chr22-36195395-T-A

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001386885.1(APOL4):​c.125A>T​(p.Lys42Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000253 in 1,461,632 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.000025 ( 0 hom. )

Consequence

APOL4
NM_001386885.1 missense

Scores

2
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.154
Variant links:
Genes affected
APOL4 (HGNC:14867): (apolipoprotein L4) This gene encodes a member of the apolipoprotein L family. The encoded protein may play a role in lipid exchange and transport throughout the body, as well as in reverse cholesterol transport from peripheral cells to the liver. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2020]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.1584701).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
APOL4NM_001386885.1 linkuse as main transcriptc.125A>T p.Lys42Met missense_variant 3/4 ENST00000683024.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
APOL4ENST00000683024.1 linkuse as main transcriptc.125A>T p.Lys42Met missense_variant 3/4 NM_001386885.1 P2Q9BPW4-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000120
AC:
3
AN:
250196
Hom.:
0
AF XY:
0.0000148
AC XY:
2
AN XY:
135570
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:
0.000165
GnomAD4 exome
AF:
0.0000253
AC:
37
AN:
1461632
Hom.:
0
Cov.:
33
AF XY:
0.0000275
AC XY:
20
AN XY:
727104
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:
0.0000297
Gnomad4 OTH exome
AF:
0.0000663
GnomAD4 genome
Cov.:
32
ExAC
AF:
0.00000824
AC:
1
EpiCase
AF:
0.00
EpiControl
AF:
0.000119

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 GeneticsDec 13, 2022The c.134A>T (p.K45M) alteration is located in exon 4 (coding exon 3) of the APOL4 gene. This alteration results from a A to T substitution at nucleotide position 134, causing the lysine (K) at amino acid position 45 to be replaced by a methionine (M). 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
Benign
0.24
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.40
CADD
Benign
13
DANN
Benign
0.30
DEOGEN2
Benign
0.015
T;.;.;.;.
Eigen
Benign
-0.31
Eigen_PC
Benign
-0.54
FATHMM_MKL
Benign
0.10
N
LIST_S2
Benign
0.42
T;.;T;T;T
M_CAP
Benign
0.011
T
MetaRNN
Benign
0.16
T;T;T;T;T
MetaSVM
Benign
-0.92
T
MutationTaster
Benign
1.0
N;N;N;N;N
PROVEAN
Benign
-2.3
N;.;N;D;D
REVEL
Benign
0.068
Sift
Uncertain
0.0030
D;.;D;D;D
Sift4G
Uncertain
0.041
D;T;T;D;.
Polyphen
0.99
D;.;.;.;.
Vest4
0.21
MutPred
0.39
Loss of methylation at K45 (P = 0.0124);.;.;.;.;
MVP
0.61
MPC
0.37
ClinPred
0.72
D
GERP RS
2.0
Varity_R
0.077
gMVP
0.15

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: rs747871011; hg19: chr22-36591441; API