19-8364439-G-A

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBS1_SupportingBS2

The NM_139314.3(ANGPTL4):​c.118G>A​(p.Glu40Lys) variant causes a missense change. The variant allele was found at a frequency of 0.0171 in 1,555,220 control chromosomes in the GnomAD database, including 262 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as association (no stars). Synonymous variant affecting the same amino acid position (i.e. E40E) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.015 ( 30 hom., cov: 32)
Exomes 𝑓: 0.017 ( 232 hom. )

Consequence

ANGPTL4
NM_139314.3 missense

Scores

2
8
8

Clinical Significance

association no assertion criteria provided O:1

Conservation

PhyloP100: 6.58
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 made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0040303767).
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.015 (2292/152350) while in subpopulation AMR AF= 0.0236 (361/15308). AF 95% confidence interval is 0.0216. There are 30 homozygotes in gnomad4. There are 1095 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAd4 at 30 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ANGPTL4NM_139314.3 linkuse as main transcriptc.118G>A p.Glu40Lys missense_variant 1/7 ENST00000301455.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ANGPTL4ENST00000301455.7 linkuse as main transcriptc.118G>A p.Glu40Lys missense_variant 1/71 NM_139314.3 P1Q9BY76-1

Frequencies

GnomAD3 genomes
AF:
0.0151
AC:
2292
AN:
152232
Hom.:
30
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00294
Gnomad AMI
AF:
0.0362
Gnomad AMR
AF:
0.0236
Gnomad ASJ
AF:
0.0167
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000827
Gnomad FIN
AF:
0.0254
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0206
Gnomad OTH
AF:
0.0186
GnomAD3 exomes
AF:
0.0133
AC:
2016
AN:
151260
Hom.:
17
AF XY:
0.0130
AC XY:
1068
AN XY:
82292
show subpopulations
Gnomad AFR exome
AF:
0.00316
Gnomad AMR exome
AF:
0.0111
Gnomad ASJ exome
AF:
0.0165
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000649
Gnomad FIN exome
AF:
0.0257
Gnomad NFE exome
AF:
0.0201
Gnomad OTH exome
AF:
0.0175
GnomAD4 exome
AF:
0.0174
AC:
24354
AN:
1402870
Hom.:
232
Cov.:
32
AF XY:
0.0171
AC XY:
11879
AN XY:
693090
show subpopulations
Gnomad4 AFR exome
AF:
0.00272
Gnomad4 AMR exome
AF:
0.0129
Gnomad4 ASJ exome
AF:
0.0154
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000763
Gnomad4 FIN exome
AF:
0.0260
Gnomad4 NFE exome
AF:
0.0196
Gnomad4 OTH exome
AF:
0.0161
GnomAD4 genome
AF:
0.0150
AC:
2292
AN:
152350
Hom.:
30
Cov.:
32
AF XY:
0.0147
AC XY:
1095
AN XY:
74496
show subpopulations
Gnomad4 AFR
AF:
0.00293
Gnomad4 AMR
AF:
0.0236
Gnomad4 ASJ
AF:
0.0167
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000828
Gnomad4 FIN
AF:
0.0254
Gnomad4 NFE
AF:
0.0207
Gnomad4 OTH
AF:
0.0184
Alfa
AF:
0.0191
Hom.:
50
Bravo
AF:
0.0146
ESP6500AA
AF:
0.000953
AC:
4
ESP6500EA
AF:
0.0160
AC:
132
ExAC
AF:
0.00807
AC:
918
Asia WGS
AF:
0.000866
AC:
3
AN:
3478

ClinVar

Significance: association
Submissions summary: Other:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Plasma triglyceride level quantitative trait locus Other:1
association, no assertion criteria providedliterature onlyOMIMMay 08, 2009- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.43
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.21
CADD
Pathogenic
31
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.14
.;.;T;T;.
Eigen
Uncertain
0.67
Eigen_PC
Uncertain
0.65
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Uncertain
0.96
D;D;D;.;D
MetaRNN
Benign
0.0040
T;T;T;T;T
MetaSVM
Benign
-0.59
T
MutationAssessor
Uncertain
2.7
.;.;.;M;M
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Pathogenic
0.81
D
PROVEAN
Benign
-2.1
.;.;.;N;N
REVEL
Benign
0.15
Sift
Uncertain
0.010
.;.;.;D;D
Sift4G
Uncertain
0.012
D;D;D;D;D
Polyphen
1.0
.;.;.;D;.
Vest4
0.39, 0.34
MPC
0.81
ClinPred
0.036
T
GERP RS
5.0
Varity_R
0.30
gMVP
0.73

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: rs116843064; hg19: chr19-8429323; COSMIC: COSV99041543; API