22-43880872-G-A

Variant summary

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

The NM_138814.4(PNPLA5):​c.1213C>T​(p.Arg405Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000112 in 1,335,360 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 (★).

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000093 ( 0 hom. )

Consequence

PNPLA5
NM_138814.4 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.697
Variant links:
Genes affected
PNPLA5 (HGNC:24888): (patatin like phospholipase domain containing 5) This gene is a member of the patatin-like phospholipase family; its encoded protein has been shown to inhibit transacylation. Multiple transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Apr 2010]

Genome browser will be placed here

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=0.06639856).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PNPLA5NM_138814.4 linkc.1213C>T p.Arg405Cys missense_variant 9/9 ENST00000216177.9 NP_620169.1 Q7Z6Z6-1
PNPLA5NM_001177675.2 linkc.871C>T p.Arg291Cys missense_variant 7/7 NP_001171146.1 Q7Z6Z6-2
PNPLA5NM_001371410.1 linkc.793C>T p.Arg265Cys missense_variant 9/9 NP_001358339.1
PNPLA5XM_047441164.1 linkc.793C>T p.Arg265Cys missense_variant 7/7 XP_047297120.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PNPLA5ENST00000216177.9 linkc.1213C>T p.Arg405Cys missense_variant 9/91 NM_138814.4 ENSP00000216177.3 Q7Z6Z6-1
PNPLA5ENST00000381198.7 linkc.871C>T p.Arg291Cys missense_variant 7/72 ENSP00000370595.2 Q7Z6Z6-2

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152218
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000482
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.0000255
AC:
3
AN:
117564
Hom.:
0
AF XY:
0.0000316
AC XY:
2
AN XY:
63236
show subpopulations
Gnomad AFR exome
AF:
0.000104
Gnomad AMR exome
AF:
0.0000998
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000158
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000930
AC:
11
AN:
1183024
Hom.:
0
Cov.:
31
AF XY:
0.00000528
AC XY:
3
AN XY:
568582
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000572
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000517
Gnomad4 OTH exome
AF:
0.000106
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152336
Hom.:
0
Cov.:
33
AF XY:
0.0000403
AC XY:
3
AN XY:
74480
show subpopulations
Gnomad4 AFR
AF:
0.0000481
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000945
Bravo
AF:
0.0000189
ExAC
AF:
0.0000172
AC:
2
Asia WGS
AF:
0.00462
AC:
16
AN:
3478

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 29, 2024The c.1213C>T (p.R405C) alteration is located in exon 9 (coding exon 9) of the PNPLA5 gene. This alteration results from a C to T substitution at nucleotide position 1213, causing the arginine (R) at amino acid position 405 to be replaced by a cysteine (C). 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
0.10
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.67
CADD
Benign
4.5
DANN
Benign
0.87
DEOGEN2
Benign
0.0038
T;T;.;.
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.7
FATHMM_MKL
Benign
0.0039
N
LIST_S2
Benign
0.53
.;T;T;.
M_CAP
Benign
0.0034
T
MetaRNN
Benign
0.066
T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.55
N;N;.;.
PrimateAI
Benign
0.22
T
PROVEAN
Benign
-0.71
.;N;.;N
REVEL
Benign
0.029
Sift
Benign
0.048
.;D;.;T
Sift4G
Benign
0.087
T;T;D;D
Polyphen
0.43
B;B;P;P
Vest4
0.055
MutPred
0.37
Loss of disorder (P = 0.0162);Loss of disorder (P = 0.0162);.;.;
MVP
0.12
MPC
0.18
ClinPred
0.028
T
GERP RS
-5.1
Varity_R
0.051
gMVP
0.16

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: rs766960907; hg19: chr22-44276752; COSMIC: COSV53376113; COSMIC: COSV53376113; API