rs143624519

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBS1_SupportingBS2

The NM_001377265.1(MAPT):​c.1630G>A​(p.Ala544Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00266 in 1,614,188 control chromosomes in the GnomAD database, including 11 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0018 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0028 ( 10 hom. )

Consequence

MAPT
NM_001377265.1 missense

Scores

4
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:1B:4

Conservation

PhyloP100: 1.70
Variant links:
Genes affected
MAPT (HGNC:6893): (microtubule associated protein tau) This gene encodes the microtubule-associated protein tau (MAPT) whose transcript undergoes complex, regulated alternative splicing, giving rise to several mRNA species. MAPT transcripts are differentially expressed in the nervous system, depending on stage of neuronal maturation and neuron type. MAPT gene mutations have been associated with several neurodegenerative disorders such as Alzheimer's disease, Pick's disease, frontotemporal dementia, cortico-basal degeneration and progressive supranuclear palsy. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009972304).
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00181 (276/152302) while in subpopulation NFE AF= 0.00304 (207/68022). AF 95% confidence interval is 0.0027. There are 1 homozygotes in gnomad4. There are 119 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAdExome4 at 10 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MAPTNM_001377265.1 linkc.1630G>A p.Ala544Thr missense_variant Exon 8 of 13 ENST00000262410.10 NP_001364194.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MAPTENST00000262410.10 linkc.1630G>A p.Ala544Thr missense_variant Exon 8 of 13 1 NM_001377265.1 ENSP00000262410.6 A0A7I2PJZ2

Frequencies

GnomAD3 genomes
AF:
0.00181
AC:
276
AN:
152184
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000700
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00144
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00145
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00304
Gnomad OTH
AF:
0.00383
GnomAD3 exomes
AF:
0.00151
AC:
380
AN:
251282
Hom.:
3
AF XY:
0.00154
AC XY:
209
AN XY:
135872
show subpopulations
Gnomad AFR exome
AF:
0.000246
Gnomad AMR exome
AF:
0.00173
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00118
Gnomad FIN exome
AF:
0.000185
Gnomad NFE exome
AF:
0.00230
Gnomad OTH exome
AF:
0.00244
GnomAD4 exome
AF:
0.00275
AC:
4025
AN:
1461886
Hom.:
10
Cov.:
32
AF XY:
0.00265
AC XY:
1927
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.000777
Gnomad4 AMR exome
AF:
0.00163
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.00101
Gnomad4 FIN exome
AF:
0.000225
Gnomad4 NFE exome
AF:
0.00325
Gnomad4 OTH exome
AF:
0.00343
GnomAD4 genome
AF:
0.00181
AC:
276
AN:
152302
Hom.:
1
Cov.:
32
AF XY:
0.00160
AC XY:
119
AN XY:
74464
show subpopulations
Gnomad4 AFR
AF:
0.000698
Gnomad4 AMR
AF:
0.00144
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00145
Gnomad4 FIN
AF:
0.000188
Gnomad4 NFE
AF:
0.00304
Gnomad4 OTH
AF:
0.00379
Alfa
AF:
0.00260
Hom.:
3
Bravo
AF:
0.00179
TwinsUK
AF:
0.00243
AC:
9
ALSPAC
AF:
0.00441
AC:
17
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00267
AC:
23
ExAC
AF:
0.00133
AC:
162
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00278
EpiControl
AF:
0.00207

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:1Uncertain:1Benign:4
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Pathogenic:1Benign:2
Mar 29, 2024
Athena Diagnostics
Significance: Likely risk allele
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant has been reported to cause an increased risk of developing clinical features associated with this gene. This variant is statistically more frequent in individuals affected with frontotemporal dementia (FTD) and Alzheimer disease (AD) than in the general population and/or healthy controls (PMID: 22556362), even though its frequency in the general population is higher than would generally be expected for pathogenic variants in this gene (Genome Aggregation Database (gnomAD), Cambridge, MA (URL: http://gnomad.broadinstitute.org)) It has been reported in multiple studies that Ala152Thr is associated with a wide range of diagnoses, including frontotemporal dementia (FTD), Alzheimer's disease (AD), Parkinsonism, progressive supranuclear palsy (PSP), and others. Assessment of experimental evidence suggests this variant results in abnormal protein function. (PMID: 26916334, 26931567, 26931569, 30590647, 28334843) -

Mar 27, 2019
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 26916334, 29525180, 27594585, 28594853, 28334843, 23518664, 24319659, 26931569, 27776828, 26333800, 21176711, 23692670, 22312439, 23990795, 22595371, 22556362, 22906081, 30279455) -

Feb 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

MAPT: BP4, BS2 -

Frontotemporal dementia Uncertain:1
Jan 29, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This sequence change replaces alanine, which is neutral and non-polar, with threonine, which is neutral and polar, at codon 152 of the MAPT protein (p.Ala152Thr). This variant is present in population databases (rs143624519, gnomAD 0.2%), including at least one homozygous and/or hemizygous individual. This missense change has been observed in individual(s) with Parkinson disease, frontotemporal dementia (FTD), or Alzheimer disease (AD), however this variant has also been reported in control populations. A single study found that this variant increases the risk for both FTD (OR =3.0, CI: 1.6–5.6, P= 0.0005) and AD (OR=2.3, CI: 1.3–4.2, P=0.004), but this result has not been independently replicated (PMID: 21176711, 22312439, 22556362, 22595371, 22906081, 23518664, 26333800, 33612544). It has also been observed to segregate with disease in related individuals. This variant is also known as NM_016835.4:c.1405G>A p.(Ala469Thr). ClinVar contains an entry for this variant (Variation ID: 323645). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is not expected to disrupt MAPT protein function with a negative predictive value of 80%. Experimental studies have shown that this missense change affects MAPT function (PMID: 22556362, 26931567, 28334843). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

not specified Benign:1
Mar 26, 2024
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

MAPT-Related Spectrum Disorders 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). 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.077
BayesDel_addAF
Benign
-0.52
T
BayesDel_noAF
Benign
-0.51
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.45
T;.;.;.;.;.;.;.;.;T;.;.
Eigen
Benign
-0.25
Eigen_PC
Benign
-0.13
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Uncertain
0.86
D;D;D;D;D;D;D;.;.;.;.;.
M_CAP
Benign
0.0075
T
MetaRNN
Benign
0.010
T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.1
L;.;L;.;.;.;.;.;L;L;.;.
PrimateAI
Benign
0.48
T
PROVEAN
Benign
-1.9
N;N;N;N;N;N;N;N;N;.;.;.
REVEL
Benign
0.016
Sift
Benign
0.040
D;D;D;D;D;D;D;D;D;.;.;.
Sift4G
Benign
0.15
T;T;D;T;T;T;T;T;D;T;T;T
Polyphen
0.70
P;B;B;.;P;B;B;P;B;P;B;.
Vest4
0.11
MVP
0.63
MPC
0.21
ClinPred
0.058
T
GERP RS
3.1
Varity_R
0.057
gMVP
0.27

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: rs143624519; hg19: chr17-44068850; COSMIC: COSV105865288; COSMIC: COSV105865288; API