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GeneBe

X-55001609-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PP3_ModerateBS2

The NM_014481.4(APEX2):​c.221G>A​(p.Arg74His) variant causes a missense change. The variant allele was found at a frequency of 0.0000166 in 1,202,751 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 10 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 2 hem., cov: 23)
Exomes 𝑓: 0.000016 ( 0 hom. 8 hem. )

Consequence

APEX2
NM_014481.4 missense

Scores

4
9
4

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 5.42
Variant links:
Genes affected
APEX2 (HGNC:17889): (apurinic/apyrimidinic endodeoxyribonuclease 2) Apurinic/apyrimidinic (AP) sites occur frequently in DNA molecules by spontaneous hydrolysis, by DNA damaging agents or by DNA glycosylases that remove specific abnormal bases. AP sites are pre-mutagenic lesions that can prevent normal DNA replication so the cell contains systems to identify and repair such sites. Class II AP endonucleases cleave the phosphodiester backbone 5' to the AP site. This gene encodes a protein shown to have a weak class II AP endonuclease activity. Most of the encoded protein is located in the nucleus but some is also present in mitochondria. This protein may play an important role in both nuclear and mitochondrial base excision repair. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Nov 2012]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.874
BS2
High Hemizygotes in GnomAd4 at 2 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
APEX2NM_014481.4 linkuse as main transcriptc.221G>A p.Arg74His missense_variant 2/6 ENST00000374987.4
APEX2NM_001271748.2 linkuse as main transcriptc.-112G>A 5_prime_UTR_variant 2/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
APEX2ENST00000374987.4 linkuse as main transcriptc.221G>A p.Arg74His missense_variant 2/61 NM_014481.4 P1
APEX2ENST00000471758.1 linkuse as main transcriptn.251G>A non_coding_transcript_exon_variant 2/52

Frequencies

GnomAD3 genomes
AF:
0.0000179
AC:
2
AN:
111588
Hom.:
0
Cov.:
23
AF XY:
0.0000592
AC XY:
2
AN XY:
33764
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:
0.000377
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000165
AC:
18
AN:
1091163
Hom.:
0
Cov.:
29
AF XY:
0.0000224
AC XY:
8
AN XY:
357197
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:
0.0000570
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000179
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000179
AC:
2
AN:
111588
Hom.:
0
Cov.:
23
AF XY:
0.0000592
AC XY:
2
AN XY:
33764
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:
0.000377
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000188
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000113
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000149
AC:
1
ExAC
AF:
0.00000824
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Uncertain
0.076
D
BayesDel_noAF
Benign
-0.13
CADD
Uncertain
25
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.51
D
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Benign
0.84
T
M_CAP
Pathogenic
0.66
D
MetaRNN
Pathogenic
0.87
D
MetaSVM
Uncertain
0.20
D
MutationAssessor
Uncertain
2.2
M
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.58
T
PROVEAN
Uncertain
-3.8
D
REVEL
Pathogenic
0.65
Sift
Uncertain
0.0030
D
Sift4G
Uncertain
0.019
D
Polyphen
1.0
D
Vest4
0.63
MVP
0.94
MPC
0.71
ClinPred
0.81
D
GERP RS
4.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.48
gMVP
0.79

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: rs374939146; hg19: chrX-55028042; COSMIC: COSV66624547; COSMIC: COSV66624547; API