chrX-154428705-A-G

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001183.6(ATP6AP1):​c.13A>G​(p.Met5Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000783 in 1,149,523 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. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 1 hem., cov: 25)
Exomes 𝑓: 0.0000068 ( 0 hom. 3 hem. )

Consequence

ATP6AP1
NM_001183.6 missense

Scores

17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.133

Publications

1 publications found
Variant links:
Genes affected
ATP6AP1 (HGNC:868): (ATPase H+ transporting accessory protein 1) This gene encodes a component of a multisubunit enzyme that mediates acidification of eukaryotic intracellular organelles. Vacuolar ATPase (V-ATPase) is comprised of a cytosolic V1 (site of the ATP catalytic site) and a transmembrane V0 domain. V-ATPase dependent organelle acidification is necessary for such intracellular processes as protein sorting, zymogen activation, and receptor-mediated endocytosis. The encoded protein of this gene may assist in the V-ATPase-mediated acidification of neuroendocrine secretory granules. This protein may also play a role in early development. [provided by RefSeq, Aug 2013]
ATP6AP1-DT (HGNC:25138): (ATP6AP1 divergent transcript)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.052995026).
BS2
High Hemizygotes in GnomAdExome4 at 3 XL,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ATP6AP1NM_001183.6 linkc.13A>G p.Met5Val missense_variant Exon 1 of 10 ENST00000369762.7 NP_001174.2
ATP6AP1-DTNR_103768.1 linkn.-226T>C upstream_gene_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ATP6AP1ENST00000369762.7 linkc.13A>G p.Met5Val missense_variant Exon 1 of 10 1 NM_001183.6 ENSP00000358777.2 Q15904

Frequencies

GnomAD3 genomes
AF:
0.0000176
AC:
2
AN:
113647
Hom.:
0
Cov.:
25
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:
0.0000374
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000676
AC:
7
AN:
1035876
Hom.:
0
Cov.:
30
AF XY:
0.00000891
AC XY:
3
AN XY:
336590
show subpopulations
African (AFR)
AF:
0.0000441
AC:
1
AN:
22685
American (AMR)
AF:
0.0000736
AC:
2
AN:
27192
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18213
East Asian (EAS)
AF:
0.00
AC:
0
AN:
25380
South Asian (SAS)
AF:
0.00
AC:
0
AN:
49296
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
30063
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3996
European-Non Finnish (NFE)
AF:
0.00000491
AC:
4
AN:
815207
Other (OTH)
AF:
0.00
AC:
0
AN:
43844
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Hom
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000176
AC:
2
AN:
113647
Hom.:
0
Cov.:
25
AF XY:
0.0000279
AC XY:
1
AN XY:
35783
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31356
American (AMR)
AF:
0.00
AC:
0
AN:
10886
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2660
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3607
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2864
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6378
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
238
European-Non Finnish (NFE)
AF:
0.0000374
AC:
2
AN:
53434
Other (OTH)
AF:
0.00
AC:
0
AN:
1537
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000214
Hom.:
1
Bravo
AF:
0.00000756

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:1
Apr 01, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is present in population databases (no rsID available, gnomAD 0.009%). This sequence change replaces methionine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 5 of the ATP6AP1 protein (p.Met5Val). This variant has not been reported in the literature in individuals affected with ATP6AP1-related conditions. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Tolerated"; PolyPhen-2: "Not Available"; Align-GVGD: "Class C0"). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.057
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.69
CADD
Benign
2.5
DANN
Benign
0.74
DEOGEN2
Benign
0.037
T;T;T
FATHMM_MKL
Benign
0.29
N
LIST_S2
Benign
0.38
T;T;T
M_CAP
Benign
0.0038
T
MetaRNN
Benign
0.053
T;T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
0.0
N;.;.
PhyloP100
0.13
PrimateAI
Benign
0.44
T
PROVEAN
Benign
0.0
N;N;N
REVEL
Benign
0.018
Sift
Benign
0.45
T;T;T
Sift4G
Benign
0.50
T;T;T
Polyphen
0.0
B;.;.
Vest4
0.11
MutPred
0.34
Gain of catalytic residue at M5 (P = 0.0248);Gain of catalytic residue at M5 (P = 0.0248);Gain of catalytic residue at M5 (P = 0.0248);
MVP
0.15
MPC
0.27
ClinPred
0.029
T
GERP RS
1.7
PromoterAI
-0.15
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Varity_R
0.089
gMVP
0.26
Mutation Taster
=99/1
polymorphism

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

Other links and lift over

dbSNP: rs1188595076; hg19: chrX-153657051; COSMIC: COSV100645179; COSMIC: COSV100645179; API