rs115371819

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_006208.3(ENPP1):​c.2002G>A​(p.Glu668Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0026 in 1,613,632 control chromosomes in the GnomAD database, including 94 homozygotes. 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 Likely benign (★★).

Frequency

Genomes: 𝑓 0.014 ( 53 hom., cov: 32)
Exomes 𝑓: 0.0014 ( 41 hom. )

Consequence

ENPP1
NM_006208.3 missense

Scores

18

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7O:1

Conservation

PhyloP100: 1.77
Variant links:
Genes affected
ENPP1 (HGNC:3356): (ectonucleotide pyrophosphatase/phosphodiesterase 1) This gene is a member of the ecto-nucleotide pyrophosphatase/phosphodiesterase (ENPP) family. The encoded protein is a type II transmembrane glycoprotein comprising two identical disulfide-bonded subunits. This protein has broad specificity and cleaves a variety of substrates, including phosphodiester bonds of nucleotides and nucleotide sugars and pyrophosphate bonds of nucleotides and nucleotide sugars. This protein may function to hydrolyze nucleoside 5' triphosphates to their corresponding monophosphates and may also hydrolyze diadenosine polyphosphates. Mutations in this gene have been associated with 'idiopathic' infantile arterial calcification, ossification of the posterior longitudinal ligament of the spine (OPLL), and insulin resistance. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0022817552).
BP6
Variant 6-131879936-G-A is Benign according to our data. Variant chr6-131879936-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 161094.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-131879936-G-A is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0139 (2108/152186) while in subpopulation AFR AF= 0.0485 (2015/41518). AF 95% confidence interval is 0.0468. There are 53 homozygotes in gnomad4. There are 993 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 53 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ENPP1NM_006208.3 linkc.2002G>A p.Glu668Lys missense_variant Exon 20 of 25 ENST00000647893.1 NP_006199.2 P22413

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ENPP1ENST00000647893.1 linkc.2002G>A p.Glu668Lys missense_variant Exon 20 of 25 NM_006208.3 ENSP00000498074.1 P22413

Frequencies

GnomAD3 genomes
AF:
0.0138
AC:
2102
AN:
152068
Hom.:
52
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0485
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00407
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:
0.000176
Gnomad OTH
AF:
0.00909
GnomAD3 exomes
AF:
0.00344
AC:
865
AN:
251352
Hom.:
13
AF XY:
0.00254
AC XY:
345
AN XY:
135820
show subpopulations
Gnomad AFR exome
AF:
0.0488
Gnomad AMR exome
AF:
0.00165
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000440
Gnomad OTH exome
AF:
0.00114
GnomAD4 exome
AF:
0.00143
AC:
2094
AN:
1461446
Hom.:
41
Cov.:
30
AF XY:
0.00125
AC XY:
906
AN XY:
727070
show subpopulations
Gnomad4 AFR exome
AF:
0.0510
Gnomad4 AMR exome
AF:
0.00210
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000580
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000122
Gnomad4 OTH exome
AF:
0.00245
GnomAD4 genome
AF:
0.0139
AC:
2108
AN:
152186
Hom.:
53
Cov.:
32
AF XY:
0.0133
AC XY:
993
AN XY:
74424
show subpopulations
Gnomad4 AFR
AF:
0.0485
Gnomad4 AMR
AF:
0.00406
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000176
Gnomad4 OTH
AF:
0.00900
Alfa
AF:
0.00241
Hom.:
13
Bravo
AF:
0.0149
ESP6500AA
AF:
0.0422
AC:
186
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.00432
AC:
525
Asia WGS
AF:
0.00202
AC:
7
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.000178

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Jan 30, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Apr 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

ENPP1: BP4, BS1, BS2 -

Apr 16, 2019
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 27467858, 12881724, 21228398, 20981092) -

Arterial calcification, generalized, of infancy, 1 Benign:1Other:1
Apr 27, 2017
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). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

-
GeneReviews
Significance: not provided
Review Status: no classification provided
Collection Method: literature only

- -

not specified Benign:1
Jun 28, 2018
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Hypophosphatemic rickets, autosomal recessive, 2 Benign:1
Apr 27, 2017
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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.060
BayesDel_addAF
Benign
-0.62
T
BayesDel_noAF
Benign
-0.62
CADD
Benign
3.3
DANN
Benign
0.40
DEOGEN2
Benign
0.27
T;T
Eigen
Benign
-1.1
Eigen_PC
Benign
-0.90
FATHMM_MKL
Benign
0.022
N
LIST_S2
Benign
0.14
.;T
MetaRNN
Benign
0.0023
T;T
MetaSVM
Benign
-0.98
T
MutationAssessor
Benign
-0.77
N;N
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-0.15
N;.
REVEL
Benign
0.095
Sift
Benign
0.48
T;.
Sift4G
Benign
0.84
T;.
Polyphen
0.0
B;B
Vest4
0.12
MVP
0.54
MPC
0.23
ClinPred
0.0026
T
GERP RS
4.4
Varity_R
0.019
gMVP
0.44

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs115371819; hg19: chr6-132201076; COSMIC: COSV62934452; COSMIC: COSV62934452; API