19-50790697-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The ENST00000270593.2(ACP4):​c.215C>T​(p.Thr72Met) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000024 in 1,207,348 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/23 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. T72T) has been classified as Benign.

Frequency

Genomes: 𝑓 0.000058 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000020 ( 0 hom. )

Consequence

ACP4
ENST00000270593.2 missense, splice_region

Scores

2
17
Splicing: ADA: 0.0009835
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.250
Variant links:
Genes affected
ACP4 (HGNC:14376): (acid phosphatase 4) Acid phosphatases are enzymes capable of hydrolyzing orthophosphoric acid esters in an acid medium. This gene is up-regulated by androgens and is down-regulated by estrogens in the prostate cancer cell line. This gene exhibits a lower level of expression in testicular cancer tissues than in normal tissues. The protein encoded by this gene has structural similarity to prostatic and lysosomal acid phosphatases. Alternatively spliced transcript variants have been described, but their biological validity has not been determined. [provided by RefSeq, Jul 2008]
SMIM47 (HGNC:53452): (small integral membrane protein 47)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.12590903).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ACP4NM_033068.3 linkuse as main transcriptc.215C>T p.Thr72Met missense_variant, splice_region_variant 2/11 ENST00000270593.2 NP_149059.1
LOC105372439XR_936026.3 linkuse as main transcriptn.435-982G>A intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ACP4ENST00000270593.2 linkuse as main transcriptc.215C>T p.Thr72Met missense_variant, splice_region_variant 2/111 NM_033068.3 ENSP00000270593 P1Q9BZG2-1
SMIM47ENST00000636757.1 linkuse as main transcriptc.-59-982G>A intron_variant 5 ENSP00000489695 A2

Frequencies

GnomAD3 genomes
AF:
0.0000289
AC:
4
AN:
138294
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000522
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:
0.0000314
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000138
AC:
2
AN:
145232
Hom.:
0
AF XY:
0.0000256
AC XY:
2
AN XY:
78118
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000406
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:
0.000237
GnomAD4 exome
AF:
0.0000196
AC:
21
AN:
1068942
Hom.:
0
Cov.:
37
AF XY:
0.0000247
AC XY:
13
AN XY:
526418
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000352
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:
0.0000201
Gnomad4 OTH exome
AF:
0.0000764
GnomAD4 genome
AF:
0.0000578
AC:
8
AN:
138406
Hom.:
0
Cov.:
31
AF XY:
0.000105
AC XY:
7
AN XY:
66882
show subpopulations
Gnomad4 AFR
AF:
0.000156
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:
0.0000314
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000264
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

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 GeneticsDec 06, 2022The c.215C>T (p.T72M) alteration is located in exon 2 (coding exon 2) of the ACPT gene. This alteration results from a C to T substitution at nucleotide position 215, causing the threonine (T) at amino acid position 72 to be replaced by a methionine (M). 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
0.086
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.62
CADD
Benign
15
DANN
Benign
0.96
DEOGEN2
Benign
0.089
T
Eigen
Benign
-0.81
Eigen_PC
Benign
-0.96
FATHMM_MKL
Benign
0.015
N
LIST_S2
Benign
0.72
T
M_CAP
Benign
0.012
T
MetaRNN
Benign
0.13
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.9
L
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.27
T
PROVEAN
Benign
0.10
N
REVEL
Benign
0.073
Sift
Uncertain
0.0050
D
Sift4G
Uncertain
0.013
D
Polyphen
0.70
P
Vest4
0.12
MutPred
0.40
Loss of phosphorylation at T72 (P = 0.0431);
MVP
0.095
MPC
0.26
ClinPred
0.18
T
GERP RS
-5.3
Varity_R
0.045
gMVP
0.30

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00098
dbscSNV1_RF
Benign
0.052
SpliceAI score (max)
0.010
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: rs554882864; hg19: chr19-51293954; API