2-21003346-GAAA-GAAAA

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP6BS1BS2

The NM_000384.3(APOB):​c.12088-13dupT variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0287 in 1,091,966 control chromosomes in the GnomAD database, including 4 homozygotes. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0010 ( 1 hom., cov: 32)
Exomes 𝑓: 0.033 ( 3 hom. )

Consequence

APOB
NM_000384.3 intron

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: -0.342
Variant links:
Genes affected
APOB (HGNC:603): (apolipoprotein B) This gene product is the main apolipoprotein of chylomicrons and low density lipoproteins (LDL), and is the ligand for the LDL receptor. It occurs in plasma as two main isoforms, apoB-48 and apoB-100: the former is synthesized exclusively in the gut and the latter in the liver. The intestinal and the hepatic forms of apoB are encoded by a single gene from a single, very long mRNA. The two isoforms share a common N-terminal sequence. The shorter apoB-48 protein is produced after RNA editing of the apoB-100 transcript at residue 2180 (CAA->UAA), resulting in the creation of a stop codon, and early translation termination. Mutations in this gene or its regulatory region cause hypobetalipoproteinemia, normotriglyceridemic hypobetalipoproteinemia, and hypercholesterolemia due to ligand-defective apoB, diseases affecting plasma cholesterol and apoB levels. [provided by RefSeq, Dec 2019]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP6
Variant 2-21003346-G-GA is Benign according to our data. Variant chr2-21003346-G-GA is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 334083.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=2, Benign=1}.
BS1
Variant frequency is greater than expected in population sas. gnomad4_exome allele frequency = 0.0327 (31172/954370) while in subpopulation SAS AF= 0.0438 (2272/51848). AF 95% confidence interval is 0.0423. There are 3 homozygotes in gnomad4_exome. There are 14969 alleles in male gnomad4_exome subpopulation. Median coverage is 29. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 3 SD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
APOBNM_000384.3 linkuse as main transcriptc.12088-13dupT intron_variant ENST00000233242.5 NP_000375.3 P04114Q7Z7Q0Q59HB3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
APOBENST00000233242.5 linkuse as main transcriptc.12088-13dupT intron_variant 1 NM_000384.3 ENSP00000233242.1 P04114

Frequencies

GnomAD3 genomes
AF:
0.00103
AC:
142
AN:
137534
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000695
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000724
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00249
Gnomad SAS
AF:
0.0163
Gnomad FIN
AF:
0.000127
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000318
Gnomad OTH
AF:
0.000526
GnomAD3 exomes
AF:
0.0126
AC:
1788
AN:
141744
Hom.:
1
AF XY:
0.0137
AC XY:
1055
AN XY:
77222
show subpopulations
Gnomad AFR exome
AF:
0.00547
Gnomad AMR exome
AF:
0.0143
Gnomad ASJ exome
AF:
0.0122
Gnomad EAS exome
AF:
0.00669
Gnomad SAS exome
AF:
0.0383
Gnomad FIN exome
AF:
0.0236
Gnomad NFE exome
AF:
0.00695
Gnomad OTH exome
AF:
0.0113
GnomAD4 exome
AF:
0.0327
AC:
31172
AN:
954370
Hom.:
3
Cov.:
29
AF XY:
0.0317
AC XY:
14969
AN XY:
471794
show subpopulations
Gnomad4 AFR exome
AF:
0.0293
Gnomad4 AMR exome
AF:
0.0132
Gnomad4 ASJ exome
AF:
0.0213
Gnomad4 EAS exome
AF:
0.0151
Gnomad4 SAS exome
AF:
0.0438
Gnomad4 FIN exome
AF:
0.0197
Gnomad4 NFE exome
AF:
0.0342
Gnomad4 OTH exome
AF:
0.0318
GnomAD4 genome
AF:
0.00104
AC:
143
AN:
137596
Hom.:
1
Cov.:
32
AF XY:
0.00139
AC XY:
92
AN XY:
66416
show subpopulations
Gnomad4 AFR
AF:
0.000720
Gnomad4 AMR
AF:
0.000723
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00249
Gnomad4 SAS
AF:
0.0164
Gnomad4 FIN
AF:
0.000127
Gnomad4 NFE
AF:
0.000318
Gnomad4 OTH
AF:
0.000521

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Hypercholesterolemia, familial, 1 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Familial hypobetalipoproteinemia Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Hypercholesterolemia, autosomal dominant, type B;C4551990:Familial hypobetalipoproteinemia 1 Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

Name
Calibrated prediction
Score
Prediction
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: rs751121092; hg19: chr2-21226218; API