9-136687306-CCAGCAGCAG-CCAGCAGCAGCAG

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP6_Very_StrongBA1

The NM_006412.4(AGPAT2):​c.49_51dupCTG​(p.Leu17dup) variant causes a conservative inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0877 in 1,575,438 control chromosomes in the GnomAD database, including 5,825 homozygotes. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.069 ( 464 hom., cov: 32)
Exomes 𝑓: 0.090 ( 5361 hom. )

Consequence

AGPAT2
NM_006412.4 conservative_inframe_insertion

Scores

Not classified

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: -2.28
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 -16 ACMG points.

BP6
Variant 9-136687306-C-CCAG is Benign according to our data. Variant chr9-136687306-C-CCAG is described in ClinVar as [Likely_benign]. Clinvar id is 259977.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.0965 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AGPAT2NM_006412.4 linkuse as main transcriptc.49_51dupCTG p.Leu17dup conservative_inframe_insertion 1/6 ENST00000371696.7 NP_006403.2 O15120-1A0A024R8I7
AGPAT2NM_001012727.2 linkuse as main transcriptc.49_51dupCTG p.Leu17dup conservative_inframe_insertion 1/5 NP_001012745.1 O15120-2A0A024R8F9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AGPAT2ENST00000371696.7 linkuse as main transcriptc.49_51dupCTG p.Leu17dup conservative_inframe_insertion 1/61 NM_006412.4 ENSP00000360761.2 O15120-1
AGPAT2ENST00000371694.7 linkuse as main transcriptc.49_51dupCTG p.Leu17dup conservative_inframe_insertion 1/51 ENSP00000360759.3 O15120-2
AGPAT2ENST00000470861.1 linkuse as main transcriptn.57_59dupCTG non_coding_transcript_exon_variant 1/22

Frequencies

GnomAD3 genomes
AF:
0.0695
AC:
10544
AN:
151760
Hom.:
461
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0264
Gnomad AMI
AF:
0.0471
Gnomad AMR
AF:
0.0807
Gnomad ASJ
AF:
0.103
Gnomad EAS
AF:
0.0386
Gnomad SAS
AF:
0.0438
Gnomad FIN
AF:
0.0467
Gnomad MID
AF:
0.0924
Gnomad NFE
AF:
0.0984
Gnomad OTH
AF:
0.100
GnomAD3 exomes
AF:
0.0731
AC:
13771
AN:
188298
Hom.:
388
AF XY:
0.0739
AC XY:
7845
AN XY:
106162
show subpopulations
Gnomad AFR exome
AF:
0.0236
Gnomad AMR exome
AF:
0.0789
Gnomad ASJ exome
AF:
0.0900
Gnomad EAS exome
AF:
0.0346
Gnomad SAS exome
AF:
0.0457
Gnomad FIN exome
AF:
0.0428
Gnomad NFE exome
AF:
0.0936
Gnomad OTH exome
AF:
0.0861
GnomAD4 exome
AF:
0.0897
AC:
127686
AN:
1423566
Hom.:
5361
Cov.:
33
AF XY:
0.0887
AC XY:
62796
AN XY:
707946
show subpopulations
Gnomad4 AFR exome
AF:
0.0247
Gnomad4 AMR exome
AF:
0.0772
Gnomad4 ASJ exome
AF:
0.0930
Gnomad4 EAS exome
AF:
0.0315
Gnomad4 SAS exome
AF:
0.0469
Gnomad4 FIN exome
AF:
0.0482
Gnomad4 NFE exome
AF:
0.0987
Gnomad4 OTH exome
AF:
0.0886
GnomAD4 genome
AF:
0.0695
AC:
10548
AN:
151872
Hom.:
464
Cov.:
32
AF XY:
0.0660
AC XY:
4901
AN XY:
74220
show subpopulations
Gnomad4 AFR
AF:
0.0266
Gnomad4 AMR
AF:
0.0807
Gnomad4 ASJ
AF:
0.103
Gnomad4 EAS
AF:
0.0383
Gnomad4 SAS
AF:
0.0437
Gnomad4 FIN
AF:
0.0467
Gnomad4 NFE
AF:
0.0984
Gnomad4 OTH
AF:
0.0982
Asia WGS
AF:
0.0490
AC:
169
AN:
3464

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxMay 04, 2021- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 26, 2024- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Congenital generalized lipodystrophy Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs745429291; hg19: chr9-139581758; API