X-154428735-C-T

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_001183.6(ATP6AP1):​c.43C>T​(p.Arg15Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000937 in 1,147,136 control chromosomes in the GnomAD database, including 4 homozygotes. There are 381 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. R15R) has been classified as Benign.

Frequency

Genomes: 𝑓 0.00070 ( 1 hom., 17 hem., cov: 25)
Exomes 𝑓: 0.00096 ( 3 hom. 364 hem. )

Consequence

ATP6AP1
NM_001183.6 missense

Scores

1
5
6

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:2

Conservation

PhyloP100: -0.111

Publications

1 publications found
Variant links:
Genes affected
ATP6AP1 (HGNC:868): (ATPase H+ transporting accessory protein 1) This gene encodes a component of a multisubunit enzyme that mediates acidification of eukaryotic intracellular organelles. Vacuolar ATPase (V-ATPase) is comprised of a cytosolic V1 (site of the ATP catalytic site) and a transmembrane V0 domain. V-ATPase dependent organelle acidification is necessary for such intracellular processes as protein sorting, zymogen activation, and receptor-mediated endocytosis. The encoded protein of this gene may assist in the V-ATPase-mediated acidification of neuroendocrine secretory granules. This protein may also play a role in early development. [provided by RefSeq, Aug 2013]
ATP6AP1-DT (HGNC:25138): (ATP6AP1 divergent transcript)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0065576136).
BP6
Variant X-154428735-C-T is Benign according to our data. Variant chrX-154428735-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 595205.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=2, Likely_benign=1}.
BS2
High Hemizygotes in GnomAd4 at 17 XL,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ATP6AP1NM_001183.6 linkc.43C>T p.Arg15Trp missense_variant Exon 1 of 10 ENST00000369762.7 NP_001174.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ATP6AP1ENST00000369762.7 linkc.43C>T p.Arg15Trp missense_variant Exon 1 of 10 1 NM_001183.6 ENSP00000358777.2 Q15904

Frequencies

GnomAD3 genomes
AF:
0.000705
AC:
80
AN:
113468
Hom.:
1
Cov.:
25
show subpopulations
Gnomad AFR
AF:
0.0000639
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000276
Gnomad ASJ
AF:
0.00150
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00349
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00114
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00120
AC:
101
AN:
84020
AF XY:
0.00182
show subpopulations
Gnomad AFR exome
AF:
0.000349
Gnomad AMR exome
AF:
0.000113
Gnomad ASJ exome
AF:
0.00316
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000485
Gnomad NFE exome
AF:
0.00109
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000963
AC:
995
AN:
1033620
Hom.:
3
Cov.:
31
AF XY:
0.00109
AC XY:
364
AN XY:
335224
show subpopulations
African (AFR)
AF:
0.0000446
AC:
1
AN:
22441
American (AMR)
AF:
0.0000375
AC:
1
AN:
26677
Ashkenazi Jewish (ASJ)
AF:
0.00282
AC:
51
AN:
18078
East Asian (EAS)
AF:
0.00
AC:
0
AN:
25158
South Asian (SAS)
AF:
0.00388
AC:
190
AN:
49031
European-Finnish (FIN)
AF:
0.000266
AC:
8
AN:
30081
Middle Eastern (MID)
AF:
0.000253
AC:
1
AN:
3951
European-Non Finnish (NFE)
AF:
0.000846
AC:
689
AN:
814481
Other (OTH)
AF:
0.00124
AC:
54
AN:
43722
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
42
84
126
168
210
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
26
52
78
104
130
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000705
AC:
80
AN:
113516
Hom.:
1
Cov.:
25
AF XY:
0.000477
AC XY:
17
AN XY:
35666
show subpopulations
African (AFR)
AF:
0.0000638
AC:
2
AN:
31350
American (AMR)
AF:
0.000276
AC:
3
AN:
10884
Ashkenazi Jewish (ASJ)
AF:
0.00150
AC:
4
AN:
2661
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3575
South Asian (SAS)
AF:
0.00350
AC:
10
AN:
2854
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6355
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
216
European-Non Finnish (NFE)
AF:
0.00114
AC:
61
AN:
53379
Other (OTH)
AF:
0.00
AC:
0
AN:
1555
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
3
6
8
11
14
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00155
Hom.:
14
Bravo
AF:
0.000627
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000965
AC:
5
ExAC
AF:
0.00102
AC:
47

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:1
Nov 30, 2017
Eurofins Ntd Llc (ga)
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Dec 23, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

ALG2-congenital disorder of glycosylation Uncertain:1
Aug 08, 2022
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:research

- -

ATP6AP1-related disorder Benign:1
Jun 11, 2020
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Uncertain
0.14
D
BayesDel_noAF
Pathogenic
0.43
CADD
Benign
15
DANN
Uncertain
0.99
DEOGEN2
Benign
0.13
T;T;T
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.68
T;T;T
MetaRNN
Benign
0.0066
T;T;T
PhyloP100
-0.11
PROVEAN
Benign
-1.2
N;N;N
Sift
Uncertain
0.029
D;D;D
Sift4G
Uncertain
0.013
D;D;D
Vest4
0.12
MVP
0.13
GERP RS
0.78
PromoterAI
-0.021
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.1
Varity_R
0.051
gMVP
0.29
Mutation Taster
=37/163
polymorphism (auto)

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

Other links and lift over

dbSNP: rs201620814; hg19: chrX-153657081; API