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GeneBe

20-58461548-C-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_153360.3(APCDD1L):c.748G>T(p.Val250Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0002 in 1,418,450 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict 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. V250M) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00018 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00020 ( 0 hom. )

Consequence

APCDD1L
NM_153360.3 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.0990
Variant links:
Genes affected
APCDD1L (HGNC:26892): (APC down-regulated 1 like) Predicted to enable Wnt-protein binding activity. Predicted to be involved in negative regulation of Wnt signaling pathway. Predicted to be located in plasma membrane. Predicted to be integral component of membrane. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.01937884).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
APCDD1LNM_153360.3 linkuse as main transcriptc.748G>T p.Val250Leu missense_variant 4/4 ENST00000371149.8
APCDD1LNM_001304787.2 linkuse as main transcriptc.781G>T p.Val261Leu missense_variant 5/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
APCDD1LENST00000371149.8 linkuse as main transcriptc.748G>T p.Val250Leu missense_variant 4/41 NM_153360.3 P1
APCDD1LENST00000491015.1 linkuse as main transcriptn.159G>T non_coding_transcript_exon_variant 2/22

Frequencies

GnomAD3 genomes
AF:
0.000184
AC:
28
AN:
152120
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000458
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000176
Gnomad OTH
AF:
0.000957
GnomAD3 exomes
AF:
0.000317
AC:
23
AN:
72510
Hom.:
0
AF XY:
0.000389
AC XY:
14
AN XY:
35994
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00123
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000126
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000321
Gnomad OTH exome
AF:
0.000479
GnomAD4 exome
AF:
0.000201
AC:
255
AN:
1266212
Hom.:
0
Cov.:
30
AF XY:
0.000197
AC XY:
120
AN XY:
610222
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00107
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000292
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000231
Gnomad4 NFE exome
AF:
0.000202
Gnomad4 OTH exome
AF:
0.000441
GnomAD4 genome
AF:
0.000184
AC:
28
AN:
152238
Hom.:
1
Cov.:
32
AF XY:
0.000175
AC XY:
13
AN XY:
74426
show subpopulations
Gnomad4 AFR
AF:
0.000120
Gnomad4 AMR
AF:
0.000458
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000176
Gnomad4 OTH
AF:
0.000947
Alfa
AF:
0.000250
Hom.:
0
Bravo
AF:
0.000238
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000259
AC:
1
ExAC
AF:
0.000115
AC:
10

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsNov 03, 2023The c.748G>T (p.V250L) alteration is located in exon 4 (coding exon 4) of the APCDD1L gene. This alteration results from a G to T substitution at nucleotide position 748, causing the valine (V) at amino acid position 250 to be replaced by a leucine (L). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.090
BayesDel_addAF
Benign
-0.60
T
BayesDel_noAF
Benign
-0.70
Cadd
Benign
2.8
Dann
Benign
0.89
DEOGEN2
Benign
0.0037
T
Eigen
Benign
-0.91
Eigen_PC
Benign
-0.97
FATHMM_MKL
Benign
0.18
N
LIST_S2
Benign
0.78
T
M_CAP
Benign
0.0071
T
MetaRNN
Benign
0.019
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.2
L
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-1.1
N
REVEL
Benign
0.093
Sift
Benign
0.82
T
Sift4G
Benign
0.52
T
Polyphen
0.25
B
Vest4
0.067
MVP
0.014
MPC
0.31
ClinPred
0.014
T
GERP RS
-0.80
Varity_R
0.057
gMVP
0.23

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs746369561; hg19: chr20-57036604; API