chr11-49146902-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP4

The NM_004476.3(FOLH1):​c.2107G>A​(p.Glu703Lys) variant causes a missense change. The variant allele was found at a frequency of 0.00000137 in 1,460,892 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

FOLH1
NM_004476.3 missense

Scores

1
4
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.01

Publications

3 publications found
Variant links:
Genes affected
FOLH1 (HGNC:3788): (folate hydrolase 1) This gene encodes a type II transmembrane glycoprotein belonging to the M28 peptidase family. The protein acts as a glutamate carboxypeptidase on different alternative substrates, including the nutrient folate and the neuropeptide N-acetyl-l-aspartyl-l-glutamate and is expressed in a number of tissues such as prostate, central and peripheral nervous system and kidney. A mutation in this gene may be associated with impaired intestinal absorption of dietary folates, resulting in low blood folate levels and consequent hyperhomocysteinemia. Expression of this protein in the brain may be involved in a number of pathological conditions associated with glutamate excitotoxicity. In the prostate the protein is up-regulated in cancerous cells and is used as an effective diagnostic and prognostic indicator of prostate cancer. This gene likely arose from a duplication event of a nearby chromosomal region. Alternative splicing gives rise to multiple transcript variants encoding several different isoforms. [provided by RefSeq, Jul 2010]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.3486051).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004476.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FOLH1
NM_004476.3
MANE Select
c.2107G>Ap.Glu703Lys
missense
Exon 19 of 19NP_004467.1Q04609-1
FOLH1
NM_001193471.3
c.2062G>Ap.Glu688Lys
missense
Exon 20 of 20NP_001180400.1Q04609-7
FOLH1
NM_001014986.3
c.2014G>Ap.Glu672Lys
missense
Exon 18 of 18NP_001014986.1Q04609-8

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FOLH1
ENST00000256999.7
TSL:1 MANE Select
c.2107G>Ap.Glu703Lys
missense
Exon 19 of 19ENSP00000256999.2Q04609-1
FOLH1
ENST00000340334.11
TSL:1
c.2062G>Ap.Glu688Lys
missense
Exon 20 of 20ENSP00000344131.7Q04609-7
FOLH1
ENST00000356696.7
TSL:1
c.2014G>Ap.Glu672Lys
missense
Exon 18 of 18ENSP00000349129.3Q04609-8

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00000399
AC:
1
AN:
250380
AF XY:
0.00000739
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000885
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1460892
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
726760
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33404
American (AMR)
AF:
0.00
AC:
0
AN:
44616
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26094
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39682
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86194
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53408
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5752
European-Non Finnish (NFE)
AF:
0.00000180
AC:
2
AN:
1111416
Other (OTH)
AF:
0.00
AC:
0
AN:
60326
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
32
ExAC
AF:
0.00000824
AC:
1

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Benign
-0.024
T
BayesDel_noAF
Benign
-0.27
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.13
T
Eigen
Benign
0.13
Eigen_PC
Benign
0.14
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Pathogenic
0.97
D
M_CAP
Benign
0.018
T
MetaRNN
Benign
0.35
T
MetaSVM
Benign
-0.78
T
MutationAssessor
Uncertain
2.2
M
PhyloP100
4.0
PrimateAI
Uncertain
0.65
T
PROVEAN
Benign
-2.0
N
REVEL
Benign
0.17
Sift
Benign
0.033
D
Sift4G
Benign
0.65
T
Polyphen
0.38
B
Vest4
0.55
MutPred
0.67
Gain of ubiquitination at E703 (P = 0.017)
MVP
0.63
MPC
2.2
ClinPred
0.84
D
GERP RS
3.3
Varity_R
0.27
gMVP
0.87
Mutation Taster
=56/44
polymorphism

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

Other links and lift over

dbSNP: rs770312515; hg19: chr11-49168454; API