4-3516151-C-T

Variant summary

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

The NM_002337.4(LRPAP1):​c.799G>A​(p.Ala267Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000442 in 1,582,110 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000039 ( 0 hom., cov: 34)
Exomes 𝑓: 0.000045 ( 1 hom. )

Consequence

LRPAP1
NM_002337.4 missense

Scores

6
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.01
Variant links:
Genes affected
LRPAP1 (HGNC:6701): (LDL receptor related protein associated protein 1) This gene encodes a protein that interacts with the low density lipoprotein (LDL) receptor-related protein and facilitates its proper folding and localization by preventing the binding of ligands. Mutations in this gene have been identified in individuals with myopia 23. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 2013]

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=0.06643042).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LRPAP1NM_002337.4 linkuse as main transcriptc.799G>A p.Ala267Thr missense_variant 6/8 ENST00000650182.1 NP_002328.1
LRPAP1NR_110005.2 linkuse as main transcriptn.762G>A non_coding_transcript_exon_variant 6/8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LRPAP1ENST00000650182.1 linkuse as main transcriptc.799G>A p.Ala267Thr missense_variant 6/8 NM_002337.4 ENSP00000497444 P1
LRPAP1ENST00000296325.9 linkuse as main transcriptn.762G>A non_coding_transcript_exon_variant 6/81
LRPAP1ENST00000515119.5 linkuse as main transcriptc.*576G>A 3_prime_UTR_variant, NMD_transcript_variant 6/62 ENSP00000421648
LRPAP1ENST00000648517.1 linkuse as main transcriptc.*291G>A 3_prime_UTR_variant, NMD_transcript_variant 7/8 ENSP00000496947

Frequencies

GnomAD3 genomes
AF:
0.0000394
AC:
6
AN:
152242
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000621
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000106
AC:
21
AN:
198454
Hom.:
0
AF XY:
0.000113
AC XY:
12
AN XY:
106188
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000352
Gnomad ASJ exome
AF:
0.000112
Gnomad EAS exome
AF:
0.000132
Gnomad SAS exome
AF:
0.000515
Gnomad FIN exome
AF:
0.0000582
Gnomad NFE exome
AF:
0.0000348
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000448
AC:
64
AN:
1429750
Hom.:
1
Cov.:
31
AF XY:
0.0000523
AC XY:
37
AN XY:
707992
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000255
Gnomad4 ASJ exome
AF:
0.0000394
Gnomad4 EAS exome
AF:
0.000182
Gnomad4 SAS exome
AF:
0.000515
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000109
Gnomad4 OTH exome
AF:
0.0000169
GnomAD4 genome
AF:
0.0000394
AC:
6
AN:
152360
Hom.:
0
Cov.:
34
AF XY:
0.0000671
AC XY:
5
AN XY:
74498
show subpopulations
Gnomad4 AFR
AF:
0.0000240
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000621
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000422
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.000133
AC:
16

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 GeneticsMay 27, 2022The c.799G>A (p.A267T) alteration is located in exon 6 (coding exon 6) of the LRPAP1 gene. This alteration results from a G to A substitution at nucleotide position 799, causing the alanine (A) at amino acid position 267 to be replaced by a threonine (T). 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
0.14
BayesDel_addAF
Benign
-0.072
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
18
DANN
Uncertain
1.0
DEOGEN2
Benign
0.20
T;T
Eigen
Uncertain
0.29
Eigen_PC
Benign
0.17
FATHMM_MKL
Benign
0.61
D
LIST_S2
Benign
0.84
.;T
M_CAP
Benign
0.032
D
MetaRNN
Benign
0.066
T;T
MetaSVM
Benign
-0.60
T
MutationAssessor
Uncertain
2.1
M;M
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.48
T
PROVEAN
Benign
-1.8
N;.
REVEL
Benign
0.19
Sift
Uncertain
0.0050
D;.
Sift4G
Uncertain
0.0080
D;.
Polyphen
1.0
D;D
Vest4
0.30
MutPred
0.42
Gain of glycosylation at T270 (P = 0.029);Gain of glycosylation at T270 (P = 0.029);
MVP
0.55
MPC
0.081
ClinPred
0.11
T
GERP RS
4.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.56
gMVP
0.44

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: rs755497927; hg19: chr4-3517878; COSMIC: COSV56345952; COSMIC: COSV56345952; API