9-136677143-G-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_006412.4(AGPAT2):​c.317-7C>T variant causes a splice region, splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00303 in 1,612,570 control chromosomes in the GnomAD database, including 148 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.016 ( 71 hom., cov: 33)
Exomes 𝑓: 0.0016 ( 77 hom. )

Consequence

AGPAT2
NM_006412.4 splice_region, splice_polypyrimidine_tract, intron

Scores

2
Splicing: ADA: 0.001413
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: -0.706
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 -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.77).
BP6
Variant 9-136677143-G-A is Benign according to our data. Variant chr9-136677143-G-A is described in ClinVar as [Benign]. Clinvar id is 128288.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0543 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AGPAT2NM_006412.4 linkuse as main transcriptc.317-7C>T splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant ENST00000371696.7 NP_006403.2
AGPAT2NM_001012727.2 linkuse as main transcriptc.317-7C>T splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant NP_001012745.1
AGPAT2XM_047422636.1 linkuse as main transcriptc.8-7C>T splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant XP_047278592.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AGPAT2ENST00000371696.7 linkuse as main transcriptc.317-7C>T splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant 1 NM_006412.4 ENSP00000360761 P1O15120-1
AGPAT2ENST00000371694.7 linkuse as main transcriptc.317-7C>T splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant 1 ENSP00000360759 O15120-2
AGPAT2ENST00000472820.1 linkuse as main transcriptn.238C>T non_coding_transcript_exon_variant 1/41
AGPAT2ENST00000470861.1 linkuse as main transcriptn.604C>T non_coding_transcript_exon_variant 2/22

Frequencies

GnomAD3 genomes
AF:
0.0162
AC:
2472
AN:
152244
Hom.:
71
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0563
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00661
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000220
Gnomad OTH
AF:
0.0100
GnomAD3 exomes
AF:
0.00411
AC:
1010
AN:
245834
Hom.:
28
AF XY:
0.00308
AC XY:
413
AN XY:
134006
show subpopulations
Gnomad AFR exome
AF:
0.0568
Gnomad AMR exome
AF:
0.00273
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000654
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000458
Gnomad OTH exome
AF:
0.00214
GnomAD4 exome
AF:
0.00165
AC:
2407
AN:
1460208
Hom.:
77
Cov.:
37
AF XY:
0.00144
AC XY:
1045
AN XY:
726380
show subpopulations
Gnomad4 AFR exome
AF:
0.0599
Gnomad4 AMR exome
AF:
0.00338
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000464
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000270
Gnomad4 OTH exome
AF:
0.00350
GnomAD4 genome
AF:
0.0162
AC:
2475
AN:
152362
Hom.:
71
Cov.:
33
AF XY:
0.0156
AC XY:
1159
AN XY:
74512
show subpopulations
Gnomad4 AFR
AF:
0.0562
Gnomad4 AMR
AF:
0.00660
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000414
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000220
Gnomad4 OTH
AF:
0.00993
Alfa
AF:
0.00631
Hom.:
7
Bravo
AF:
0.0191
Asia WGS
AF:
0.00144
AC:
5
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.0000593

ClinVar

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

Submissions by phenotype

not specified Benign:2
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Likely benign, no assertion criteria providedclinical testingGenetic Services Laboratory, University of Chicago-Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxMay 05, 2021- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 28, 2024- -
Congenital generalized lipodystrophy type 1 Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.77
CADD
Benign
0.33
DANN
Benign
0.87

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0014
dbscSNV1_RF
Benign
0.036
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: rs74584184; hg19: chr9-139571595; API