2-232457036-T-A

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP4_StrongBP6_ModerateBS2

The NM_001631.5(ALPI):​c.438T>A​(p.Asn146Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000524 in 1,613,484 control chromosomes in the GnomAD database, including 5 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.0026 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00031 ( 4 hom. )

Consequence

ALPI
NM_001631.5 missense

Scores

3
5
10

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: -3.44
Variant links:
Genes affected
ALPI (HGNC:437): (alkaline phosphatase, intestinal) There are at least four distinct but related alkaline phosphatases: intestinal, placental, placental-like, and liver/bone/kidney (tissue non-specific). The intestinal alkaline phosphatase gene encodes a digestive brush-border enzyme. This enzyme is a component of the gut mucosal defense system and is thought to function in the detoxification of lipopolysaccharide, and in the prevention of bacterial translocation in the gut. [provided by RefSeq, Dec 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.014700532).
BP6
Variant 2-232457036-T-A is Benign according to our data. Variant chr2-232457036-T-A is described in ClinVar as [Benign]. Clinvar id is 3040623.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High Homozygotes in GnomAdExome4 at 4 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ALPINM_001631.5 linkuse as main transcriptc.438T>A p.Asn146Lys missense_variant 4/11 ENST00000295463.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ALPIENST00000295463.4 linkuse as main transcriptc.438T>A p.Asn146Lys missense_variant 4/111 NM_001631.5 P1
ALPIENST00000457560.1 linkuse as main transcriptc.*367T>A 3_prime_UTR_variant, NMD_transcript_variant 3/105

Frequencies

GnomAD3 genomes
AF:
0.00262
AC:
398
AN:
152106
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00908
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000851
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00239
GnomAD3 exomes
AF:
0.000767
AC:
192
AN:
250434
Hom.:
1
AF XY:
0.000501
AC XY:
68
AN XY:
135638
show subpopulations
Gnomad AFR exome
AF:
0.00993
Gnomad AMR exome
AF:
0.000637
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000654
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000442
Gnomad OTH exome
AF:
0.000490
GnomAD4 exome
AF:
0.000305
AC:
446
AN:
1461260
Hom.:
4
Cov.:
34
AF XY:
0.000242
AC XY:
176
AN XY:
726944
show subpopulations
Gnomad4 AFR exome
AF:
0.00869
Gnomad4 AMR exome
AF:
0.000649
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000232
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000638
Gnomad4 OTH exome
AF:
0.000845
GnomAD4 genome
AF:
0.00262
AC:
399
AN:
152224
Hom.:
1
Cov.:
32
AF XY:
0.00243
AC XY:
181
AN XY:
74422
show subpopulations
Gnomad4 AFR
AF:
0.00908
Gnomad4 AMR
AF:
0.000850
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00237
Alfa
AF:
0.000290
Hom.:
0
Bravo
AF:
0.00311
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.0104
AC:
46
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000972
AC:
118
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

Significance: Benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

ALPI-related disorder Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesSep 25, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.35
BayesDel_addAF
Benign
-0.36
T
BayesDel_noAF
Benign
-0.29
CADD
Benign
0.15
DANN
Benign
0.95
DEOGEN2
Pathogenic
0.80
D
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.41
N
LIST_S2
Uncertain
0.86
D
MetaRNN
Benign
0.015
T
MetaSVM
Pathogenic
1.0
D
MutationAssessor
Benign
1.9
L
MutationTaster
Benign
0.83
D
PrimateAI
Uncertain
0.53
T
PROVEAN
Pathogenic
-5.7
D
REVEL
Uncertain
0.40
Sift
Uncertain
0.0060
D
Sift4G
Benign
0.069
T
Polyphen
1.0
D
Vest4
0.54
MutPred
0.53
Gain of methylation at N146 (P = 0.0229);
MVP
0.66
MPC
0.52
ClinPred
0.14
T
GERP RS
-11
Varity_R
0.68
gMVP
0.87

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: rs3111341; hg19: chr2-233321746; API