19-49795730-C-T

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 1P and 4B. PP3BS2

The NM_130787.3(AP2A1):​c.806C>T​(p.Pro269Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00002 in 1,553,374 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 Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000046 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000017 ( 0 hom. )

Consequence

AP2A1
NM_130787.3 missense

Scores

6
8
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.79
Variant links:
Genes affected
AP2A1 (HGNC:561): (adaptor related protein complex 2 subunit alpha 1) This gene encodes the alpha 1 adaptin subunit of the adaptor protein 2 (AP-2) complex found in clathrin coated vesicles. The AP-2 complex is a heterotetramer consisting of two large adaptins (alpha or beta), a medium adaptin (mu), and a small adaptin (sigma). The complex is part of the protein coat on the cytoplasmic face of coated vesicles which links clathrin to receptors in vesicles. Alternative splicing of this gene results in two transcript variants encoding two different isoforms. A third transcript variant has been described, but its full length nature has not been determined. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.8
BS2
High AC in GnomAd4 at 7 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AP2A1NM_130787.3 linkuse as main transcriptc.806C>T p.Pro269Leu missense_variant 7/23 ENST00000354293.10 NP_570603.2 O95782-2
AP2A1NM_014203.3 linkuse as main transcriptc.806C>T p.Pro269Leu missense_variant 7/24 NP_055018.2 O95782-1
AP2A1XM_011526556.3 linkuse as main transcriptc.857C>T p.Pro286Leu missense_variant 7/24 XP_011524858.1
AP2A1XM_011526557.4 linkuse as main transcriptc.857C>T p.Pro286Leu missense_variant 7/23 XP_011524859.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AP2A1ENST00000354293.10 linkuse as main transcriptc.806C>T p.Pro269Leu missense_variant 7/231 NM_130787.3 ENSP00000346246.4 O95782-2
AP2A1ENST00000359032.10 linkuse as main transcriptc.806C>T p.Pro269Leu missense_variant 7/245 ENSP00000351926.4 O95782-1
AP2A1ENST00000597774.5 linkuse as main transcriptn.*144C>T non_coding_transcript_exon_variant 5/225 ENSP00000472492.1 M0R2D9
AP2A1ENST00000597774.5 linkuse as main transcriptn.*144C>T 3_prime_UTR_variant 5/225 ENSP00000472492.1 M0R2D9

Frequencies

GnomAD3 genomes
AF:
0.0000460
AC:
7
AN:
152150
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000145
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000614
AC:
1
AN:
162900
Hom.:
0
AF XY:
0.0000115
AC XY:
1
AN XY:
86712
show subpopulations
Gnomad AFR exome
AF:
0.000117
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000171
AC:
24
AN:
1401224
Hom.:
0
Cov.:
33
AF XY:
0.0000159
AC XY:
11
AN XY:
692156
show subpopulations
Gnomad4 AFR exome
AF:
0.000220
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000551
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000213
Gnomad4 NFE exome
AF:
0.0000111
Gnomad4 OTH exome
AF:
0.0000344
GnomAD4 genome
AF:
0.0000460
AC:
7
AN:
152150
Hom.:
0
Cov.:
31
AF XY:
0.0000269
AC XY:
2
AN XY:
74336
show subpopulations
Gnomad4 AFR
AF:
0.000145
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:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000387
Hom.:
0
Bravo
AF:
0.0000680
ExAC
AF:
0.00000877
AC:
1

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 GeneticsFeb 10, 2022The c.806C>T (p.P269L) alteration is located in exon 7 (coding exon 7) of the AP2A1 gene. This alteration results from a C to T substitution at nucleotide position 806, causing the proline (P) at amino acid position 269 to be replaced by a leucine (L). 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
Benign
0.33
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.18
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.45
.;T
Eigen
Uncertain
0.56
Eigen_PC
Uncertain
0.49
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Uncertain
0.92
D;D
M_CAP
Uncertain
0.10
D
MetaRNN
Pathogenic
0.80
D;D
MetaSVM
Benign
-0.66
T
MutationAssessor
Pathogenic
3.3
M;M
PrimateAI
Uncertain
0.77
T
PROVEAN
Pathogenic
-8.4
D;D
REVEL
Uncertain
0.29
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0010
D;D
Polyphen
0.91
P;D
Vest4
0.69
MVP
0.65
MPC
2.2
ClinPred
1.0
D
GERP RS
4.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.73
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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs754456801; hg19: chr19-50298987; COSMIC: COSV62819057; COSMIC: COSV62819057; API