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GeneBe

9-116154257-C-G

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_002581.5(PAPPA):ā€‹c.85C>Gā€‹(p.Arg29Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000172 in 1,217,728 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000027 ( 0 hom., cov: 31)
Exomes š‘“: 0.000016 ( 0 hom. )

Consequence

PAPPA
NM_002581.5 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.205
Variant links:
Genes affected
PAPPA (HGNC:8602): (pappalysin 1) This gene encodes a secreted metalloproteinase which cleaves insulin-like growth factor binding proteins (IGFBPs). Following IGFBP cleavage, insulin growth factors dissociate from IGFBPs and bind to IGF receptors, resulting in activation of the IGF pathway. The encoded protein plays a role in bone formation, inflammation, wound healing and female fertility. Enhanced expression of this protein is associated with diabetic nephropathy in human patients and this protein may promote tumor invasion and growth in various human cancers. [provided by RefSeq, Aug 2017]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.09460589).
BS2
High AC in GnomAdExome4 at 17 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PAPPANM_002581.5 linkuse as main transcriptc.85C>G p.Arg29Gly missense_variant 1/22 ENST00000328252.4
PAPPAXM_017014784.3 linkuse as main transcriptc.85C>G p.Arg29Gly missense_variant 1/21

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PAPPAENST00000328252.4 linkuse as main transcriptc.85C>G p.Arg29Gly missense_variant 1/221 NM_002581.5 P1

Frequencies

GnomAD3 genomes
AF:
0.0000272
AC:
4
AN:
147166
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000604
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000159
AC:
17
AN:
1070562
Hom.:
0
Cov.:
27
AF XY:
0.0000193
AC XY:
10
AN XY:
519470
show subpopulations
Gnomad4 AFR exome
AF:
0.0000481
Gnomad4 AMR exome
AF:
0.00
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:
0.0000176
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000272
AC:
4
AN:
147166
Hom.:
0
Cov.:
31
AF XY:
0.0000419
AC XY:
3
AN XY:
71624
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000604
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000378

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 GeneticsSep 29, 2023The c.85C>G (p.R29G) alteration is located in exon 1 (coding exon 1) of the PAPPA gene. This alteration results from a C to G substitution at nucleotide position 85, causing the arginine (R) at amino acid position 29 to be replaced by a glycine (G). 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
0.18
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Benign
-0.50
CADD
Benign
23
DANN
Benign
0.94
DEOGEN2
Benign
0.17
T
Eigen
Benign
-0.59
Eigen_PC
Benign
-0.51
FATHMM_MKL
Benign
0.17
N
LIST_S2
Benign
0.44
T
M_CAP
Benign
0.035
D
MetaRNN
Benign
0.095
T
MetaSVM
Benign
-0.81
T
MutationAssessor
Benign
0.0
N
MutationTaster
Benign
0.74
N
PrimateAI
Pathogenic
0.89
D
PROVEAN
Benign
-0.48
N
REVEL
Benign
0.089
Sift
Benign
0.056
T
Sift4G
Benign
0.12
T
Polyphen
0.069
B
Vest4
0.28
MutPred
0.15
Gain of relative solvent accessibility (P = 0.0275);
MVP
0.068
MPC
0.46
ClinPred
0.15
T
GERP RS
0.78
Varity_R
0.13
gMVP
0.51

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: rs922756108; hg19: chr9-118916536; API