
Cov.:
32
AF XY:
0.0000942
AC XY:
7
AN XY:
74318
show subpopulations
Gnomad4 AFR
AF:
0.000265
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000588
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.000147
ESP6500AA
AF:
0.000243
AC:
1
ESP6500EA
AF:
0.000122
AC:
1
ExAC
AF:
0.0000443
AC:
5

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 providedliterature onlyOMIMMar 01, 1991- -
HYPERLIPOPROTEINEMIA, TYPE IV/V, DUE TO APOE2-DUNEDIN Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMMar 01, 1991- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.24
BayesDel_addAF
Uncertain
0.038
T
BayesDel_noAF
Uncertain
0.0
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.32
T
Eigen
Benign
0.097
Eigen_PC
Benign
-0.016
FATHMM_MKL
Benign
0.42
N
LIST_S2
Benign
0.84
T
M_CAP
Uncertain
0.13
D
MetaRNN
Pathogenic
0.88
D
MetaSVM
Benign
-0.58
T
MutationAssessor
Uncertain
2.2
M
MutationTaster
Benign
0.0000045
A
PrimateAI
Uncertain
0.55
T
PROVEAN
Uncertain
-3.0
D
REVEL
Uncertain
0.56
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.0090
D
Polyphen
1.0
D
Vest4
0.81
MVP
0.92
MPC
1.8
ClinPred
0.60
D
GERP RS
1.1
RBP_binding_hub_radar
0.97
RBP_regulation_power_radar
2.1
Varity_R
0.26
gMVP
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: rs121918395; hg19: chr19-45412289; API