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rs140990611

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP4_StrongBP6BS1BS2_Supporting

The NM_001171613.2(PREPL):​c.940A>T​(p.Asn314Tyr) variant causes a missense change. The variant allele was found at a frequency of 0.000331 in 1,613,976 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0017 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00019 ( 2 hom. )

Consequence

PREPL
NM_001171613.2 missense

Scores

7
10

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: 3.60
Variant links:
Genes affected
PREPL (HGNC:30228): (prolyl endopeptidase like) The protein encoded by this gene belongs to the prolyl oligopeptidase subfamily of serine peptidases. Mutations in this gene have been associated with hypotonia-cystinuria syndrome, also known as the 2p21 deletion syndrome. Several alternatively spliced transcript variants encoding either the same or different isoforms have been described for this gene.[provided by RefSeq, Jan 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.012288243).
BP6
Variant 2-44332605-T-A is Benign according to our data. Variant chr2-44332605-T-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 436416.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1}.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0017 (259/152306) while in subpopulation AFR AF= 0.00585 (243/41560). AF 95% confidence interval is 0.00524. There are 0 homozygotes in gnomad4. There are 133 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 2 AR geneVariant has number of homozygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PREPLNM_001171613.2 linkuse as main transcriptc.940A>T p.Asn314Tyr missense_variant 8/14 ENST00000409411.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PREPLENST00000409411.6 linkuse as main transcriptc.940A>T p.Asn314Tyr missense_variant 8/141 NM_001171613.2 P4Q4J6C6-4

Frequencies

GnomAD3 genomes
AF:
0.00171
AC:
260
AN:
152188
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00589
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000589
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:
0.0000294
Gnomad OTH
AF:
0.00239
GnomAD3 exomes
AF:
0.000462
AC:
116
AN:
251316
Hom.:
1
AF XY:
0.000331
AC XY:
45
AN XY:
135832
show subpopulations
Gnomad AFR exome
AF:
0.00603
Gnomad AMR exome
AF:
0.000347
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.0000176
Gnomad OTH exome
AF:
0.000489
GnomAD4 exome
AF:
0.000188
AC:
275
AN:
1461670
Hom.:
2
Cov.:
30
AF XY:
0.000169
AC XY:
123
AN XY:
727170
show subpopulations
Gnomad4 AFR exome
AF:
0.00583
Gnomad4 AMR exome
AF:
0.000313
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.000131
Gnomad4 NFE exome
AF:
0.0000297
Gnomad4 OTH exome
AF:
0.000381
GnomAD4 genome
AF:
0.00170
AC:
259
AN:
152306
Hom.:
0
Cov.:
32
AF XY:
0.00179
AC XY:
133
AN XY:
74488
show subpopulations
Gnomad4 AFR
AF:
0.00585
Gnomad4 AMR
AF:
0.000588
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00236
Alfa
AF:
0.000692
Hom.:
0
Bravo
AF:
0.00194
ESP6500AA
AF:
0.00658
AC:
29
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000568
AC:
69
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoApr 13, 2016- -
Myasthenic syndrome, congenital, 22 Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeNov 22, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.084
BayesDel_addAF
Benign
-0.43
T
BayesDel_noAF
Benign
-0.39
CADD
Uncertain
25
DANN
Uncertain
0.99
Eigen
Uncertain
0.33
Eigen_PC
Uncertain
0.41
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.81
T;.;.;.;.;.;T;T
M_CAP
Benign
0.019
T
MetaRNN
Benign
0.012
T;T;T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
1.0
D;N;N;N;N;N;N;N;N
PrimateAI
Uncertain
0.60
T
PROVEAN
Benign
-0.98
N;N;N;N;N;N;N;N
REVEL
Benign
0.15
Sift
Uncertain
0.024
D;D;D;D;D;D;D;T
Sift4G
Uncertain
0.012
D;D;D;D;D;D;D;D
Polyphen
0.98, 0.98
.;.;.;D;D;D;D;D
Vest4
0.61
MVP
0.63
MPC
0.014
ClinPred
0.040
T
GERP RS
4.7
Varity_R
0.091
gMVP
0.54

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: rs140990611; hg19: chr2-44559744; API