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GeneBe

chrX-55000558-C-T

Variant summary

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

The NM_014481.4(APEX2):​c.136C>T​(p.Leu46Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000133 in 1,205,646 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 6 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 0.000080 ( 0 hom., 4 hem., cov: 23)
Exomes 𝑓: 0.0000064 ( 0 hom. 2 hem. )

Consequence

APEX2
NM_014481.4 missense

Scores

5
12

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.520
Variant links:
Genes affected
APEX2 (HGNC:17889): (apurinic/apyrimidinic endodeoxyribonuclease 2) Apurinic/apyrimidinic (AP) sites occur frequently in DNA molecules by spontaneous hydrolysis, by DNA damaging agents or by DNA glycosylases that remove specific abnormal bases. AP sites are pre-mutagenic lesions that can prevent normal DNA replication so the cell contains systems to identify and repair such sites. Class II AP endonucleases cleave the phosphodiester backbone 5' to the AP site. This gene encodes a protein shown to have a weak class II AP endonuclease activity. Most of the encoded protein is located in the nucleus but some is also present in mitochondria. This protein may play an important role in both nuclear and mitochondrial base excision repair. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Nov 2012]

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=0.2896376).
BS2
High Hemizygotes in GnomAd4 at 4 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
APEX2NM_014481.4 linkuse as main transcriptc.136C>T p.Leu46Phe missense_variant 1/6 ENST00000374987.4
APEX2NM_001271748.2 linkuse as main transcriptc.-197C>T 5_prime_UTR_variant 1/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
APEX2ENST00000374987.4 linkuse as main transcriptc.136C>T p.Leu46Phe missense_variant 1/61 NM_014481.4 P1
APEX2ENST00000471758.1 linkuse as main transcriptn.166C>T non_coding_transcript_exon_variant 1/52

Frequencies

GnomAD3 genomes
AF:
0.0000802
AC:
9
AN:
112193
Hom.:
0
Cov.:
23
AF XY:
0.000116
AC XY:
4
AN XY:
34343
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000840
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
GnomAD3 exomes
AF:
0.00000575
AC:
1
AN:
173768
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
58834
show subpopulations
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 SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000235
GnomAD4 exome
AF:
0.00000640
AC:
7
AN:
1093453
Hom.:
0
Cov.:
30
AF XY:
0.00000557
AC XY:
2
AN XY:
359127
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:
0.00000119
Gnomad4 OTH exome
AF:
0.000109
GnomAD4 genome
AF:
0.0000802
AC:
9
AN:
112193
Hom.:
0
Cov.:
23
AF XY:
0.000116
AC XY:
4
AN XY:
34343
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000840
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.000178

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.059
BayesDel_addAF
Benign
-0.00065
T
BayesDel_noAF
Benign
-0.24
CADD
Benign
18
DANN
Uncertain
0.98
DEOGEN2
Benign
0.35
T
FATHMM_MKL
Uncertain
0.79
D
LIST_S2
Uncertain
0.87
D
M_CAP
Benign
0.041
D
MetaRNN
Benign
0.29
T
MetaSVM
Benign
-0.53
T
MutationAssessor
Benign
1.5
L
MutationTaster
Benign
0.78
D
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
-0.86
N
REVEL
Uncertain
0.37
Sift
Benign
0.25
T
Sift4G
Benign
0.43
T
Polyphen
0.059
B
Vest4
0.27
MutPred
0.73
Gain of methylation at K50 (P = 0.0989);
MVP
0.86
MPC
0.19
ClinPred
0.13
T
GERP RS
1.6
Varity_R
0.12
gMVP
0.71

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: rs935798554; hg19: chrX-55026991; API