chr4-3516147-T-G

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM1PM2PP3

The NM_002337.4(LRPAP1):ā€‹c.803A>Cā€‹(p.Asn268Thr) variant causes a missense change. The variant allele was found at a frequency of 0.00000442 in 1,582,412 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 (ā˜…).

Frequency

Genomes: š‘“ 0.000033 ( 0 hom., cov: 34)
Exomes š‘“: 0.0000014 ( 0 hom. )

Consequence

LRPAP1
NM_002337.4 missense

Scores

5
9
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.75
Variant links:
Genes affected
LRPAP1 (HGNC:6701): (LDL receptor related protein associated protein 1) This gene encodes a protein that interacts with the low density lipoprotein (LDL) receptor-related protein and facilitates its proper folding and localization by preventing the binding of ligands. Mutations in this gene have been identified in individuals with myopia 23. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 5 ACMG points.

PM1
In a glycosylation_site N-linked (GlcNAc...) asparagine (size 0) in uniprot entity AMRP_HUMAN
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.829

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LRPAP1NM_002337.4 linkuse as main transcriptc.803A>C p.Asn268Thr missense_variant 6/8 ENST00000650182.1 NP_002328.1
LRPAP1NR_110005.2 linkuse as main transcriptn.766A>C non_coding_transcript_exon_variant 6/8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LRPAP1ENST00000650182.1 linkuse as main transcriptc.803A>C p.Asn268Thr missense_variant 6/8 NM_002337.4 ENSP00000497444 P1
LRPAP1ENST00000296325.9 linkuse as main transcriptn.766A>C non_coding_transcript_exon_variant 6/81
LRPAP1ENST00000515119.5 linkuse as main transcriptc.*580A>C 3_prime_UTR_variant, NMD_transcript_variant 6/62 ENSP00000421648
LRPAP1ENST00000648517.1 linkuse as main transcriptc.*295A>C 3_prime_UTR_variant, NMD_transcript_variant 7/8 ENSP00000496947

Frequencies

GnomAD3 genomes
AF:
0.0000328
AC:
5
AN:
152254
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.000121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000501
AC:
1
AN:
199454
Hom.:
0
AF XY:
0.00000938
AC XY:
1
AN XY:
106666
show subpopulations
Gnomad AFR exome
AF:
0.0000808
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000140
AC:
2
AN:
1430158
Hom.:
0
Cov.:
31
AF XY:
0.00000282
AC XY:
2
AN XY:
708184
show subpopulations
Gnomad4 AFR exome
AF:
0.0000604
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000328
AC:
5
AN:
152254
Hom.:
0
Cov.:
34
AF XY:
0.0000403
AC XY:
3
AN XY:
74388
show subpopulations
Gnomad4 AFR
AF:
0.000121
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000151

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 GeneticsMay 10, 2022The c.803A>C (p.N268T) alteration is located in exon 6 (coding exon 6) of the LRPAP1 gene. This alteration results from a A to C substitution at nucleotide position 803, causing the asparagine (N) at amino acid position 268 to be replaced by a threonine (T). 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
0.58
BayesDel_addAF
Benign
-0.14
T
BayesDel_noAF
Benign
-0.25
CADD
Uncertain
24
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.58
D;D
Eigen
Uncertain
0.47
Eigen_PC
Uncertain
0.35
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.89
.;D
M_CAP
Benign
0.059
D
MetaRNN
Pathogenic
0.83
D;D
MetaSVM
Benign
-0.57
T
MutationAssessor
Pathogenic
3.1
M;M
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.58
T
PROVEAN
Pathogenic
-4.4
D;.
REVEL
Uncertain
0.34
Sift
Uncertain
0.0080
D;.
Sift4G
Pathogenic
0.0
D;.
Polyphen
1.0
D;D
Vest4
0.71
MutPred
0.70
Gain of glycosylation at T270 (P = 0.029);Gain of glycosylation at T270 (P = 0.029);
MVP
0.53
MPC
0.35
ClinPred
0.95
D
GERP RS
3.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.68
gMVP
0.34

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: rs754280813; hg19: chr4-3517874; API