chr20-58418289-C-T

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM2PP3_StrongPP5

The NM_004738.5(VAPB):​c.137C>T​(p.Thr46Ile) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,461,890 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 12/21 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

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

Consequence

VAPB
NM_004738.5 missense

Scores

16
2
1

Clinical Significance

Pathogenic no assertion criteria provided P:1O:1

Conservation

PhyloP100: 7.91
Variant links:
Genes affected
VAPB (HGNC:12649): (VAMP associated protein B and C) The protein encoded by this gene is a type IV membrane protein found in plasma and intracellular vesicle membranes. The encoded protein is found as a homodimer and as a heterodimer with VAPA. This protein also can interact with VAMP1 and VAMP2 and may be involved in vesicle trafficking. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.955
PP5
Variant 20-58418289-C-T is Pathogenic according to our data. Variant chr20-58418289-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 30510.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr20-58418289-C-T is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
VAPBNM_004738.5 linkuse as main transcriptc.137C>T p.Thr46Ile missense_variant 2/6 ENST00000475243.6 NP_004729.1
VAPBNM_001195677.2 linkuse as main transcriptc.137C>T p.Thr46Ile missense_variant 2/3 NP_001182606.1
VAPBNR_036633.2 linkuse as main transcriptn.368C>T non_coding_transcript_exon_variant 2/4
VAPBXR_001754433.3 linkuse as main transcriptn.368C>T non_coding_transcript_exon_variant 2/6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
VAPBENST00000475243.6 linkuse as main transcriptc.137C>T p.Thr46Ile missense_variant 2/61 NM_004738.5 ENSP00000417175 P1O95292-1
VAPBENST00000395802.7 linkuse as main transcriptc.137C>T p.Thr46Ile missense_variant 2/31 ENSP00000379147 O95292-2
VAPBENST00000265619.6 linkuse as main transcriptn.435C>T non_coding_transcript_exon_variant 3/62
VAPBENST00000520497.1 linkuse as main transcriptc.137C>T p.Thr46Ile missense_variant, NMD_transcript_variant 2/42 ENSP00000430426

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461890
Hom.:
0
Cov.:
31
AF XY:
0.00000275
AC XY:
2
AN XY:
727246
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:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1Other:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Amyotrophic lateral sclerosis type 8 Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMDec 17, 2010- -
not provided Other:1
not provided, no classification providedliterature onlyUniProtKB/Swiss-Prot-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.44
D
BayesDel_noAF
Pathogenic
0.39
CADD
Pathogenic
27
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.92
D;.
Eigen
Pathogenic
1.1
Eigen_PC
Pathogenic
1.0
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Pathogenic
0.99
D;D
M_CAP
Uncertain
0.19
D
MetaRNN
Pathogenic
0.96
D;D
MetaSVM
Uncertain
0.76
D
MutationAssessor
Pathogenic
4.3
H;H
MutationTaster
Benign
1.0
D;D
PrimateAI
Pathogenic
0.91
D
PROVEAN
Pathogenic
-5.9
D;D
REVEL
Pathogenic
0.78
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0010
D;D
Polyphen
1.0
D;D
Vest4
0.99
MutPred
0.83
Loss of glycosylation at T46 (P = 0.0393);Loss of glycosylation at T46 (P = 0.0393);
MVP
0.97
MPC
1.4
ClinPred
1.0
D
GERP RS
6.2
Varity_R
0.93
gMVP
0.86

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: rs281875284; hg19: chr20-56993345; API