chr9-116154329-C-G

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_002581.5(PAPPA):ā€‹c.157C>Gā€‹(p.Arg53Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000953 in 839,832 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000014 ( 0 hom., cov: 31)
Exomes š‘“: 0.0000086 ( 0 hom. )

Consequence

PAPPA
NM_002581.5 missense

Scores

1
1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.94
Variant links:
Genes affected
PAPPA (HGNC:8602): (pappalysin 1) This gene encodes a secreted metalloproteinase which cleaves insulin-like growth factor binding proteins (IGFBPs). Following IGFBP cleavage, insulin growth factors dissociate from IGFBPs and bind to IGF receptors, resulting in activation of the IGF pathway. The encoded protein plays a role in bone formation, inflammation, wound healing and female fertility. Enhanced expression of this protein is associated with diabetic nephropathy in human patients and this protein may promote tumor invasion and growth in various human cancers. [provided by RefSeq, Aug 2017]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.22135356).
BS2
High AC in GnomAdExome4 at 6 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PAPPANM_002581.5 linkuse as main transcriptc.157C>G p.Arg53Gly missense_variant 1/22 ENST00000328252.4 NP_002572.2 Q13219Q7Z613B4DTA8
PAPPAXM_017014784.3 linkuse as main transcriptc.157C>G p.Arg53Gly missense_variant 1/21 XP_016870273.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PAPPAENST00000328252.4 linkuse as main transcriptc.157C>G p.Arg53Gly missense_variant 1/221 NM_002581.5 ENSP00000330658.3 Q13219

Frequencies

GnomAD3 genomes
AF:
0.0000138
AC:
2
AN:
145036
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000249
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:
0.000502
GnomAD4 exome
AF:
0.00000864
AC:
6
AN:
694796
Hom.:
0
Cov.:
10
AF XY:
0.00000620
AC XY:
2
AN XY:
322614
show subpopulations
Gnomad4 AFR exome
AF:
0.000309
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000721
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000157
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000138
AC:
2
AN:
145036
Hom.:
0
Cov.:
31
AF XY:
0.0000142
AC XY:
1
AN XY:
70512
show subpopulations
Gnomad4 AFR
AF:
0.0000249
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:
0.000502
Bravo
AF:
0.0000113

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 14, 2024The c.157C>G (p.R53G) alteration is located in exon 1 (coding exon 1) of the PAPPA gene. This alteration results from a C to G substitution at nucleotide position 157, causing the arginine (R) at amino acid position 53 to be replaced by a glycine (G). 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
0.23
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
22
DANN
Benign
0.94
DEOGEN2
Benign
0.31
T
Eigen
Benign
0.093
Eigen_PC
Benign
0.017
FATHMM_MKL
Benign
0.62
D
LIST_S2
Benign
0.58
T
M_CAP
Benign
0.020
T
MetaRNN
Benign
0.22
T
MetaSVM
Benign
-0.83
T
MutationAssessor
Benign
0.0
N
PrimateAI
Pathogenic
0.87
D
PROVEAN
Benign
-0.94
N
REVEL
Benign
0.084
Sift
Uncertain
0.027
D
Sift4G
Benign
0.11
T
Polyphen
0.98
D
Vest4
0.27
MutPred
0.21
Gain of loop (P = 0.0097);
MVP
0.068
MPC
0.46
ClinPred
0.79
D
GERP RS
2.3
Varity_R
0.21
gMVP
0.61

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: rs1404330058; hg19: chr9-118916608; API