X-129752170-G-A
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Variant summary
Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2
The NM_003399.6(XPNPEP2):c.842G>A(p.Arg281His) variant causes a missense change. The variant allele was found at a frequency of 0.00000579 in 1,209,488 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.0000090 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.0000055 ( 0 hom. 2 hem. )
Consequence
XPNPEP2
NM_003399.6 missense
NM_003399.6 missense
Scores
2
7
8
Clinical Significance
Conservation
PhyloP100: 5.89
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]
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ACMG classification
Classification made for transcript
Verdict is Likely_benign. Variant got -5 ACMG points.
BP4
Computational evidence support a benign effect (MetaRNN=0.30866176).
BS2
High Hemizygotes in GnomAdExome4 at 2 XL gene
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
XPNPEP2 | NM_003399.6 | c.842G>A | p.Arg281His | missense_variant | 10/21 | ENST00000371106.4 | NP_003390.4 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
XPNPEP2 | ENST00000371106.4 | c.842G>A | p.Arg281His | missense_variant | 10/21 | 1 | NM_003399.6 | ENSP00000360147 | P1 |
Frequencies
GnomAD3 genomes AF: 0.00000895 AC: 1AN: 111725Hom.: 0 Cov.: 23 AF XY: 0.00 AC XY: 0AN XY: 33903
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GnomAD3 exomes AF: 0.0000165 AC: 3AN: 182270Hom.: 0 AF XY: 0.0000150 AC XY: 1AN XY: 66862
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GnomAD4 exome AF: 0.00000547 AC: 6AN: 1097763Hom.: 0 Cov.: 31 AF XY: 0.00000551 AC XY: 2AN XY: 363143
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GnomAD4 genome AF: 0.00000895 AC: 1AN: 111725Hom.: 0 Cov.: 23 AF XY: 0.00 AC XY: 0AN XY: 33903
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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 submitter | clinical testing | Ambry Genetics | Mar 04, 2024 | The c.842G>A (p.R281H) alteration is located in exon 10 (coding exon 10) of the XPNPEP2 gene. This alteration results from a G to A substitution at nucleotide position 842, causing the arginine (R) at amino acid position 281 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
BayesDel_addAF
Benign
T
BayesDel_noAF
Benign
CADD
Uncertain
DANN
Pathogenic
DEOGEN2
Benign
T
FATHMM_MKL
Pathogenic
D
LIST_S2
Benign
T
M_CAP
Uncertain
D
MetaRNN
Benign
T
MetaSVM
Uncertain
D
MutationAssessor
Uncertain
M
MutationTaster
Benign
D
PrimateAI
Benign
T
PROVEAN
Uncertain
D
REVEL
Uncertain
Sift
Uncertain
D
Sift4G
Uncertain
D
Polyphen
D
Vest4
MVP
MPC
ClinPred
D
GERP RS
Varity_R
gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at