chrX-154428774-G-A

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001183.6(ATP6AP1):​c.82G>A​(p.Val28Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000177 in 1,132,786 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. V28V) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0000089 ( 0 hom., 0 hem., cov: 24)
Exomes 𝑓: 9.8e-7 ( 0 hom. 0 hem. )

Consequence

ATP6AP1
NM_001183.6 missense

Scores

2
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.889

Publications

0 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: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.12551254).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ATP6AP1NM_001183.6 linkc.82G>A p.Val28Met missense_variant Exon 1 of 10 ENST00000369762.7 NP_001174.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ATP6AP1ENST00000369762.7 linkc.82G>A p.Val28Met missense_variant Exon 1 of 10 1 NM_001183.6 ENSP00000358777.2 Q15904

Frequencies

GnomAD3 genomes
AF:
0.00000895
AC:
1
AN:
111770
Hom.:
0
Cov.:
24
show subpopulations
Gnomad AFR
AF:
0.0000337
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
70215
AF XY:
0.00
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS 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:
9.79e-7
AC:
1
AN:
1021016
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
330188
show subpopulations
African (AFR)
AF:
0.0000468
AC:
1
AN:
21376
American (AMR)
AF:
0.00
AC:
0
AN:
23752
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
17417
East Asian (EAS)
AF:
0.00
AC:
0
AN:
24337
South Asian (SAS)
AF:
0.00
AC:
0
AN:
47462
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
29625
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3794
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
810120
Other (OTH)
AF:
0.00
AC:
0
AN:
43133
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
GnomAD4 genome
AF:
0.00000895
AC:
1
AN:
111770
Hom.:
0
Cov.:
24
AF XY:
0.00
AC XY:
0
AN XY:
34052
show subpopulations
African (AFR)
AF:
0.0000337
AC:
1
AN:
29661
American (AMR)
AF:
0.00
AC:
0
AN:
10812
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2658
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3597
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2856
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6352
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
237
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53384
Other (OTH)
AF:
0.00
AC:
0
AN:
1526
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000227

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Oct 03, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces valine, which is neutral and non-polar, with methionine, which is neutral and non-polar, at codon 28 of the ATP6AP1 protein (p.Val28Met). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with ATP6AP1-related conditions. Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is not expected to disrupt ATP6AP1 protein function with a negative predictive value of 80%. 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.56
CADD
Benign
9.1
DANN
Benign
0.97
DEOGEN2
Benign
0.047
T;T;T
FATHMM_MKL
Benign
0.75
D
LIST_S2
Benign
0.46
T;T;T
M_CAP
Benign
0.0020
T
MetaRNN
Benign
0.13
T;T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
1.1
L;.;.
PhyloP100
0.89
PrimateAI
Uncertain
0.76
T
PROVEAN
Benign
-0.30
N;N;N
REVEL
Benign
0.031
Sift
Uncertain
0.018
D;D;D
Sift4G
Benign
0.093
T;T;D
Polyphen
0.23
B;.;.
Vest4
0.32
MutPred
0.32
Loss of helix (P = 0.0558);Loss of helix (P = 0.0558);Loss of helix (P = 0.0558);
MVP
0.21
MPC
0.29
ClinPred
0.075
T
GERP RS
1.1
PromoterAI
-0.015
Neutral
RBP_binding_hub_radar
0.92
RBP_regulation_power_radar
2.7
Varity_R
0.044
gMVP
0.13
Mutation Taster
=95/5
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs1319932209; hg19: chrX-153657120; API