19-8364346-G-T

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP4

The NM_139314.3(ANGPTL4):​c.25G>T​(p.Ala9Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000717 in 1,547,912 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A9T) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000074 ( 0 hom. )

Consequence

ANGPTL4
NM_139314.3 missense

Scores

2
4
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.16

Publications

2 publications found
Variant links:
Genes affected
ANGPTL4 (HGNC:16039): (angiopoietin like 4) This gene encodes a glycosylated, secreted protein containing a C-terminal fibrinogen domain. The encoded protein is induced by peroxisome proliferation activators and functions as a serum hormone that regulates glucose homeostasis, lipid metabolism, and insulin sensitivity. This protein can also act as an apoptosis survival factor for vascular endothelial cells and can prevent metastasis by inhibiting vascular growth and tumor cell invasion. The C-terminal domain may be proteolytically-cleaved from the full-length secreted protein. Decreased expression of this gene has been associated with type 2 diabetes. Alternative splicing results in multiple transcript variants. This gene was previously referred to as ANGPTL2 but has been renamed ANGPTL4. [provided by RefSeq, Sep 2013]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.37422186).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_139314.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ANGPTL4
NM_139314.3
MANE Select
c.25G>Tp.Ala9Ser
missense
Exon 1 of 7NP_647475.1Q9BY76-1
ANGPTL4
NM_001039667.3
c.25G>Tp.Ala9Ser
missense
Exon 1 of 6NP_001034756.1Q9BY76-2
ANGPTL4
NR_104213.2
n.192G>T
non_coding_transcript_exon
Exon 1 of 3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ANGPTL4
ENST00000301455.7
TSL:1 MANE Select
c.25G>Tp.Ala9Ser
missense
Exon 1 of 7ENSP00000301455.1Q9BY76-1
ANGPTL4
ENST00000593998.5
TSL:1
n.25G>T
non_coding_transcript_exon
Exon 1 of 8ENSP00000472551.1Q9BY76-1
ANGPTL4
ENST00000955923.1
c.25G>Tp.Ala9Ser
missense
Exon 2 of 8ENSP00000625982.1

Frequencies

GnomAD3 genomes
AF:
0.0000526
AC:
8
AN:
152214
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
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:
0.0000882
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000203
AC:
3
AN:
147452
AF XY:
0.0000370
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000522
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000738
AC:
103
AN:
1395698
Hom.:
0
Cov.:
32
AF XY:
0.0000696
AC XY:
48
AN XY:
689746
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32288
American (AMR)
AF:
0.00
AC:
0
AN:
36894
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25186
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36736
South Asian (SAS)
AF:
0.00
AC:
0
AN:
79926
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
39000
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4470
European-Non Finnish (NFE)
AF:
0.0000886
AC:
96
AN:
1083230
Other (OTH)
AF:
0.000121
AC:
7
AN:
57968
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.464
Heterozygous variant carriers
0
7
14
22
29
36
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000526
AC:
8
AN:
152214
Hom.:
0
Cov.:
32
AF XY:
0.0000403
AC XY:
3
AN XY:
74360
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41456
American (AMR)
AF:
0.0000654
AC:
1
AN:
15280
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5190
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000882
AC:
6
AN:
68046
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.537
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0000299
Hom.:
0
Bravo
AF:
0.0000302

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.14
T
BayesDel_noAF
Benign
-0.28
CADD
Benign
20
DANN
Uncertain
0.99
DEOGEN2
Benign
0.023
T
Eigen
Uncertain
0.21
Eigen_PC
Benign
0.14
FATHMM_MKL
Benign
0.42
N
LIST_S2
Benign
0.79
T
M_CAP
Pathogenic
0.35
D
MetaRNN
Benign
0.37
T
MetaSVM
Benign
-0.64
T
MutationAssessor
Uncertain
2.5
M
PhyloP100
3.2
PrimateAI
Uncertain
0.77
T
PROVEAN
Benign
-0.46
N
REVEL
Benign
0.17
Sift
Pathogenic
0.0
D
Sift4G
Benign
0.068
T
Polyphen
0.99
D
Vest4
0.30
MutPred
0.36
Gain of loop (P = 0.002)
MVP
0.71
MPC
0.33
ClinPred
0.70
D
GERP RS
4.6
PromoterAI
-0.017
Neutral
Varity_R
0.20
gMVP
0.62
Mutation Taster
=93/7
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs1025526193; hg19: chr19-8429230; API