chr2-162173765-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_004460.5(FAP):​c.1992C>A​(p.Phe664Leu) variant causes a missense change. The variant allele was found at a frequency of 0.0000241 in 1,452,002 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.000024 ( 0 hom. )

Consequence

FAP
NM_004460.5 missense

Scores

2
10
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.92
Variant links:
Genes affected
FAP (HGNC:3590): (fibroblast activation protein alpha) The protein encoded by this gene is a homodimeric integral membrane gelatinase belonging to the serine protease family. It is selectively expressed in reactive stromal fibroblasts of epithelial cancers, granulation tissue of healing wounds, and malignant cells of bone and soft tissue sarcomas. This protein is thought to be involved in the control of fibroblast growth or epithelial-mesenchymal interactions during development, tissue repair, and epithelial carcinogenesis. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Apr 2014]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.845

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
FAPNM_004460.5 linkc.1992C>A p.Phe664Leu missense_variant 23/26 ENST00000188790.9 NP_004451.2 Q12884-1
FAPNM_001291807.3 linkc.1917C>A p.Phe639Leu missense_variant 22/25 NP_001278736.1 Q12884B4DLR2
FAPXM_011510796.4 linkc.1962C>A p.Phe654Leu missense_variant 22/25 XP_011509098.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
FAPENST00000188790.9 linkc.1992C>A p.Phe664Leu missense_variant 23/261 NM_004460.5 ENSP00000188790.4 Q12884-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000797
AC:
2
AN:
250876
Hom.:
0
AF XY:
0.0000148
AC XY:
2
AN XY:
135584
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:
0.0000177
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000241
AC:
35
AN:
1452002
Hom.:
0
Cov.:
27
AF XY:
0.0000235
AC XY:
17
AN XY:
722984
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:
0.0000308
Gnomad4 OTH exome
AF:
0.0000167
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378
EpiCase
AF:
0.00
EpiControl
AF:
0.000178

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsOct 26, 2022The c.1992C>A (p.F664L) alteration is located in exon 23 (coding exon 23) of the FAP gene. This alteration results from a C to A substitution at nucleotide position 1992, causing the phenylalanine (F) at amino acid position 664 to be replaced by a leucine (L). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.98
BayesDel_addAF
Uncertain
0.017
T
BayesDel_noAF
Benign
-0.20
CADD
Uncertain
26
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.43
.;T;.
Eigen
Uncertain
0.27
Eigen_PC
Uncertain
0.35
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.88
D;D;D
M_CAP
Benign
0.023
T
MetaRNN
Pathogenic
0.84
D;D;D
MetaSVM
Benign
-0.89
T
MutationAssessor
Benign
1.2
.;L;.
PrimateAI
Uncertain
0.77
T
PROVEAN
Uncertain
-3.5
.;D;D
REVEL
Benign
0.23
Sift
Benign
0.063
.;T;T
Sift4G
Uncertain
0.0080
D;D;D
Polyphen
0.45, 0.45
.;P;B
Vest4
0.83
MutPred
0.89
.;Gain of disorder (P = 0.1163);.;
MVP
0.46
MPC
0.13
ClinPred
0.72
D
GERP RS
5.0
Varity_R
0.61
gMVP
0.52

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs1450977209; hg19: chr2-163030275; COSMIC: COSV99502213; COSMIC: COSV99502213; API