chr7-44512610-T-C

Variant names:

• chr7-44512610-T-C
• rs3187907
• NM_001101648.2:c.*837A>G

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_Strong BA1

The NM_001101648.2(NPC1L1):​c.*837A>G variant causes a 3 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.139 in 152,442 control chromosomes in the GnomAD database, including 1,913 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency:
  • Genomes: 𝑓 0.14 (1910 hom., cov: 33)
  • Exomes 𝑓: 0.17 (3 hom.)
• Consequence: NPC1L1 NM_001101648.2 3_prime_UTR
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: -0.444
• Publications: 10 publications found

Genes affected

NPC1L1 (HGNC:7898): (NPC1 like intracellular cholesterol transporter 1) The protein encoded by this gene is a multi-pass membrane protein. It contains a conserved N-terminal Niemann-Pick C1 (NPC1) domain and a putative sterol-sensing domain (SSD) which includes a YQRL motif functioning as a plasma membrane to trans-Golgi network transport signal in other proteins. This protein takes up free cholesterol into cells through vesicular endocytosis and plays a critical role in the absorption of intestinal cholesterol. It also has the ability to transport alpha-tocopherol (vitamin E). The drug ezetimibe targets this protein and inhibits the absorption of intestinal cholesterol and alpha-tocopherol. In addition, this protein may play a critical role in regulating lipid metabolism. Polymorphic variations in this gene are associated with plasma total cholesterol and low-density lipoprotein cholesterol (LDL-C) levels and coronary heart disease (CHD) risk. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2009]

ACMG classification

Our verdict: Benign. The variant received -12 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.91).
• BA1: GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.203 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001101648.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	NPC1L1	NM_001101648.2	MANE Select	c.*837A>G		3_prime_UTR	Exon 19 of 19	NP_001095118.1
	NPC1L1	NM_013389.3		c.*837A>G		3_prime_UTR	Exon 20 of 20	NP_037521.2

Ensembl Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	NPC1L1	ENST00000381160.8	TSL:1 MANE Select	c.*837A>G		3_prime_UTR	Exon 19 of 19	ENSP00000370552.3
	NPC1L1	ENST00000289547.8	TSL:1	c.*837A>G		3_prime_UTR	Exon 20 of 20	ENSP00000289547.4
	NPC1L1	ENST00000546276.5	TSL:1	c.*837A>G		3_prime_UTR	Exon 18 of 18	ENSP00000438033.1

Frequencies

GnomAD3 genomes AF: 0.139 AC: 21119 AN: 152168 Hom.: 1910 Cov.: 33

Gnomad AFR AF: 0.0432

Gnomad AMI AF: 0.135

Gnomad AMR AF: 0.0982

Gnomad ASJ AF: 0.187

Gnomad EAS AF: 0.00558

Gnomad SAS AF: 0.141

Gnomad FIN AF: 0.195

Gnomad MID AF: 0.114

Gnomad NFE AF: 0.205

Gnomad OTH AF: 0.129

GnomAD4 exome AF: 0.167 AC: 26 AN: 156 Hom.: 3 Cov.: 0 AF XY: 0.170 AC XY: 15 AN XY: 88

African (AFR) AF: 0.00 AC: 0 AN: 4

American (AMR) AF: 0.00 AC: 0 AN: 4

Ashkenazi Jewish (ASJ) AC: 0 AN: 0

East Asian (EAS) AC: 0 AN: 0

South Asian (SAS) AF: 0.00 AC: 0 AN: 4

European-Finnish (FIN) AF: 0.167 AC: 1 AN: 6

Middle Eastern (MID) AC: 0 AN: 0

European-Non Finnish (NFE) AF: 0.164 AC: 22 AN: 134

Other (OTH) AF: 0.750 AC: 3 AN: 4

GnomAD4 genome AF: 0.139 AC: 21115 AN: 152286 Hom.: 1910 Cov.: 33 AF XY: 0.136 AC XY: 10115 AN XY: 74450

African (AFR) AF: 0.0432 AC: 1797 AN: 41578

American (AMR) AF: 0.0979 AC: 1498 AN: 15296

Ashkenazi Jewish (ASJ) AF: 0.187 AC: 650 AN: 3470

East Asian (EAS) AF: 0.00559 AC: 29 AN: 5188

South Asian (SAS) AF: 0.140 AC: 676 AN: 4828

European-Finnish (FIN) AF: 0.195 AC: 2069 AN: 10592

Middle Eastern (MID) AF: 0.119 AC: 35 AN: 294

European-Non Finnish (NFE) AF: 0.205 AC: 13972 AN: 68014

Other (OTH) AF: 0.126 AC: 266 AN: 2114

Alfa AF: 0.173 Hom.: 3202

Bravo AF: 0.124

Asia WGS AF: 0.0660 AC: 230 AN: 3478

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.91
CADD	Benign	0.80
DANN	Benign	0.67
PhyloP100		-0.44
Mutation Taster		=100/0	polymorphism (auto)

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

Other links and lift over

dbSNP: rs3187907; hg19: chr7-44552209;