21-26171136-G-C
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Variant summary
Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate
The ENST00000455275.1(ENSG00000224541):n.178-4474G>C variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000217 in 152,188 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.00022 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control
Consequence
ENSG00000224541
ENST00000455275.1 intron
ENST00000455275.1 intron
Scores
2
Clinical Significance
Conservation
PhyloP100: 0.548
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 Uncertain_significance. Variant got 0 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.32).
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
APP-DT | NR_186395.1 | n.186+84G>C | intron_variant | |||||
APP-DT | NR_186396.1 | n.186+84G>C | intron_variant | |||||
APP | NM_001136131.3 | c.-200C>G | upstream_gene_variant | NP_001129603.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
ENSG00000224541 | ENST00000455275.1 | n.178-4474G>C | intron_variant | 2 | ||||||
APP-DT | ENST00000608591.5 | n.182+84G>C | intron_variant | 4 | ||||||
APP-DT | ENST00000609365.2 | n.172+84G>C | intron_variant | 4 |
Frequencies
GnomAD3 genomes AF: 0.000217 AC: 33AN: 152188Hom.: 0 Cov.: 32
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GnomAD4 exome Data not reliable, filtered out with message: AC0 AF: 0.00 AC: 0AN: 732Hom.: 0 Cov.: 0 AF XY: 0.00 AC XY: 0AN XY: 370
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GnomAD4 genome AF: 0.000217 AC: 33AN: 152188Hom.: 0 Cov.: 32 AF XY: 0.000242 AC XY: 18AN XY: 74350
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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 submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Oct 12, 2023 | Variant summary: APP c.-516C>G (listed as c.-369C>G in literature) is located in the untranscribed region upstream of the APP gene region. The variant allele was found at a frequency of 0.00022 in 150960 control chromosomes. c.-516C>G has been reported in the literature in individuals affected with Alzheimer Disease (Brouwer_200, Theuns_2006) however also observed in an unaffected control. These data indicate that the variant may be associated with disease. At least one publication reports experimental evidence evaluating an impact on protein function demonstrating neuron-specific increase of APP transcription of about 2 fold (Theuns_2006). The following publications have been ascertained in the context of this evaluation (PMID: 16931535, 16685645). No submitters have cited clinical-significance assessments for this variant to ClinVar after 2014. Based on the evidence outlined above, the variant was classified as VUS-possibly pathogenic. - |
Computational scores
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Name
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Prediction
BayesDel_noAF
Benign
CADD
Benign
DANN
Benign
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at