22-43881570-A-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_138814.4(PNPLA5):​c.1187T>A​(p.Leu396His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000376 in 1,597,826 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000028 ( 0 hom. )

Consequence

PNPLA5
NM_138814.4 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.548
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 Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.227119).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PNPLA5NM_138814.4 linkuse as main transcriptc.1187T>A p.Leu396His missense_variant 8/9 ENST00000216177.9 NP_620169.1 Q7Z6Z6-1
PNPLA5NM_001177675.2 linkuse as main transcriptc.845T>A p.Leu282His missense_variant 6/7 NP_001171146.1 Q7Z6Z6-2
PNPLA5NM_001371410.1 linkuse as main transcriptc.767T>A p.Leu256His missense_variant 8/9 NP_001358339.1
PNPLA5XM_047441164.1 linkuse as main transcriptc.767T>A p.Leu256His missense_variant 6/7 XP_047297120.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PNPLA5ENST00000216177.9 linkuse as main transcriptc.1187T>A p.Leu396His missense_variant 8/91 NM_138814.4 ENSP00000216177.3 Q7Z6Z6-1
PNPLA5ENST00000381198.7 linkuse as main transcriptc.845T>A p.Leu282His missense_variant 6/72 ENSP00000370595.2 Q7Z6Z6-2

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152180
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000451
AC:
1
AN:
221566
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
119786
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
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:
0.0000102
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000277
AC:
4
AN:
1445646
Hom.:
0
Cov.:
32
AF XY:
0.00000557
AC XY:
4
AN XY:
717850
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
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:
0.00000362
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000131
AC:
2
AN:
152180
Hom.:
0
Cov.:
33
AF XY:
0.0000135
AC XY:
1
AN XY:
74342
show subpopulations
Gnomad4 AFR
AF:
0.00
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:
0.0000294
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000227

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 GeneticsAug 17, 2021The c.1187T>A (p.L396H) alteration is located in exon 8 (coding exon 8) of the PNPLA5 gene. This alteration results from a T to A substitution at nucleotide position 1187, causing the leucine (L) at amino acid position 396 to be replaced by a histidine (H). 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
0.13
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
19
DANN
Benign
0.95
DEOGEN2
Benign
0.0070
T;T;.;.
Eigen
Benign
-0.31
Eigen_PC
Benign
-0.45
FATHMM_MKL
Benign
0.38
N
LIST_S2
Benign
0.39
.;T;T;.
M_CAP
Benign
0.017
T
MetaRNN
Benign
0.23
T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.90
L;L;.;.
PrimateAI
Benign
0.34
T
PROVEAN
Benign
-2.3
.;N;.;D
REVEL
Benign
0.11
Sift
Benign
0.052
.;T;.;D
Sift4G
Benign
0.17
T;T;D;D
Polyphen
1.0
D;D;D;D
Vest4
0.38
MutPred
0.34
Gain of disorder (P = 0.0431);Gain of disorder (P = 0.0431);.;.;
MVP
0.47
MPC
0.57
ClinPred
0.28
T
GERP RS
2.6
Varity_R
0.15
gMVP
0.25

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: rs1234209199; hg19: chr22-44277450; API