X-129648697-A-G

Variant summary

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

The NM_017413.5(APLN):ā€‹c.163T>Cā€‹(p.Trp55Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000102 in 1,181,147 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 4 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: š‘“ 0.0000088 ( 0 hom., 0 hem., cov: 24)
Exomes š‘“: 0.000010 ( 0 hom. 4 hem. )

Consequence

APLN
NM_017413.5 missense

Scores

3
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.57
Variant links:
Genes affected
APLN (HGNC:16665): (apelin) This gene encodes a peptide that functions as an endogenous ligand for the G-protein coupled apelin receptor. The encoded preproprotein is proteolytically processed into biologically active C-terminal peptide fragments. These peptide fragments activate different tissue specific signaling pathways that regulate diverse biological functions including fluid homeostasis, cardiovascular function and insulin secretion. This protein also functions as a coreceptor for the human immunodeficiency virus 1. [provided by RefSeq, Feb 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.23115152).
BS2
High Hemizygotes in GnomAdExome4 at 4 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
APLNNM_017413.5 linkuse as main transcriptc.163T>C p.Trp55Arg missense_variant 2/3 ENST00000429967.3 NP_059109.3 Q9ULZ1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
APLNENST00000429967.3 linkuse as main transcriptc.163T>C p.Trp55Arg missense_variant 2/31 NM_017413.5 ENSP00000391800.2 Q9ULZ1

Frequencies

GnomAD3 genomes
AF:
0.00000883
AC:
1
AN:
113247
Hom.:
0
Cov.:
24
AF XY:
0.00
AC XY:
0
AN XY:
35411
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:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000103
AC:
11
AN:
1067900
Hom.:
0
Cov.:
31
AF XY:
0.0000115
AC XY:
4
AN XY:
346898
show subpopulations
Gnomad4 AFR exome
AF:
0.00
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:
0.0000121
Gnomad4 OTH exome
AF:
0.0000223
GnomAD4 genome
AF:
0.00000883
AC:
1
AN:
113247
Hom.:
0
Cov.:
24
AF XY:
0.00
AC XY:
0
AN XY:
35411
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:
0.0000188
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000756

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 04, 2024The c.163T>C (p.W55R) alteration is located in exon 2 (coding exon 2) of the APLN gene. This alteration results from a T to C substitution at nucleotide position 163, causing the tryptophan (W) at amino acid position 55 to be replaced by an arginine (R). 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
Uncertain
0.45
BayesDel_addAF
Benign
-0.067
T
BayesDel_noAF
Benign
-0.33
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Benign
0.40
T
FATHMM_MKL
Benign
0.70
D
LIST_S2
Benign
0.33
T
M_CAP
Benign
0.029
D
MetaRNN
Benign
0.23
T
MetaSVM
Benign
-1.0
T
PrimateAI
Uncertain
0.64
T
Sift4G
Benign
0.61
T
Polyphen
0.019
B
Vest4
0.39
MutPred
0.25
Gain of methylation at W55 (P = 0.0044);
MVP
0.89
ClinPred
0.91
D
GERP RS
4.5
Varity_R
0.70
gMVP
0.030

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: rs757193827; hg19: chrX-128782674; API