7-22146910-T-C

Variant summary

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

The NM_012294.5(RAPGEF5):ā€‹c.1994A>Gā€‹(p.Asn665Ser) variant causes a missense change. The variant allele was found at a frequency of 0.000101 in 1,612,008 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00021 ( 0 hom., cov: 33)
Exomes š‘“: 0.000090 ( 1 hom. )

Consequence

RAPGEF5
NM_012294.5 missense

Scores

3
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.47
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 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=0.026540428).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RAPGEF5NM_012294.5 linkc.1994A>G p.Asn665Ser missense_variant 19/26 ENST00000665637.1 NP_036426.4 Q92565A8MQ07Q5JPD2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RAPGEF5ENST00000665637.1 linkc.1994A>G p.Asn665Ser missense_variant 19/26 NM_012294.5 ENSP00000499535.1 A0A590UJR0
RAPGEF5ENST00000401957.6 linkc.1085A>G p.Asn362Ser missense_variant 9/161 ENSP00000384044.1 Q92565-1
RAPGEF5ENST00000344041.10 linkc.1535A>G p.Asn512Ser missense_variant 19/265 ENSP00000343656.6 A8MQ07

Frequencies

GnomAD3 genomes
AF:
0.000210
AC:
32
AN:
152224
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00118
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:
0.00143
GnomAD3 exomes
AF:
0.000162
AC:
40
AN:
247128
Hom.:
0
AF XY:
0.000164
AC XY:
22
AN XY:
134076
show subpopulations
Gnomad AFR exome
AF:
0.000129
Gnomad AMR exome
AF:
0.000856
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:
0.0000356
Gnomad OTH exome
AF:
0.000834
GnomAD4 exome
AF:
0.0000897
AC:
131
AN:
1459666
Hom.:
1
Cov.:
30
AF XY:
0.0000923
AC XY:
67
AN XY:
726070
show subpopulations
Gnomad4 AFR exome
AF:
0.000269
Gnomad4 AMR exome
AF:
0.000975
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000187
Gnomad4 NFE exome
AF:
0.0000603
Gnomad4 OTH exome
AF:
0.000133
GnomAD4 genome
AF:
0.000210
AC:
32
AN:
152342
Hom.:
0
Cov.:
33
AF XY:
0.000201
AC XY:
15
AN XY:
74496
show subpopulations
Gnomad4 AFR
AF:
0.000240
Gnomad4 AMR
AF:
0.00118
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:
0.00142
Alfa
AF:
0.0000953
Hom.:
0
Bravo
AF:
0.000317
ExAC
AF:
0.0000911
AC:
11

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 GeneticsOct 12, 2021The c.1535A>G (p.N512S) alteration is located in exon 19 (coding exon 16) of the RAPGEF5 gene. This alteration results from a A to G substitution at nucleotide position 1535, causing the asparagine (N) at amino acid position 512 to be replaced by a serine (S). 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
0.070
BayesDel_addAF
Benign
-0.57
T
BayesDel_noAF
Benign
-0.66
CADD
Benign
18
DANN
Uncertain
0.98
DEOGEN2
Benign
0.068
T;.
Eigen
Benign
-0.49
Eigen_PC
Benign
-0.24
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.90
D;D
M_CAP
Benign
0.0069
T
MetaRNN
Benign
0.027
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.92
N;.
PrimateAI
Benign
0.46
T
PROVEAN
Benign
-1.8
N;N
REVEL
Benign
0.053
Sift
Benign
0.27
T;T
Sift4G
Benign
0.89
T;T
Polyphen
0.036
B;B
Vest4
0.23
MVP
0.043
MPC
0.12
ClinPred
0.41
T
GERP RS
3.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.084
gMVP
0.42

Splicing

Name
Calibrated prediction
Score
Prediction
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: rs547999105; hg19: chr7-22186528; API