X-129751813-G-C

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_003399.6(XPNPEP2):ā€‹c.808G>Cā€‹(p.Asp270His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000103 in 1,208,332 control chromosomes in the GnomAD database, including 1 homozygotes. There are 30 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: š‘“ 0.00051 ( 0 hom., 15 hem., cov: 23)
Exomes š‘“: 0.000061 ( 1 hom. 15 hem. )

Consequence

XPNPEP2
NM_003399.6 missense

Scores

1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.360
Variant links:
Genes affected
XPNPEP2 (HGNC:12823): (X-prolyl aminopeptidase 2) Aminopeptidase P is a hydrolase specific for N-terminal imido bonds, which are common to several collagen degradation products, neuropeptides, vasoactive peptides, and cytokines. Structurally, the enzyme is a member of the 'pita bread fold' family and occurs in mammalian tissues in both soluble and GPI-anchored membrane-bound forms. A membrane-bound and soluble form of this enzyme have been identified as products of two separate genes. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008470356).
BS2
High Hemizygotes in GnomAd4 at 15 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
XPNPEP2NM_003399.6 linkc.808G>C p.Asp270His missense_variant 9/21 ENST00000371106.4 NP_003390.4 O43895

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
XPNPEP2ENST00000371106.4 linkc.808G>C p.Asp270His missense_variant 9/211 NM_003399.6 ENSP00000360147.3 O43895

Frequencies

GnomAD3 genomes
AF:
0.000510
AC:
57
AN:
111666
Hom.:
0
Cov.:
23
AF XY:
0.000443
AC XY:
15
AN XY:
33834
show subpopulations
Gnomad AFR
AF:
0.00166
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000284
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:
0.0000377
Gnomad OTH
AF:
0.000659
GnomAD3 exomes
AF:
0.000136
AC:
25
AN:
183314
Hom.:
0
AF XY:
0.0000738
AC XY:
5
AN XY:
67762
show subpopulations
Gnomad AFR exome
AF:
0.00175
Gnomad AMR exome
AF:
0.0000365
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000221
GnomAD4 exome
AF:
0.0000611
AC:
67
AN:
1096612
Hom.:
1
Cov.:
30
AF XY:
0.0000414
AC XY:
15
AN XY:
362040
show subpopulations
Gnomad4 AFR exome
AF:
0.00201
Gnomad4 AMR exome
AF:
0.0000852
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:
0.00000238
Gnomad4 OTH exome
AF:
0.000196
GnomAD4 genome
AF:
0.000510
AC:
57
AN:
111720
Hom.:
0
Cov.:
23
AF XY:
0.000443
AC XY:
15
AN XY:
33898
show subpopulations
Gnomad4 AFR
AF:
0.00166
Gnomad4 AMR
AF:
0.000284
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000377
Gnomad4 OTH
AF:
0.000651
Alfa
AF:
0.0000904
Hom.:
1
Bravo
AF:
0.000593
ESP6500AA
AF:
0.00235
AC:
9
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000189
AC:
23

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 GeneticsOct 01, 2024The c.808G>C (p.D270H) alteration is located in exon 9 (coding exon 9) of the XPNPEP2 gene. This alteration results from a G to C substitution at nucleotide position 808, causing the aspartic acid (D) at amino acid position 270 to be replaced by a histidine (H). 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
Benign
0.11
BayesDel_addAF
Benign
-0.54
T
BayesDel_noAF
Benign
-0.55
CADD
Benign
4.2
DANN
Benign
0.89
DEOGEN2
Benign
0.0086
T
FATHMM_MKL
Benign
0.060
N
LIST_S2
Uncertain
0.87
D
M_CAP
Benign
0.061
D
MetaRNN
Benign
0.0085
T
MetaSVM
Benign
-0.88
T
MutationAssessor
Benign
1.0
L
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-0.13
N
REVEL
Benign
0.14
Sift
Benign
0.17
T
Sift4G
Benign
0.20
T
Polyphen
0.71
P
Vest4
0.24
MVP
0.22
MPC
0.063
ClinPred
0.011
T
GERP RS
-2.0
Varity_R
0.12
gMVP
0.59

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: rs147190409; hg19: chrX-128885789; API