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GeneBe

rs1048988

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001632.5(ALPP):c.692G>A(p.Arg231His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000499 in 1,604,640 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R231P) has been classified as Benign.

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000034 ( 0 hom. )

Consequence

ALPP
NM_001632.5 missense

Scores

6
13

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 2.94
Variant links:
Genes affected
ALPP (HGNC:439): (alkaline phosphatase, placental) The protein encoded by this gene is an alkaline phosphatase, a metalloenzyme that catalyzes the hydrolysis of phosphoric acid monoesters. It belongs to a multigene family composed of four alkaline phosphatase isoenzymes. The enzyme functions as a homodimer and has a catalytic site containing one magnesium and two zinc ions, which are required for its enzymatic function. One of the main sources of this enzyme is the liver, and thus, it's one of several indicators of liver injury in different clinical conditions. In pregnant women, this protein is primarily expressed in placental and endometrial tissue, however, strong ectopic expression has been detected in ovarian adenocarcinoma, serous cystadenocarcinoma, and other ovarian cancer cells. [provided by RefSeq, Aug 2020]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.26054633).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ALPPNM_001632.5 linkuse as main transcriptc.692G>A p.Arg231His missense_variant 6/11 ENST00000392027.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ALPPENST00000392027.3 linkuse as main transcriptc.692G>A p.Arg231His missense_variant 6/111 NM_001632.5 P1
ENST00000441266.5 linkuse as main transcriptn.358-462C>T intron_variant, non_coding_transcript_variant 3
ENST00000439072.1 linkuse as main transcriptn.158-263C>T intron_variant, non_coding_transcript_variant 5

Frequencies

GnomAD3 genomes
AF:
0.0000203
AC:
3
AN:
147706
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000777
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
GnomAD3 exomes
AF:
0.00000808
AC:
2
AN:
247496
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
133930
show subpopulations
Gnomad AFR exome
AF:
0.000130
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:
0.00
GnomAD4 exome
AF:
0.00000343
AC:
5
AN:
1456934
Hom.:
0
Cov.:
109
AF XY:
0.00000276
AC XY:
2
AN XY:
724920
show subpopulations
Gnomad4 AFR exome
AF:
0.0000910
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:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000203
AC:
3
AN:
147706
Hom.:
0
Cov.:
33
AF XY:
0.0000139
AC XY:
1
AN XY:
72098
show subpopulations
Gnomad4 AFR
AF:
0.0000777
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:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000264

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.22
Cadd
Benign
15
Dann
Benign
0.96
DEOGEN2
Uncertain
0.43
T
Eigen
Benign
-0.72
Eigen_PC
Benign
-0.78
FATHMM_MKL
Uncertain
0.78
D
LIST_S2
Uncertain
0.89
D
M_CAP
Benign
0.036
D
MetaRNN
Benign
0.26
T
MetaSVM
Uncertain
0.14
D
MutationAssessor
Benign
0.17
N
MutationTaster
Benign
0.98
P
PrimateAI
Benign
0.37
T
PROVEAN
Benign
-0.13
N
REVEL
Uncertain
0.37
Sift
Benign
0.039
D
Sift4G
Uncertain
0.041
D
Polyphen
0.93
P
Vest4
0.17
MutPred
0.58
Gain of methylation at K227 (P = 0.0873);
MVP
0.92
MPC
1.0
ClinPred
0.14
T
GERP RS
0.32
Varity_R
0.10
gMVP
0.79

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: rs1048988; hg19: chr2-233244930; API