chr9-32984805-C-T

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBS1BS2

The NM_001195248.2(APTX):​c.596G>A​(p.Arg199His) variant causes a missense change. The variant allele was found at a frequency of 0.0011 in 1,614,150 control chromosomes in the GnomAD database, including 19 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0055 ( 10 hom., cov: 32)
Exomes 𝑓: 0.00064 ( 9 hom. )

Consequence

APTX
NM_001195248.2 missense

Scores

1
10
6

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 6.16
Variant links:
Genes affected
APTX (HGNC:15984): (aprataxin) This gene encodes a member of the histidine triad (HIT) superfamily. The encoded protein may play a role in single-stranded DNA repair through its nucleotide-binding activity and its diadenosine polyphosphate hydrolase activity. Mutations in this gene have been associated with ataxia-ocular apraxia. Alternatively spliced transcript variants have been identified for this gene.[provided by RefSeq, Aug 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

PM1
In a domain HIT (size 105) in uniprot entity APTX_HUMAN there are 24 pathogenic changes around while only 2 benign (92%) in NM_001195248.2
BP4
Computational evidence support a benign effect (MetaRNN=0.012209952).
BP6
Variant 9-32984805-C-T is Benign according to our data. Variant chr9-32984805-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 214120.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-32984805-C-T is described in Lovd as [Pathogenic]. Variant chr9-32984805-C-T is described in Lovd as [Pathogenic].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00547 (833/152274) while in subpopulation AFR AF= 0.0188 (780/41546). AF 95% confidence interval is 0.0177. There are 10 homozygotes in gnomad4. There are 389 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 10 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
APTXNM_001195248.2 linkuse as main transcriptc.596G>A p.Arg199His missense_variant 6/8 ENST00000379817.7 NP_001182177.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
APTXENST00000379817.7 linkuse as main transcriptc.596G>A p.Arg199His missense_variant 6/81 NM_001195248.2 ENSP00000369145 P1Q7Z2E3-7

Frequencies

GnomAD3 genomes
AF:
0.00547
AC:
832
AN:
152156
Hom.:
10
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0188
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00242
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000882
Gnomad OTH
AF:
0.00430
GnomAD3 exomes
AF:
0.00163
AC:
410
AN:
251468
Hom.:
8
AF XY:
0.00136
AC XY:
185
AN XY:
135910
show subpopulations
Gnomad AFR exome
AF:
0.0195
Gnomad AMR exome
AF:
0.00107
Gnomad ASJ exome
AF:
0.0000992
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.00150
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000527
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.000642
AC:
939
AN:
1461876
Hom.:
9
Cov.:
32
AF XY:
0.000626
AC XY:
455
AN XY:
727242
show subpopulations
Gnomad4 AFR exome
AF:
0.0196
Gnomad4 AMR exome
AF:
0.00127
Gnomad4 ASJ exome
AF:
0.0000765
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00118
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000306
Gnomad4 OTH exome
AF:
0.00132
GnomAD4 genome
AF:
0.00547
AC:
833
AN:
152274
Hom.:
10
Cov.:
32
AF XY:
0.00522
AC XY:
389
AN XY:
74454
show subpopulations
Gnomad4 AFR
AF:
0.0188
Gnomad4 AMR
AF:
0.00242
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000882
Gnomad4 OTH
AF:
0.00426
Alfa
AF:
0.000949
Hom.:
4
Bravo
AF:
0.00627
ESP6500AA
AF:
0.0182
AC:
80
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00207
AC:
251
Asia WGS
AF:
0.00173
AC:
6
AN:
3478
EpiCase
AF:
0.00
EpiControl
AF:
0.000119

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Likely benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsFeb 22, 2017- -
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenAug 01, 2024APTX: BS1, BS2 -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 13, 2024- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
not specified Benign:2
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsMar 18, 2020- -
Likely benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)May 01, 2017- -
APTX-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJun 22, 2020This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Ataxia, early-onset, with oculomotor apraxia and hypoalbuminemia Benign:1
Benign, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Uncertain
0.0
CADD
Uncertain
26
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.72
.;.;.;.;.;D;.;.;.;.;D;D;D
Eigen
Uncertain
0.23
Eigen_PC
Benign
0.21
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.90
D;D;D;D;.;D;.;.;D;D;D;D;D
MetaRNN
Benign
0.012
T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Uncertain
0.51
D
MutationAssessor
Uncertain
2.2
M;.;.;.;.;M;.;.;.;.;.;.;.
MutationTaster
Benign
1.0
D;D;D;D;D;D;D;D;D;D
PrimateAI
Uncertain
0.50
T
PROVEAN
Uncertain
-3.2
D;.;.;D;D;D;D;D;D;.;D;D;D
REVEL
Uncertain
0.59
Sift
Benign
0.061
T;.;.;D;D;D;D;D;D;.;D;T;T
Sift4G
Benign
0.073
T;T;T;T;T;T;T;T;T;T;.;.;.
Polyphen
0.77, 0.86, 0.63, 0.99
.;.;P;P;.;P;.;.;.;.;.;D;.
Vest4
0.86
MVP
0.97
MPC
0.28
ClinPred
0.021
T
GERP RS
4.0
Varity_R
0.40
gMVP
0.60

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: rs150886026; hg19: chr9-32984803; API