chrX-129746311-T-A
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Variant summary
Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate
The NM_003399.6(XPNPEP2):c.374T>A(p.Met125Lys) variant causes a missense change. The variant allele was found at a frequency of 0.00000182 in 1,097,062 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: not found (cov: 23)
Exomes 𝑓: 0.0000018 ( 0 hom. 1 hem. )
Consequence
XPNPEP2
NM_003399.6 missense
NM_003399.6 missense
Scores
11
4
2
Clinical Significance
Conservation
PhyloP100: 5.22
Genes affected
XPNPEP2 (HGNC:12823): (X-prolyl aminopeptidase 2) Aminopeptidase P is a hydrolase specific for N-terminal imido bonds, which are common to several collagen degradation products, neuropeptides, vasoactive peptides, and cytokines. Structurally, the enzyme is a member of the 'pita bread fold' family and occurs in mammalian tissues in both soluble and GPI-anchored membrane-bound forms. A membrane-bound and soluble form of this enzyme have been identified as products of two separate genes. [provided by RefSeq, Jul 2008]
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ACMG classification
Classification made for transcript
Verdict is Uncertain_significance. Variant got 4 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.92
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
XPNPEP2 | NM_003399.6 | c.374T>A | p.Met125Lys | missense_variant | 5/21 | ENST00000371106.4 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
XPNPEP2 | ENST00000371106.4 | c.374T>A | p.Met125Lys | missense_variant | 5/21 | 1 | NM_003399.6 | P1 | |
XPNPEP2 | ENST00000371105.7 | n.614T>A | non_coding_transcript_exon_variant | 5/6 | 2 | ||||
XPNPEP2 | ENST00000681234.1 | n.639T>A | non_coding_transcript_exon_variant | 5/7 |
Frequencies
GnomAD3 genomes Cov.: 23
GnomAD3 genomes
Cov.:
23
GnomAD3 exomes AF: 0.00000552 AC: 1AN: 181239Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 65965
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GnomAD4 exome AF: 0.00000182 AC: 2AN: 1097062Hom.: 0 Cov.: 30 AF XY: 0.00000276 AC XY: 1AN XY: 362606
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GnomAD4 genome Cov.: 23
GnomAD4 genome
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23
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 submitter | clinical testing | Ambry Genetics | Aug 15, 2023 | The c.374T>A (p.M125K) alteration is located in exon 5 (coding exon 5) of the XPNPEP2 gene. This alteration results from a T to A substitution at nucleotide position 374, causing the methionine (M) at amino acid position 125 to be replaced by a lysine (K). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
BayesDel_addAF
Pathogenic
D
BayesDel_noAF
Pathogenic
CADD
Uncertain
DANN
Uncertain
DEOGEN2
Benign
T;T
FATHMM_MKL
Pathogenic
D
LIST_S2
Pathogenic
D;D
M_CAP
Pathogenic
D
MetaRNN
Pathogenic
D;D
MetaSVM
Uncertain
D
MutationAssessor
Pathogenic
.;M
MutationTaster
Benign
D;D
PrimateAI
Uncertain
T
PROVEAN
Pathogenic
D;D
REVEL
Pathogenic
Sift
Pathogenic
D;D
Sift4G
Uncertain
D;D
Polyphen
1.0
.;D
Vest4
MutPred
Loss of catalytic residue at M125 (P = 8e-04);Loss of catalytic residue at M125 (P = 8e-04);
MVP
MPC
0.39
ClinPred
D
GERP RS
Varity_R
gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at