chr18-45955103-G-A

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 2P and 5B. PM2BP4_StrongBP6

The NM_020964.3(EPG5):​c.299C>T​(p.Thr100Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000702 in 1,614,010 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00062 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00071 ( 0 hom. )

Consequence

EPG5
NM_020964.3 missense

Scores

19

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: 0.362
Variant links:
Genes affected
EPG5 (HGNC:29331): (ectopic P-granules 5 autophagy tethering factor) This gene encodes a large coiled coil domain-containing protein that functions in autophagy during starvation conditions. Mutations in this gene cause Vici syndrome. [provided by RefSeq, Aug 2015]

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=0.004139483).
BP6
Variant 18-45955103-G-A is Benign according to our data. Variant chr18-45955103-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 235278.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1}. Variant chr18-45955103-G-A is described in Lovd as [Likely_benign].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
EPG5NM_020964.3 linkuse as main transcriptc.299C>T p.Thr100Ile missense_variant 2/44 ENST00000282041.11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
EPG5ENST00000282041.11 linkuse as main transcriptc.299C>T p.Thr100Ile missense_variant 2/441 NM_020964.3 P4Q9HCE0-1

Frequencies

GnomAD3 genomes
AF:
0.000611
AC:
93
AN:
152190
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000265
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000589
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00292
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000558
Gnomad OTH
AF:
0.000957
GnomAD3 exomes
AF:
0.000650
AC:
162
AN:
249144
Hom.:
0
AF XY:
0.000666
AC XY:
90
AN XY:
135166
show subpopulations
Gnomad AFR exome
AF:
0.000258
Gnomad AMR exome
AF:
0.000116
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000392
Gnomad FIN exome
AF:
0.00312
Gnomad NFE exome
AF:
0.000619
Gnomad OTH exome
AF:
0.000827
GnomAD4 exome
AF:
0.000710
AC:
1038
AN:
1461702
Hom.:
0
Cov.:
32
AF XY:
0.000666
AC XY:
484
AN XY:
727164
show subpopulations
Gnomad4 AFR exome
AF:
0.000239
Gnomad4 AMR exome
AF:
0.0000895
Gnomad4 ASJ exome
AF:
0.0000383
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000383
Gnomad4 FIN exome
AF:
0.00251
Gnomad4 NFE exome
AF:
0.000738
Gnomad4 OTH exome
AF:
0.000613
GnomAD4 genome
AF:
0.000624
AC:
95
AN:
152308
Hom.:
0
Cov.:
32
AF XY:
0.000671
AC XY:
50
AN XY:
74472
show subpopulations
Gnomad4 AFR
AF:
0.000265
Gnomad4 AMR
AF:
0.000588
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000414
Gnomad4 FIN
AF:
0.00292
Gnomad4 NFE
AF:
0.000559
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.000754
Hom.:
1
Bravo
AF:
0.000438
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.000256
AC:
1
ESP6500EA
AF:
0.000242
AC:
2
ExAC
AF:
0.000563
AC:
68
Asia WGS
AF:
0.00606
AC:
21
AN:
3478
EpiCase
AF:
0.000709
EpiControl
AF:
0.000652

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:2
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Uncertain significance, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsDec 21, 2015- -
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Vici syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.080
BayesDel_addAF
Benign
-0.72
T
BayesDel_noAF
Benign
-0.84
CADD
Benign
6.8
DANN
Benign
0.68
DEOGEN2
Benign
0.0065
T;T
Eigen
Benign
-0.97
Eigen_PC
Benign
-0.99
FATHMM_MKL
Benign
0.052
N
LIST_S2
Benign
0.57
.;T
M_CAP
Benign
0.0043
T
MetaRNN
Benign
0.0041
T;T
MetaSVM
Benign
-0.98
T
MutationAssessor
Benign
0.55
N;N
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.27
T
PROVEAN
Benign
-0.74
N;.
REVEL
Benign
0.034
Sift
Benign
0.17
T;.
Sift4G
Benign
0.33
T;.
Polyphen
0.0010
B;B
Vest4
0.13
MVP
0.14
MPC
0.17
ClinPred
0.0026
T
GERP RS
-0.11
Varity_R
0.041
gMVP
0.10

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: rs200530606; hg19: chr18-43535069; API