21-25976059-A-G

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000484.4(APP):​c.1225-31T>C variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.22 in 1,555,134 control chromosomes in the GnomAD database, including 41,446 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.23 ( 4447 hom., cov: 32)
Exomes 𝑓: 0.22 ( 36999 hom. )

Consequence

APP
NM_000484.4 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 1.24
Variant links:
Genes affected
APP (HGNC:620): (amyloid beta precursor protein) This gene encodes a cell surface receptor and transmembrane precursor protein that is cleaved by secretases to form a number of peptides. Some of these peptides are secreted and can bind to the acetyltransferase complex APBB1/TIP60 to promote transcriptional activation, while others form the protein basis of the amyloid plaques found in the brains of patients with Alzheimer disease. In addition, two of the peptides are antimicrobial peptides, having been shown to have bacteriocidal and antifungal activities. Mutations in this gene have been implicated in autosomal dominant Alzheimer disease and cerebroarterial amyloidosis (cerebral amyloid angiopathy). Multiple transcript variants encoding several different isoforms have been found for this gene. [provided by RefSeq, Aug 2014]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.74).
BP6
Variant 21-25976059-A-G is Benign according to our data. Variant chr21-25976059-A-G is described in ClinVar as [Benign]. Clinvar id is 1233599.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.417 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
APPNM_000484.4 linkuse as main transcriptc.1225-31T>C intron_variant ENST00000346798.8 NP_000475.1 P05067-1A0A140VJC8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
APPENST00000346798.8 linkuse as main transcriptc.1225-31T>C intron_variant 1 NM_000484.4 ENSP00000284981.4 P05067-1

Frequencies

GnomAD3 genomes
AF:
0.231
AC:
35147
AN:
151982
Hom.:
4429
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.265
Gnomad AMI
AF:
0.185
Gnomad AMR
AF:
0.292
Gnomad ASJ
AF:
0.178
Gnomad EAS
AF:
0.431
Gnomad SAS
AF:
0.370
Gnomad FIN
AF:
0.176
Gnomad MID
AF:
0.155
Gnomad NFE
AF:
0.185
Gnomad OTH
AF:
0.207
GnomAD3 exomes
AF:
0.263
AC:
65701
AN:
250218
Hom.:
10193
AF XY:
0.259
AC XY:
35013
AN XY:
135316
show subpopulations
Gnomad AFR exome
AF:
0.269
Gnomad AMR exome
AF:
0.421
Gnomad ASJ exome
AF:
0.179
Gnomad EAS exome
AF:
0.447
Gnomad SAS exome
AF:
0.364
Gnomad FIN exome
AF:
0.171
Gnomad NFE exome
AF:
0.182
Gnomad OTH exome
AF:
0.230
GnomAD4 exome
AF:
0.219
AC:
306599
AN:
1403034
Hom.:
36999
Cov.:
23
AF XY:
0.221
AC XY:
155260
AN XY:
701810
show subpopulations
Gnomad4 AFR exome
AF:
0.266
Gnomad4 AMR exome
AF:
0.407
Gnomad4 ASJ exome
AF:
0.179
Gnomad4 EAS exome
AF:
0.413
Gnomad4 SAS exome
AF:
0.361
Gnomad4 FIN exome
AF:
0.168
Gnomad4 NFE exome
AF:
0.194
Gnomad4 OTH exome
AF:
0.226
GnomAD4 genome
AF:
0.231
AC:
35189
AN:
152100
Hom.:
4447
Cov.:
32
AF XY:
0.233
AC XY:
17352
AN XY:
74358
show subpopulations
Gnomad4 AFR
AF:
0.265
Gnomad4 AMR
AF:
0.293
Gnomad4 ASJ
AF:
0.178
Gnomad4 EAS
AF:
0.432
Gnomad4 SAS
AF:
0.367
Gnomad4 FIN
AF:
0.176
Gnomad4 NFE
AF:
0.185
Gnomad4 OTH
AF:
0.209
Alfa
AF:
0.211
Hom.:
1044
Bravo
AF:
0.243
Asia WGS
AF:
0.381
AC:
1322
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxAug 23, 2018- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.74
CADD
Benign
4.9
DANN
Benign
0.83

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: rs3737413; hg19: chr21-27348372; COSMIC: COSV60996172; API