NM_014855.3:c.1267G>A
Variant summary
Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6
The NM_014855.3(AP5Z1):c.1267G>A(p.Gly423Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000861 in 1,613,878 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_014855.3 missense
Scores
Clinical Significance
Conservation
Publications
- hereditary spastic paraplegiaInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
- hereditary spastic paraplegia 48Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Genomics England PanelApp, Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet
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ACMG classification
Our verdict: Likely_benign. The variant received -5 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| AP5Z1 | NM_014855.3 | c.1267G>A | p.Gly423Arg | missense_variant | Exon 10 of 17 | ENST00000649063.2 | NP_055670.1 | |
| AP5Z1 | NM_001364858.1 | c.799G>A | p.Gly267Arg | missense_variant | Exon 9 of 16 | NP_001351787.1 | ||
| AP5Z1 | XM_047421098.1 | c.931G>A | p.Gly311Arg | missense_variant | Exon 8 of 15 | XP_047277054.1 | ||
| AP5Z1 | NR_157345.1 | n.1360G>A | non_coding_transcript_exon_variant | Exon 10 of 17 | 
Ensembl
Frequencies
GnomAD3 genomes  0.0000591  AC: 9AN: 152172Hom.:  0  Cov.: 32 show subpopulations 
GnomAD2 exomes  AF:  0.0000441  AC: 11AN: 249268 AF XY:  0.0000444   show subpopulations 
GnomAD4 exome  AF:  0.0000889  AC: 130AN: 1461588Hom.:  0  Cov.: 31 AF XY:  0.0000853  AC XY: 62AN XY: 727066 show subpopulations 
Age Distribution
GnomAD4 genome  0.0000591  AC: 9AN: 152290Hom.:  0  Cov.: 32 AF XY:  0.0000671  AC XY: 5AN XY: 74462 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
Hereditary spastic paraplegia 48    Uncertain:1 
This sequence change replaces glycine, which is neutral and non-polar, with arginine, which is basic and polar, at codon 423 of the AP5Z1 protein (p.Gly423Arg). This variant is present in population databases (rs376329631, gnomAD 0.009%). This variant has not been reported in the literature in individuals affected with AP5Z1-related conditions. ClinVar contains an entry for this variant (Variation ID: 240933). Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Tolerated"; PolyPhen-2: "Benign"; Align-GVGD: "Class C0". The arginine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Hereditary spastic paraplegia    Uncertain:1 
- -
not provided    Uncertain:1 
BP4 -
Inborn genetic diseases    Benign:1 
This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at