2-44346275-T-C

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 2P and 6B. PM2BP4_StrongBP6_Moderate

The NM_001171613.2(PREPL):ā€‹c.68A>Gā€‹(p.Asn23Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000327 in 1,610,658 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…).

Frequency

Genomes: š‘“ 0.00049 ( 0 hom., cov: 32)
Exomes š‘“: 0.00031 ( 0 hom. )

Consequence

PREPL
NM_001171613.2 missense

Scores

2
17

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 2.23
Variant links:
Genes affected
PREPL (HGNC:30228): (prolyl endopeptidase like) The protein encoded by this gene belongs to the prolyl oligopeptidase subfamily of serine peptidases. Mutations in this gene have been associated with hypotonia-cystinuria syndrome, also known as the 2p21 deletion syndrome. Several alternatively spliced transcript variants encoding either the same or different isoforms have been described for this gene.[provided by RefSeq, Jan 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.010025233).
BP6
Variant 2-44346275-T-C is Benign according to our data. Variant chr2-44346275-T-C is described in ClinVar as [Likely_benign]. Clinvar id is 544542.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PREPLNM_001171613.2 linkuse as main transcriptc.68A>G p.Asn23Ser missense_variant 2/14 ENST00000409411.6 NP_001165084.1 Q4J6C6-4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PREPLENST00000409411.6 linkuse as main transcriptc.68A>G p.Asn23Ser missense_variant 2/141 NM_001171613.2 ENSP00000387095.2 Q4J6C6-4

Frequencies

GnomAD3 genomes
AF:
0.000493
AC:
75
AN:
152190
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000851
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00387
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000176
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000445
AC:
111
AN:
249244
Hom.:
1
AF XY:
0.000468
AC XY:
63
AN XY:
134732
show subpopulations
Gnomad AFR exome
AF:
0.000185
Gnomad AMR exome
AF:
0.000147
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000110
Gnomad SAS exome
AF:
0.0000663
Gnomad FIN exome
AF:
0.00327
Gnomad NFE exome
AF:
0.000239
Gnomad OTH exome
AF:
0.000329
GnomAD4 exome
AF:
0.000309
AC:
451
AN:
1458350
Hom.:
0
Cov.:
31
AF XY:
0.000311
AC XY:
226
AN XY:
725522
show subpopulations
Gnomad4 AFR exome
AF:
0.000180
Gnomad4 AMR exome
AF:
0.000136
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000253
Gnomad4 SAS exome
AF:
0.0000701
Gnomad4 FIN exome
AF:
0.00346
Gnomad4 NFE exome
AF:
0.000198
Gnomad4 OTH exome
AF:
0.000299
GnomAD4 genome
AF:
0.000492
AC:
75
AN:
152308
Hom.:
0
Cov.:
32
AF XY:
0.000698
AC XY:
52
AN XY:
74480
show subpopulations
Gnomad4 AFR
AF:
0.000144
Gnomad4 AMR
AF:
0.000850
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.000414
Gnomad4 FIN
AF:
0.00387
Gnomad4 NFE
AF:
0.000176
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000186
Hom.:
0
Bravo
AF:
0.000219
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ExAC
AF:
0.000387
AC:
47
EpiCase
AF:
0.000109
EpiControl
AF:
0.000119

ClinVar

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

Submissions by phenotype

Myasthenic syndrome, congenital, 22 Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpOct 16, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.080
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
16
DANN
Uncertain
0.99
DEOGEN2
Benign
0.017
.;.;.;T;T;T;T;.;.;T
Eigen
Benign
-0.14
Eigen_PC
Benign
-0.031
FATHMM_MKL
Benign
0.63
D
LIST_S2
Benign
0.76
T;.;.;.;.;.;T;T;T;T
M_CAP
Benign
0.0019
T
MetaRNN
Benign
0.010
T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.11
.;.;.;N;N;N;N;N;N;.
PrimateAI
Uncertain
0.60
T
PROVEAN
Benign
0.25
N;N;N;N;N;N;N;N;N;D
REVEL
Benign
0.13
Sift
Benign
0.13
T;T;T;T;T;T;T;T;T;D
Sift4G
Benign
0.65
T;T;T;T;T;T;T;T;T;D
Polyphen
0.66, 0.73, 0.99
.;.;.;P;P;P;P;P;D;.
Vest4
0.44
MVP
0.27
MPC
0.0057
ClinPred
0.039
T
GERP RS
3.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.026
gMVP
0.27

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: rs138377728; hg19: chr2-44573414; API