22-43889339-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_138814.4(PNPLA5):​c.692C>T​(p.Pro231Leu) variant causes a missense change. The variant allele was found at a frequency of 0.0000316 in 1,613,822 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000072 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000027 ( 1 hom. )

Consequence

PNPLA5
NM_138814.4 missense

Scores

3
7
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.93
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 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.30719846).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PNPLA5NM_138814.4 linkuse as main transcriptc.692C>T p.Pro231Leu missense_variant 4/9 ENST00000216177.9 NP_620169.1 Q7Z6Z6-1
PNPLA5NM_001177675.2 linkuse as main transcriptc.350C>T p.Pro117Leu missense_variant 2/7 NP_001171146.1 Q7Z6Z6-2
PNPLA5NM_001371410.1 linkuse as main transcriptc.272C>T p.Pro91Leu missense_variant 4/9 NP_001358339.1
PNPLA5XM_047441164.1 linkuse as main transcriptc.272C>T p.Pro91Leu missense_variant 2/7 XP_047297120.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PNPLA5ENST00000216177.9 linkuse as main transcriptc.692C>T p.Pro231Leu missense_variant 4/91 NM_138814.4 ENSP00000216177.3 Q7Z6Z6-1
PNPLA5ENST00000381198.7 linkuse as main transcriptc.350C>T p.Pro117Leu missense_variant 2/72 ENSP00000370595.2 Q7Z6Z6-2
PNPLA5ENST00000438734.1 linkuse as main transcriptc.427-1688C>T intron_variant 3 ENSP00000405732.1 B1AHL9

Frequencies

GnomAD3 genomes
AF:
0.0000723
AC:
11
AN:
152130
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000217
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000239
AC:
6
AN:
250848
Hom.:
0
AF XY:
0.0000221
AC XY:
3
AN XY:
135656
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000654
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000176
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000274
AC:
40
AN:
1461692
Hom.:
1
Cov.:
32
AF XY:
0.0000275
AC XY:
20
AN XY:
727150
show subpopulations
Gnomad4 AFR exome
AF:
0.000358
Gnomad4 AMR exome
AF:
0.0000671
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000450
Gnomad4 OTH exome
AF:
0.0000662
GnomAD4 genome
AF:
0.0000723
AC:
11
AN:
152130
Hom.:
0
Cov.:
32
AF XY:
0.0000807
AC XY:
6
AN XY:
74308
show subpopulations
Gnomad4 AFR
AF:
0.000217
Gnomad4 AMR
AF:
0.0000655
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000978
Hom.:
0
Bravo
AF:
0.0000680
ExAC
AF:
0.0000330
AC:
4

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 GeneticsFeb 15, 2023The c.692C>T (p.P231L) alteration is located in exon 4 (coding exon 4) of the PNPLA5 gene. This alteration results from a C to T substitution at nucleotide position 692, causing the proline (P) at amino acid position 231 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
0.17
BayesDel_addAF
Uncertain
0.015
T
BayesDel_noAF
Uncertain
0.020
CADD
Benign
17
DANN
Benign
0.97
DEOGEN2
Benign
0.19
T;T;.;.
Eigen
Benign
0.087
Eigen_PC
Benign
0.021
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Benign
0.49
.;T;T;.
M_CAP
Uncertain
0.14
D
MetaRNN
Benign
0.31
T;T;T;T
MetaSVM
Uncertain
0.24
D
MutationAssessor
Pathogenic
3.3
M;M;.;.
PrimateAI
Benign
0.32
T
PROVEAN
Pathogenic
-8.9
.;D;.;D
REVEL
Uncertain
0.39
Sift
Uncertain
0.0010
.;D;.;D
Sift4G
Uncertain
0.040
D;D;T;T
Polyphen
0.78
P;P;B;B
Vest4
0.23
MVP
0.76
MPC
0.14
ClinPred
0.83
D
GERP RS
4.9
Varity_R
0.55
gMVP
0.82

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: rs747408439; hg19: chr22-44285219; COSMIC: COSV99336710; API