rs1042023

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_000384.3(APOB):​c.10294C>G​(p.Gln3432Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00922 in 1,614,016 control chromosomes in the GnomAD database, including 93 homozygotes. In-silico tool predicts a benign outcome for this variant. 11/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely benign in UniProt.

Frequency

Genomes: 𝑓 0.0067 ( 2 hom., cov: 33)
Exomes 𝑓: 0.0095 ( 91 hom. )

Consequence

APOB
NM_000384.3 missense

Scores

6
9

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:16

Conservation

PhyloP100: 2.30
Variant links:
Genes affected
APOB (HGNC:603): (apolipoprotein B) This gene product is the main apolipoprotein of chylomicrons and low density lipoproteins (LDL), and is the ligand for the LDL receptor. It occurs in plasma as two main isoforms, apoB-48 and apoB-100: the former is synthesized exclusively in the gut and the latter in the liver. The intestinal and the hepatic forms of apoB are encoded by a single gene from a single, very long mRNA. The two isoforms share a common N-terminal sequence. The shorter apoB-48 protein is produced after RNA editing of the apoB-100 transcript at residue 2180 (CAA->UAA), resulting in the creation of a stop codon, and early translation termination. Mutations in this gene or its regulatory region cause hypobetalipoproteinemia, normotriglyceridemic hypobetalipoproteinemia, and hypercholesterolemia due to ligand-defective apoB, diseases affecting plasma cholesterol and apoB levels. [provided by RefSeq, Dec 2019]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.006468892).
BP6
Variant 2-21006574-G-C is Benign according to our data. Variant chr2-21006574-G-C is described in ClinVar as [Likely_benign]. Clinvar id is 180279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-21006574-G-C is described in Lovd as [Benign]. Variant chr2-21006574-G-C is described in Lovd as [Likely_benign].
BS2
High Homozygotes in GnomAd4 at 2 SD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
APOBNM_000384.3 linkc.10294C>G p.Gln3432Glu missense_variant Exon 26 of 29 ENST00000233242.5 NP_000375.3 P04114Q7Z7Q0Q59HB3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
APOBENST00000233242.5 linkc.10294C>G p.Gln3432Glu missense_variant Exon 26 of 29 1 NM_000384.3 ENSP00000233242.1 P04114

Frequencies

GnomAD3 genomes
AF:
0.00665
AC:
1012
AN:
152136
Hom.:
2
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00195
Gnomad AMI
AF:
0.00219
Gnomad AMR
AF:
0.00485
Gnomad ASJ
AF:
0.00144
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00269
Gnomad FIN
AF:
0.00933
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0106
Gnomad OTH
AF:
0.00574
GnomAD3 exomes
AF:
0.00723
AC:
1816
AN:
251196
Hom.:
10
AF XY:
0.00725
AC XY:
984
AN XY:
135766
show subpopulations
Gnomad AFR exome
AF:
0.00185
Gnomad AMR exome
AF:
0.00474
Gnomad ASJ exome
AF:
0.00139
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00127
Gnomad FIN exome
AF:
0.00994
Gnomad NFE exome
AF:
0.0114
Gnomad OTH exome
AF:
0.0104
GnomAD4 exome
AF:
0.00948
AC:
13861
AN:
1461762
Hom.:
91
Cov.:
36
AF XY:
0.00916
AC XY:
6660
AN XY:
727186
show subpopulations
Gnomad4 AFR exome
AF:
0.00114
Gnomad4 AMR exome
AF:
0.00483
Gnomad4 ASJ exome
AF:
0.00126
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00172
Gnomad4 FIN exome
AF:
0.00992
Gnomad4 NFE exome
AF:
0.0111
Gnomad4 OTH exome
AF:
0.00871
GnomAD4 genome
AF:
0.00665
AC:
1013
AN:
152254
Hom.:
2
Cov.:
33
AF XY:
0.00608
AC XY:
453
AN XY:
74452
show subpopulations
Gnomad4 AFR
AF:
0.00195
Gnomad4 AMR
AF:
0.00484
Gnomad4 ASJ
AF:
0.00144
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00269
Gnomad4 FIN
AF:
0.00933
Gnomad4 NFE
AF:
0.0106
Gnomad4 OTH
AF:
0.00616
Alfa
AF:
0.00945
Hom.:
6
Bravo
AF:
0.00624
TwinsUK
AF:
0.00971
AC:
36
ALSPAC
AF:
0.00830
AC:
32
ESP6500AA
AF:
0.00295
AC:
13
ESP6500EA
AF:
0.0116
AC:
100
ExAC
AF:
0.00759
AC:
921
Asia WGS
AF:
0.00144
AC:
5
AN:
3478
EpiCase
AF:
0.00938
EpiControl
AF:
0.00948

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:16
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:6
Sep 23, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Aug 22, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Mar 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

APOB: BP4, BS1, BS2 -

Jun 05, 2023
Quest Diagnostics Nichols Institute San Juan Capistrano
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Hypercholesterolemia, familial, 1 Benign:5
Dec 02, 2014
Blueprint Genetics
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Mar 01, 2016
Laboratory of Genetics and Molecular Cardiology, University of São Paulo
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: research

- -

Jan 02, 2018
Robarts Research Institute, Western University
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jun 27, 2017
Color Diagnostics, LLC DBA Color Health
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Mar 01, 2016
Fundacion Hipercolesterolemia Familiar
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: research

- -

not specified Benign:2
Nov 25, 2016
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

-
Clinical Genetics, Academic Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Hypercholesterolemia, autosomal dominant, type B;C4551990:Familial hypobetalipoproteinemia 1 Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Hypercholesterolemia, autosomal dominant, type B Benign:1
Jan 29, 2018
Illumina Laboratory Services, Illumina
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Cardiovascular phenotype Benign:1
Jan 04, 2016
Ambry Genetics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.073
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
17
DANN
Uncertain
1.0
Eigen
Uncertain
0.45
Eigen_PC
Uncertain
0.50
FATHMM_MKL
Uncertain
0.80
D
MetaRNN
Benign
0.0065
T
MetaSVM
Benign
-0.32
T
PrimateAI
Benign
0.28
T
PROVEAN
Benign
-0.98
N
REVEL
Uncertain
0.31
Sift
Benign
0.042
D
Sift4G
Uncertain
0.031
D
Vest4
0.16
MVP
0.84
MPC
0.049
ClinPred
0.021
T
GERP RS
5.7
gMVP
0.31

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: rs1042023; hg19: chr2-21229446; COSMIC: COSV99028656; API