chr11-116836019-A-G
Variant names: 
Variant summary
Our verdict is Likely pathogenic. The variant received 9 ACMG points: 9P and 0B. PM1PM2PP3_StrongPP5
The NM_000039.3(APOA1):c.593T>C(p.Leu198Ser) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).
Frequency
 Genomes: not found (cov: 33) 
Consequence
 APOA1
NM_000039.3 missense
NM_000039.3 missense
Scores
 9
 8
 2
Clinical Significance
Conservation
 PhyloP100:  4.71  
Publications
2 publications found 
Genes affected
 APOA1  (HGNC:600):  (apolipoprotein A1) This gene encodes apolipoprotein A-I, which is the major protein component of high density lipoprotein (HDL) in plasma. The encoded preproprotein is proteolytically processed to generate the mature protein, which promotes cholesterol efflux from tissues to the liver for excretion, and is a cofactor for lecithin cholesterolacyltransferase (LCAT), an enzyme responsible for the formation of most plasma cholesteryl esters. This gene is closely linked with two other apolipoprotein genes on chromosome 11. Defects in this gene are associated with HDL deficiencies, including Tangier disease, and with systemic non-neuropathic amyloidosis. Alternative splicing results in multiple transcript variants, at least one of which encodes a preproprotein. [provided by RefSeq, Dec 2015] 
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ACMG classification
Classification was made for transcript
Our verdict: Likely_pathogenic. The variant received 9 ACMG points.
PM1
In a hotspot region, there are  4 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 1 benign, 8 uncertain in NM_000039.3
PM2
Very rare variant in population databases, with high coverage; 
PP3
MetaRNN computational evidence supports a deleterious effect, 0.962
PP5
Variant 11-116836019-A-G is Pathogenic according to our data. Variant chr11-116836019-A-G is described in ClinVar as Pathogenic. ClinVar VariationId is 17933.Status of the report is no_assertion_criteria_provided, 0 stars. 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| APOA1 | NM_000039.3  | c.593T>C | p.Leu198Ser | missense_variant | Exon 4 of 4 | ENST00000236850.5 | NP_000030.1 | 
Ensembl
Frequencies
GnomAD3 genomes  Cov.: 33 
GnomAD3 genomes 
Cov.: 
33
GnomAD4 exome Cov.: 32 
GnomAD4 exome 
Cov.: 
32
GnomAD4 genome  Cov.: 33 
GnomAD4 genome 
Cov.: 
33
ClinVar
Significance: Pathogenic 
Submissions summary: Pathogenic:1 
Revision: no assertion criteria provided
LINK: link 
Submissions by phenotype
Familial amyloid polyneuropathy, Iowa type    Pathogenic:1 
Sep 01, 1999
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only
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Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 AlphaMissense 
 Pathogenic 
 BayesDel_addAF 
 Pathogenic 
D 
 BayesDel_noAF 
 Pathogenic 
 DANN 
 Uncertain 
 DEOGEN2 
 Uncertain 
D;D;T;D;D 
 Eigen 
 Uncertain 
 Eigen_PC 
 Uncertain 
 FATHMM_MKL 
 Uncertain 
D 
 LIST_S2 
 Benign 
.;.;T;.;T 
 M_CAP 
 Pathogenic 
D 
 MetaRNN 
 Pathogenic 
D;D;D;D;D 
 MetaSVM 
 Uncertain 
T 
 MutationAssessor 
 Uncertain 
M;M;.;M;M 
 PhyloP100 
 PrimateAI 
 Uncertain 
T 
 PROVEAN 
 Pathogenic 
D;D;D;D;D 
 REVEL 
 Pathogenic 
 Sift 
 Pathogenic 
D;D;D;D;D 
 Sift4G 
 Pathogenic 
D;D;D;D;D 
 Polyphen 
D;D;.;D;D 
 Vest4 
 MutPred 
Gain of phosphorylation at L198 (P = 0.0051);Gain of phosphorylation at L198 (P = 0.0051);.;Gain of phosphorylation at L198 (P = 0.0051);Gain of phosphorylation at L198 (P = 0.0051);
 MVP 
 MPC 
 1.9 
 ClinPred 
D 
 GERP RS 
 RBP_binding_hub_radar 
 RBP_regulation_power_radar 
 Varity_R 
 gMVP 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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