chr11-116836022-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 6P and 2B. PM1PM2PM5BP4_Moderate

The ENST00000236850.5(APOA1):​c.590G>A​(p.Arg197His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000688 in 1,454,504 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R197C) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 6.9e-7 ( 0 hom. )

Consequence

APOA1
ENST00000236850.5 missense

Scores

7
12

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.226
Variant links:
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 made for transcript

Verdict is Uncertain_significance. Variant got 4 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, 4 uncertain in ENST00000236850.5
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr11-116836022-C-G is described in ClinVar as [Pathogenic]. Clinvar id is 2137255.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP4
Computational evidence support a benign effect (MetaRNN=0.25528675).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
APOA1NM_000039.3 linkuse as main transcriptc.590G>A p.Arg197His missense_variant 4/4 ENST00000236850.5 NP_000030.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
APOA1ENST00000236850.5 linkuse as main transcriptc.590G>A p.Arg197His missense_variant 4/41 NM_000039.3 ENSP00000236850 P1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
6.88e-7
AC:
1
AN:
1454504
Hom.:
0
Cov.:
32
AF XY:
0.00000138
AC XY:
1
AN XY:
723860
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.00e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Bravo
AF:
0.00000378

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.093
T
BayesDel_noAF
Benign
-0.37
CADD
Benign
18
DANN
Uncertain
1.0
DEOGEN2
Benign
0.31
T;T;T;T;T
Eigen
Benign
-0.13
Eigen_PC
Benign
-0.35
FATHMM_MKL
Benign
0.059
N
LIST_S2
Benign
0.84
.;.;T;.;D
M_CAP
Uncertain
0.16
D
MetaRNN
Benign
0.26
T;T;T;T;T
MetaSVM
Benign
-0.58
T
MutationAssessor
Uncertain
2.5
M;M;.;M;M
MutationTaster
Benign
1.0
N;N;N;N;N
PrimateAI
Benign
0.48
T
PROVEAN
Uncertain
-2.4
N;N;D;N;N
REVEL
Uncertain
0.30
Sift
Uncertain
0.015
D;D;D;D;D
Sift4G
Uncertain
0.050
T;T;D;T;T
Polyphen
0.99
D;D;.;D;D
Vest4
0.30
MutPred
0.51
Loss of MoRF binding (P = 0.0231);Loss of MoRF binding (P = 0.0231);.;Loss of MoRF binding (P = 0.0231);Loss of MoRF binding (P = 0.0231);
MVP
0.91
MPC
1.6
ClinPred
0.79
D
GERP RS
1.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.45
gMVP
0.38

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: rs121912728; hg19: chr11-116706738; API