chr11-121452558-C-T

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 2P and 5B. PM2BP4_StrongBS1_Supporting

The NM_003105.6(SORL1):​c.227C>T​(p.Pro76Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000172 in 1,511,122 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00020 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00017 ( 0 hom. )

Consequence

SORL1
NM_003105.6 missense

Scores

1
3
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.241
Variant links:
Genes affected
SORL1 (HGNC:11185): (sortilin related receptor 1) This gene encodes a mosaic protein that belongs to at least two families: the vacuolar protein sorting 10 (VPS10) domain-containing receptor family, and the low density lipoprotein receptor (LDLR) family. The encoded protein also contains fibronectin type III repeats and an epidermal growth factor repeat. The encoded preproprotein is proteolytically processed to generate the mature receptor, which likely plays roles in endocytosis and sorting. Mutations in this gene may be associated with Alzheimer's disease. [provided by RefSeq, Feb 2016]
SORL1-AS1 (HGNC:55594): (SORL1 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.044485927).
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.000197 (30/152138) while in subpopulation NFE AF= 0.000412 (28/68004). AF 95% confidence interval is 0.000293. There are 0 homozygotes in gnomad4. There are 15 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SORL1NM_003105.6 linkuse as main transcriptc.227C>T p.Pro76Leu missense_variant 1/48 ENST00000260197.12
SORL1-AS1NR_183636.1 linkuse as main transcriptn.293+117G>A intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SORL1ENST00000260197.12 linkuse as main transcriptc.227C>T p.Pro76Leu missense_variant 1/481 NM_003105.6 P1
SORL1ENST00000532451.1 linkuse as main transcriptn.179C>T non_coding_transcript_exon_variant 1/151
SORL1-AS1ENST00000501964.1 linkuse as main transcriptn.339+117G>A intron_variant, non_coding_transcript_variant 2
SORL1-AS1ENST00000529160.1 linkuse as main transcriptn.245+117G>A intron_variant, non_coding_transcript_variant 2

Frequencies

GnomAD3 genomes
AF:
0.000197
AC:
30
AN:
152138
Hom.:
0
Cov.:
32
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:
0.00
Gnomad FIN
AF:
0.000189
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000412
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000155
AC:
20
AN:
128736
Hom.:
0
AF XY:
0.000164
AC XY:
12
AN XY:
73362
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000325
Gnomad OTH exome
AF:
0.000309
GnomAD4 exome
AF:
0.000169
AC:
230
AN:
1358984
Hom.:
0
Cov.:
31
AF XY:
0.000177
AC XY:
119
AN XY:
671646
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:
0.000366
Gnomad4 NFE exome
AF:
0.000200
Gnomad4 OTH exome
AF:
0.0000532
GnomAD4 genome
AF:
0.000197
AC:
30
AN:
152138
Hom.:
0
Cov.:
32
AF XY:
0.000202
AC XY:
15
AN XY:
74326
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:
0.00
Gnomad4 FIN
AF:
0.000189
Gnomad4 NFE
AF:
0.000412
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000458
Hom.:
0
Bravo
AF:
0.000174
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000247
AC:
2
ExAC
AF:
0.000239
AC:
28

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpNov 20, 2023This sequence change replaces proline, which is neutral and non-polar, with leucine, which is neutral and non-polar, at codon 76 of the SORL1 protein (p.Pro76Leu). This variant is present in population databases (rs372705427, gnomAD 0.04%), and has an allele count higher than expected for a pathogenic variant. This missense change has been observed in individual(s) with clinical features of Alzheimer disease (PMID: 34922638). ClinVar contains an entry for this variant (Variation ID: 2146944). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be tolerated. Experimental studies are conflicting or provide insufficient evidence to determine the effect of this variant on SORL1 function (PMID: 34922638). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.26
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
18
DANN
Uncertain
0.98
DEOGEN2
Benign
0.073
T
Eigen
Benign
-0.33
Eigen_PC
Benign
-0.25
FATHMM_MKL
Benign
0.35
N
LIST_S2
Benign
0.70
T
M_CAP
Uncertain
0.19
D
MetaRNN
Benign
0.044
T
MetaSVM
Benign
-0.58
T
MutationAssessor
Benign
1.4
L
MutationTaster
Benign
0.99
D
PrimateAI
Pathogenic
0.80
D
PROVEAN
Benign
-1.1
N
REVEL
Benign
0.22
Sift
Uncertain
0.020
D
Sift4G
Benign
0.26
T
Polyphen
0.71
P
Vest4
0.094
MVP
0.77
MPC
0.30
ClinPred
0.065
T
GERP RS
2.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.085
gMVP
0.29

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: rs372705427; hg19: chr11-121323267; API