6-35424147-C-T

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_006238.5(PPARD):​c.626C>T​(p.Ala209Val) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.0000226 in 1,459,976 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/23 in silico tools predict a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.000023 ( 0 hom. )

Consequence

PPARD
NM_006238.5 missense, splice_region

Scores

1
3
15
Splicing: ADA: 0.9955
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.06
Variant links:
Genes affected
PPARD (HGNC:9235): (peroxisome proliferator activated receptor delta) This gene encodes a member of the peroxisome proliferator-activated receptor (PPAR) family. The encoded protein is thought to function as an integrator of transcriptional repression and nuclear receptor signaling. It may inhibit the ligand-induced transcriptional activity of peroxisome proliferator activated receptors alpha and gamma, though evidence for this effect is inconsistent. Expression of this gene in colorectal cancer cells may be variable but is typically relatively low. Knockout studies in mice suggested a role for this protein in myelination of the corpus callosum, lipid metabolism, differentiation, and epidermal cell proliferation. Alternative splicing results in multiple transcript variants encoding distinct protein isoforms. [provided by RefSeq, Aug 2017]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BS2
High AC in GnomAdExome4 at 33 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PPARDNM_006238.5 linkc.626C>T p.Ala209Val missense_variant, splice_region_variant Exon 6 of 8 ENST00000360694.8 NP_006229.1 Q03181-1A0A024RCW6

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PPARDENST00000360694.8 linkc.626C>T p.Ala209Val missense_variant, splice_region_variant Exon 6 of 8 2 NM_006238.5 ENSP00000353916.3 Q03181-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000362
AC:
9
AN:
248798
Hom.:
0
AF XY:
0.0000445
AC XY:
6
AN XY:
134692
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000289
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:
0.0000708
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000226
AC:
33
AN:
1459976
Hom.:
0
Cov.:
33
AF XY:
0.0000220
AC XY:
16
AN XY:
726340
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000261
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000113
ExAC
AF:
0.0000577
AC:
7
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Jun 17, 2024
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.626C>T (p.A209V) alteration is located in exon 7 (coding exon 4) of the PPARD gene. This alteration results from a C to T substitution at nucleotide position 626, causing the alanine (A) at amino acid position 209 to be replaced by a valine (V). 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
0.093
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.30
CADD
Pathogenic
29
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.51
.;D;.;.;D
Eigen
Benign
0.10
Eigen_PC
Uncertain
0.28
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Benign
0.81
T;T;T;T;.
M_CAP
Benign
0.015
T
MetaRNN
Benign
0.15
T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.90
.;L;.;L;L
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-1.5
N;N;N;N;N
REVEL
Benign
0.13
Sift
Benign
0.052
T;D;D;D;D
Sift4G
Benign
0.14
T;T;T;T;T
Polyphen
0.69
.;P;.;.;P
Vest4
0.11
MutPred
0.38
.;Gain of ubiquitination at K204 (P = 0.0828);.;Gain of ubiquitination at K204 (P = 0.0828);Gain of ubiquitination at K204 (P = 0.0828);
MVP
0.42
MPC
0.76
ClinPred
0.15
T
GERP RS
5.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.7
Varity_R
0.28
gMVP
0.33

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.83
SpliceAI score (max)
0.040
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: rs759163941; hg19: chr6-35391924; API