chr7-44516910-C-G

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_ModerateBP6_ModerateBS2

The NM_001101648.2(NPC1L1):ā€‹c.3312G>Cā€‹(p.Gln1104His) variant causes a missense change. The variant allele was found at a frequency of 0.000305 in 1,613,760 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…).

Frequency

Genomes: š‘“ 0.00014 ( 0 hom., cov: 32)
Exomes š‘“: 0.00032 ( 3 hom. )

Consequence

NPC1L1
NM_001101648.2 missense

Scores

8
9
2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 3.70
Variant links:
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.11469075).
BP6
Variant 7-44516910-C-G is Benign according to our data. Variant chr7-44516910-C-G is described in ClinVar as [Likely_benign]. Clinvar id is 745816.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High Homozygotes in GnomAdExome4 at 3 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NPC1L1NM_001101648.2 linkc.3312G>C p.Gln1104His missense_variant 16/19 ENST00000381160.8 NP_001095118.1 Q9UHC9A0A0C4DFX6
NPC1L1NM_013389.3 linkc.3393G>C p.Gln1131His missense_variant 17/20 NP_037521.2 Q9UHC9-1
NPC1L1XM_011515326.4 linkc.3117G>C p.Gln1039His missense_variant 15/18 XP_011513628.1
NPC1L1XM_011515328.3 linkc.1671G>C p.Gln557His missense_variant 13/16 XP_011513630.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NPC1L1ENST00000381160.8 linkc.3312G>C p.Gln1104His missense_variant 16/191 NM_001101648.2 ENSP00000370552.3 A0A0C4DFX6
NPC1L1ENST00000289547.8 linkc.3393G>C p.Gln1131His missense_variant 17/201 ENSP00000289547.4 Q9UHC9-1
NPC1L1ENST00000546276.5 linkc.3174G>C p.Gln1058His missense_variant 15/181 ENSP00000438033.1 A0A0C4DGG6

Frequencies

GnomAD3 genomes
AF:
0.000145
AC:
22
AN:
152208
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00365
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000220
AC:
55
AN:
249636
Hom.:
0
AF XY:
0.000193
AC XY:
26
AN XY:
134982
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00272
Gnomad SAS exome
AF:
0.0000655
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000267
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000322
AC:
471
AN:
1461434
Hom.:
3
Cov.:
32
AF XY:
0.000282
AC XY:
205
AN XY:
727010
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0111
Gnomad4 SAS exome
AF:
0.000151
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000809
Gnomad4 OTH exome
AF:
0.000133
GnomAD4 genome
AF:
0.000144
AC:
22
AN:
152326
Hom.:
0
Cov.:
32
AF XY:
0.000174
AC XY:
13
AN XY:
74504
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00366
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000259
Hom.:
0
Bravo
AF:
0.0000491
ExAC
AF:
0.000305
AC:
37
Asia WGS
AF:
0.00202
AC:
7
AN:
3478

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpMay 25, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.92
BayesDel_addAF
Uncertain
0.091
D
BayesDel_noAF
Pathogenic
0.35
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.77
D;T;.
Eigen
Uncertain
0.55
Eigen_PC
Uncertain
0.43
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.96
D;D;D
M_CAP
Uncertain
0.25
D
MetaRNN
Benign
0.11
T;T;T
MetaSVM
Uncertain
0.41
D
MutationAssessor
Pathogenic
3.5
M;.;.
PrimateAI
Uncertain
0.56
T
PROVEAN
Pathogenic
-4.8
D;D;D
REVEL
Pathogenic
0.77
Sift
Pathogenic
0.0
D;D;D
Sift4G
Pathogenic
0.0
D;D;D
Vest4
0.88
MutPred
0.61
Loss of catalytic residue at Q1131 (P = 0.0575);.;.;
MVP
0.97
MPC
0.63
ClinPred
0.42
T
GERP RS
2.7
Varity_R
0.81
gMVP
0.98

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: rs116716160; hg19: chr7-44556509; COSMIC: COSV56923179; API