7-22145048-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_012294.5(RAPGEF5):​c.2182G>A​(p.Ala728Thr) variant causes a missense change. The variant allele was found at a frequency of 0.000000685 in 1,460,316 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

RAPGEF5
NM_012294.5 missense

Scores

4
7
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.68
Variant links:
Genes affected
RAPGEF5 (HGNC:16862): (Rap guanine nucleotide exchange factor 5) Members of the RAS (see HRAS; MIM 190020) subfamily of GTPases function in signal transduction as GTP/GDP-regulated switches that cycle between inactive GDP- and active GTP-bound states. Guanine nucleotide exchange factors (GEFs), such as RAPGEF5, serve as RAS activators by promoting acquisition of GTP to maintain the active GTP-bound state and are the key link between cell surface receptors and RAS activation (Rebhun et al., 2000 [PubMed 10934204]).[supplied by OMIM, Mar 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RAPGEF5NM_012294.5 linkc.2182G>A p.Ala728Thr missense_variant 20/26 ENST00000665637.1 NP_036426.4 Q92565A8MQ07Q5JPD2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RAPGEF5ENST00000665637.1 linkc.2182G>A p.Ala728Thr missense_variant 20/26 NM_012294.5 ENSP00000499535.1 A0A590UJR0
RAPGEF5ENST00000401957.6 linkc.1273G>A p.Ala425Thr missense_variant 10/161 ENSP00000384044.1 Q92565-1
RAPGEF5ENST00000344041.10 linkc.1723G>A p.Ala575Thr missense_variant 20/265 ENSP00000343656.6 A8MQ07
RAPGEF5ENST00000468825.1 linkn.219G>A non_coding_transcript_exon_variant 1/23

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000404
AC:
1
AN:
247772
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
134438
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000291
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.85e-7
AC:
1
AN:
1460316
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
726246
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

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 GeneticsJun 29, 2023The c.1723G>A (p.A575T) alteration is located in exon 20 (coding exon 17) of the RAPGEF5 gene. This alteration results from a G to A substitution at nucleotide position 1723, causing the alanine (A) at amino acid position 575 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
Uncertain
0.34
BayesDel_addAF
Benign
-0.14
T
BayesDel_noAF
Benign
-0.35
CADD
Uncertain
24
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.21
T;.;.
Eigen
Pathogenic
0.77
Eigen_PC
Pathogenic
0.76
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.93
D;D;D
M_CAP
Benign
0.020
T
MetaRNN
Uncertain
0.48
T;T;T
MetaSVM
Benign
-0.75
T
MutationAssessor
Benign
2.0
M;.;.
PrimateAI
Uncertain
0.75
T
PROVEAN
Uncertain
-3.7
D;D;.
REVEL
Uncertain
0.30
Sift
Benign
0.032
D;D;.
Sift4G
Uncertain
0.0080
D;D;D
Polyphen
0.97
D;D;.
Vest4
0.41
MutPred
0.50
.;Loss of MoRF binding (P = 0.1398);.;
MVP
0.19
MPC
0.62
ClinPred
0.95
D
GERP RS
6.2
Varity_R
0.52
gMVP
0.14

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: rs1199345171; hg19: chr7-22184666; COSMIC: COSV59781349; API