Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1
The NM_001253852.3(AP4B1):c.402A>C(p.Ser134Ser) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0393 in 1,614,146 control chromosomes in the GnomAD database, including 1,578 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. S134S) has been classified as Likely benign.
AP4B1 (HGNC:572): (adaptor related protein complex 4 subunit beta 1) This gene encodes a subunit of a heterotetrameric adapter-like complex 4 that is involved in targeting proteins from the trans-Golgi network to the endosomal-lysosomal system. Mutations in this gene are associated with cerebral palsy spastic quadriplegic type 5 (CPSQ5) disorder. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2011]
AP4B1 Gene-Disease associations (from GenCC):
AP-4 deficiency syndrome
Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
Our verdict: Benign. The variant received -21 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.85).
BP6
Variant 1-113901822-T-G is Benign according to our data. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-113901822-T-G is described in CliVar as Benign. Clinvar id is 157722.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.468 with no splicing effect.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.0507 is higher than 0.05.
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing
- -
Apr 25, 2016
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Hereditary spastic paraplegia 47Benign:2
Apr 11, 2023
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Jan 31, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Inborn genetic diseasesBenign:1
Mar 19, 2016
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Hereditary spastic paraplegiaBenign:1
Nov 09, 2021
Genome Diagnostics Laboratory, The Hospital for Sick Children