9-136677108-G-A

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_006412.4(AGPAT2):​c.345C>T​(p.Cys115Cys) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00275 in 1,613,124 control chromosomes in the GnomAD database, including 95 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.013 ( 45 hom., cov: 32)
Exomes 𝑓: 0.0017 ( 50 hom. )

Consequence

AGPAT2
NM_006412.4 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 0.156
Variant links:
Genes affected
AGPAT2 (HGNC:325): (1-acylglycerol-3-phosphate O-acyltransferase 2) This gene encodes a member of the 1-acylglycerol-3-phosphate O-acyltransferase family. The protein is located within the endoplasmic reticulum membrane and converts lysophosphatidic acid to phosphatidic acid, the second step in de novo phospholipid biosynthesis. Mutations in this gene have been associated with congenital generalized lipodystrophy (CGL), or Berardinelli-Seip syndrome, a disease characterized by a near absence of adipose tissue and severe insulin resistance. Alternate transcriptional splice variants, encoding different isoforms, have been characterized. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.52).
BP6
Variant 9-136677108-G-A is Benign according to our data. Variant chr9-136677108-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 259976.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.156 with no splicing effect.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.013 (1979/152298) while in subpopulation AFR AF= 0.0425 (1766/41554). AF 95% confidence interval is 0.0408. There are 45 homozygotes in gnomad4. There are 948 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 45 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AGPAT2NM_006412.4 linkuse as main transcriptc.345C>T p.Cys115Cys synonymous_variant 3/6 ENST00000371696.7 NP_006403.2 O15120-1A0A024R8I7
AGPAT2NM_001012727.2 linkuse as main transcriptc.345C>T p.Cys115Cys synonymous_variant 3/5 NP_001012745.1 O15120-2A0A024R8F9
AGPAT2XM_047422636.1 linkuse as main transcriptc.36C>T p.Cys12Cys synonymous_variant 3/6 XP_047278592.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AGPAT2ENST00000371696.7 linkuse as main transcriptc.345C>T p.Cys115Cys synonymous_variant 3/61 NM_006412.4 ENSP00000360761.2 O15120-1
AGPAT2ENST00000371694.7 linkuse as main transcriptc.345C>T p.Cys115Cys synonymous_variant 3/51 ENSP00000360759.3 O15120-2
AGPAT2ENST00000472820.1 linkuse as main transcriptn.273C>T non_coding_transcript_exon_variant 1/41
AGPAT2ENST00000470861.1 linkuse as main transcriptn.639C>T non_coding_transcript_exon_variant 2/22

Frequencies

GnomAD3 genomes
AF:
0.0129
AC:
1967
AN:
152180
Hom.:
45
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0424
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00962
Gnomad ASJ
AF:
0.000576
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.000456
Gnomad OTH
AF:
0.0134
GnomAD3 exomes
AF:
0.00375
AC:
929
AN:
247990
Hom.:
10
AF XY:
0.00306
AC XY:
412
AN XY:
134674
show subpopulations
Gnomad AFR exome
AF:
0.0439
Gnomad AMR exome
AF:
0.00318
Gnomad ASJ exome
AF:
0.000998
Gnomad EAS exome
AF:
0.0000546
Gnomad SAS exome
AF:
0.000163
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000642
Gnomad OTH exome
AF:
0.00393
GnomAD4 exome
AF:
0.00169
AC:
2464
AN:
1460826
Hom.:
50
Cov.:
37
AF XY:
0.00149
AC XY:
1081
AN XY:
726710
show subpopulations
Gnomad4 AFR exome
AF:
0.0482
Gnomad4 AMR exome
AF:
0.00329
Gnomad4 ASJ exome
AF:
0.000842
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.000209
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000313
Gnomad4 OTH exome
AF:
0.00446
GnomAD4 genome
AF:
0.0130
AC:
1979
AN:
152298
Hom.:
45
Cov.:
32
AF XY:
0.0127
AC XY:
948
AN XY:
74474
show subpopulations
Gnomad4 AFR
AF:
0.0425
Gnomad4 AMR
AF:
0.00960
Gnomad4 ASJ
AF:
0.000576
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000414
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000456
Gnomad4 OTH
AF:
0.0133
Alfa
AF:
0.00420
Hom.:
4
Bravo
AF:
0.0147
Asia WGS
AF:
0.00722
AC:
25
AN:
3478
EpiCase
AF:
0.000872
EpiControl
AF:
0.000830

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 21, 2023- -
Congenital generalized lipodystrophy type 1 Benign:2
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsJan 25, 2022- -
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.52
CADD
Benign
0.29
DANN
Benign
0.94

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs73668354; hg19: chr9-139571560; API