rs11542035

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM1PP5

The NM_000041.4(APOE):​c.410G>A​(p.Arg137His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000135 in 1,559,738 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in Lovd as Pathogenic (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R137G) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000033 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000011 ( 0 hom. )

Consequence

APOE
NM_000041.4 missense

Scores

5
14

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.346
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 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 8 benign (71%) in NM_000041.4
PP5
Variant 19-44908706-G-A is Pathogenic according to our data. Variant chr19-44908706-G-A is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
APOENM_000041.4 linkuse as main transcriptc.410G>A p.Arg137His missense_variant 4/4 ENST00000252486.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
APOEENST00000252486.9 linkuse as main transcriptc.410G>A p.Arg137His missense_variant 4/41 NM_000041.4 P1
APOEENST00000425718.1 linkuse as main transcriptc.410G>A p.Arg137His missense_variant 3/31
APOEENST00000434152.5 linkuse as main transcriptc.488G>A p.Arg163His missense_variant 4/42
APOEENST00000446996.5 linkuse as main transcriptc.410G>A p.Arg137His missense_variant 4/42

Frequencies

GnomAD3 genomes
AF:
0.0000329
AC:
5
AN:
152112
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
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:
0.0000588
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000191
AC:
3
AN:
157026
Hom.:
0
AF XY:
0.0000235
AC XY:
2
AN XY:
85274
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:
0.0000492
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000114
AC:
16
AN:
1407626
Hom.:
0
Cov.:
33
AF XY:
0.0000115
AC XY:
8
AN XY:
695500
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:
0.0000148
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000329
AC:
5
AN:
152112
Hom.:
0
Cov.:
32
AF XY:
0.0000404
AC XY:
3
AN XY:
74304
show subpopulations
Gnomad4 AFR
AF:
0.0000241
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:
0.0000588
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000453
Hom.:
0
Bravo
AF:
0.0000227

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Benign
-0.25
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.24
T;T;.;.
Eigen
Benign
-0.14
Eigen_PC
Benign
-0.22
FATHMM_MKL
Benign
0.14
N
LIST_S2
Benign
0.81
T;T;T;T
M_CAP
Uncertain
0.098
D
MetaRNN
Uncertain
0.74
D;D;D;D
MetaSVM
Benign
-0.77
T
MutationAssessor
Uncertain
2.3
M;.;.;.
MutationTaster
Benign
0.99
N
PrimateAI
Benign
0.37
T
PROVEAN
Benign
-0.96
N;N;.;N
REVEL
Uncertain
0.37
Sift
Benign
0.19
T;T;.;T
Sift4G
Benign
0.16
T;T;T;T
Polyphen
0.89
P;.;.;.
Vest4
0.11
MutPred
0.84
Loss of disorder (P = 0.0578);Loss of disorder (P = 0.0578);.;Loss of disorder (P = 0.0578);
MVP
0.88
MPC
1.4
ClinPred
0.60
D
GERP RS
1.3
RBP_binding_hub_radar
1.1
RBP_regulation_power_radar
2.2
Varity_R
0.21
gMVP
0.65

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: rs11542035; hg19: chr19-45411963; COSMIC: COSV52986746; COSMIC: COSV52986746; API