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rs11542032

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM1PM2

The NM_000041.4(APOE):c.565G>A(p.Glu189Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000132 in 1,520,730 control chromosomes in the GnomAD database, with no homozygous occurrence. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 7.3e-7 ( 0 hom. )

Consequence

APOE
NM_000041.4 missense

Scores

2
11
6

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 2.85
Variant links:
Genes affected
APOE (HGNC:613): (apolipoprotein E) The protein encoded by this gene is a major apoprotein of the chylomicron. It binds to a specific liver and peripheral cell receptor, and is essential for the normal catabolism of triglyceride-rich lipoprotein constituents. This gene maps to chromosome 19 in a cluster with the related apolipoprotein C1 and C2 genes. Mutations in this gene result in familial dysbetalipoproteinemia, or type III hyperlipoproteinemia (HLP III), in which increased plasma cholesterol and triglycerides are the consequence of impaired clearance of chylomicron and VLDL remnants. [provided by RefSeq, Jun 2016]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM1
In a region_of_interest 8 X 22 AA approximate tandem repeats (size 175) in uniprot entity APOE_HUMAN there are 20 pathogenic changes around while only 7 benign (74%) in NM_000041.4
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
APOENM_000041.4 linkuse as main transcriptc.565G>A p.Glu189Lys missense_variant 4/4 ENST00000252486.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
APOEENST00000252486.9 linkuse as main transcriptc.565G>A p.Glu189Lys missense_variant 4/41 NM_000041.4 P1
APOEENST00000425718.1 linkuse as main transcriptc.565G>A p.Glu189Lys missense_variant 3/31
APOEENST00000434152.5 linkuse as main transcriptc.643G>A p.Glu215Lys missense_variant 4/42
APOEENST00000446996.5 linkuse as main transcriptc.565G>A p.Glu189Lys missense_variant 4/42

Frequencies

GnomAD3 genomes
AF:
0.00000658
AC:
1
AN:
151908
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
7.31e-7
AC:
1
AN:
1368822
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
675242
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:
9.33e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000658
AC:
1
AN:
151908
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74220
show subpopulations
Gnomad4 AFR
AF:
0.00
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:
0.0000147
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000378

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.24
BayesDel_addAF
Uncertain
0.033
T
BayesDel_noAF
Benign
-0.19
Cadd
Uncertain
25
Dann
Pathogenic
1.0
DEOGEN2
Benign
0.19
T;T;.;.
Eigen
Uncertain
0.65
Eigen_PC
Uncertain
0.58
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Uncertain
0.90
D;D;D;D
M_CAP
Pathogenic
0.71
D
MetaRNN
Uncertain
0.74
D;D;D;D
MetaSVM
Uncertain
0.17
D
MutationAssessor
Uncertain
2.3
M;.;.;.
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.78
T
PROVEAN
Benign
-1.7
N;N;.;N
REVEL
Uncertain
0.51
Sift
Uncertain
0.019
D;D;.;D
Sift4G
Benign
0.075
T;T;T;T
Polyphen
1.0
D;.;.;.
Vest4
0.38
MutPred
0.66
Gain of MoRF binding (P = 0.0057);Gain of MoRF binding (P = 0.0057);.;Gain of MoRF binding (P = 0.0057);
MVP
0.92
MPC
1.7
ClinPred
0.98
D
GERP RS
5.1
Varity_R
0.27
gMVP
0.64

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: rs11542032; hg19: chr19-45412118; API