chrX-129648684-C-T

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The NM_017413.5(APLN):​c.176G>A​(p.Arg59Gln) variant causes a missense change. The variant allele was found at a frequency of 0.0000278 in 1,186,636 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 8 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., 0 hem., cov: 24)
Exomes 𝑓: 0.000028 ( 0 hom. 8 hem. )

Consequence

APLN
NM_017413.5 missense

Scores

2
2
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.57
Variant links:
Genes affected
APLN (HGNC:16665): (apelin) This gene encodes a peptide that functions as an endogenous ligand for the G-protein coupled apelin receptor. The encoded preproprotein is proteolytically processed into biologically active C-terminal peptide fragments. These peptide fragments activate different tissue specific signaling pathways that regulate diverse biological functions including fluid homeostasis, cardiovascular function and insulin secretion. This protein also functions as a coreceptor for the human immunodeficiency virus 1. [provided by RefSeq, Feb 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.30217582).
BS2
High Hemizygotes in GnomAdExome4 at 8 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
APLNNM_017413.5 linkuse as main transcriptc.176G>A p.Arg59Gln missense_variant 2/3 ENST00000429967.3 NP_059109.3 Q9ULZ1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
APLNENST00000429967.3 linkuse as main transcriptc.176G>A p.Arg59Gln missense_variant 2/31 NM_017413.5 ENSP00000391800.2 Q9ULZ1

Frequencies

GnomAD3 genomes
AF:
0.0000265
AC:
3
AN:
113404
Hom.:
0
Cov.:
24
AF XY:
0.00
AC XY:
0
AN XY:
35544
show subpopulations
Gnomad AFR
AF:
0.0000639
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:
0.0000187
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000223
AC:
3
AN:
134601
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
41317
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000133
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:
0.0000280
AC:
30
AN:
1073232
Hom.:
0
Cov.:
31
AF XY:
0.0000230
AC XY:
8
AN XY:
348340
show subpopulations
Gnomad4 AFR exome
AF:
0.0000388
Gnomad4 AMR exome
AF:
0.000126
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000694
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000253
Gnomad4 OTH exome
AF:
0.0000443
GnomAD4 genome
AF:
0.0000265
AC:
3
AN:
113404
Hom.:
0
Cov.:
24
AF XY:
0.00
AC XY:
0
AN XY:
35544
show subpopulations
Gnomad4 AFR
AF:
0.0000639
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:
0.0000187
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000378
ESP6500AA
AF:
0.000306
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000171
AC:
2

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 GeneticsDec 12, 2023The c.176G>A (p.R59Q) alteration is located in exon 2 (coding exon 2) of the APLN gene. This alteration results from a G to A substitution at nucleotide position 176, causing the arginine (R) at amino acid position 59 to be replaced by a glutamine (Q). 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
0.18
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.27
CADD
Uncertain
24
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.34
T
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.69
T
M_CAP
Benign
0.055
D
MetaRNN
Benign
0.30
T
MetaSVM
Benign
-1.1
T
PrimateAI
Uncertain
0.59
T
Sift4G
Pathogenic
0.0
D
Polyphen
0.93
P
Vest4
0.46
MVP
0.55
ClinPred
0.54
D
GERP RS
4.8
Varity_R
0.25
gMVP
0.070

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.11
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: rs377120516; hg19: chrX-128782661; COSMIC: COSV100278248; API