chrX-129750542-C-A

Variant summary

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

The ENST00000371106.4(XPNPEP2):​c.712C>A​(p.Leu238Ile) variant causes a missense change. The variant allele was found at a frequency of 0.0000101 in 1,188,487 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 4 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000036 ( 0 hom., 2 hem., cov: 24)
Exomes 𝑓: 0.0000074 ( 0 hom. 2 hem. )

Consequence

XPNPEP2
ENST00000371106.4 missense

Scores

3
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.87
Variant links:
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]

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=0.3720213).
BS2
High Hemizygotes in GnomAd4 at 2 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
XPNPEP2NM_003399.6 linkuse as main transcriptc.712C>A p.Leu238Ile missense_variant 8/21 ENST00000371106.4 NP_003390.4 O43895

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
XPNPEP2ENST00000371106.4 linkuse as main transcriptc.712C>A p.Leu238Ile missense_variant 8/211 NM_003399.6 ENSP00000360147.3 O43895

Frequencies

GnomAD3 genomes
AF:
0.0000356
AC:
4
AN:
112381
Hom.:
0
Cov.:
24
AF XY:
0.0000579
AC XY:
2
AN XY:
34517
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:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000751
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000743
AC:
8
AN:
1076106
Hom.:
0
Cov.:
30
AF XY:
0.00000573
AC XY:
2
AN XY:
349292
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000962
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000356
AC:
4
AN:
112381
Hom.:
0
Cov.:
24
AF XY:
0.0000579
AC XY:
2
AN XY:
34517
show subpopulations
Gnomad4 AFR
AF:
0.00
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:
0.0000751
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000434
Hom.:
0
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 GeneticsJul 06, 2021The c.712C>A (p.L238I) alteration is located in exon 8 (coding exon 8) of the XPNPEP2 gene. This alteration results from a C to A substitution at nucleotide position 712, causing the leucine (L) at amino acid position 238 to be replaced by an isoleucine (I). 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
0.10
BayesDel_addAF
Benign
-0.094
T
BayesDel_noAF
Benign
-0.37
CADD
Benign
17
DANN
Uncertain
0.99
DEOGEN2
Benign
0.019
T
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.85
T
M_CAP
Benign
0.049
D
MetaRNN
Benign
0.37
T
MetaSVM
Benign
-0.82
T
MutationAssessor
Benign
1.6
L
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.62
T
PROVEAN
Benign
-0.040
N
REVEL
Benign
0.18
Sift
Benign
0.10
T
Sift4G
Benign
0.41
T
Polyphen
0.99
D
Vest4
0.44
MutPred
0.46
Loss of phosphorylation at T235 (P = 0.1464);
MVP
0.21
MPC
0.063
ClinPred
0.34
T
GERP RS
5.1
Varity_R
0.32
gMVP
0.52

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: rs1316035895; hg19: chrX-128884518; API