rs201177082

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS1

The NM_020376.4(PNPLA2):​c.1406C>T​(p.Pro469Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000978 in 1,564,634 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 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 0.00059 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000045 ( 0 hom. )

Consequence

PNPLA2
NM_020376.4 missense

Scores

2
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:1

Conservation

PhyloP100: 0.250

Publications

0 publications found
Variant links:
Genes affected
PNPLA2 (HGNC:30802): (patatin like phospholipase domain containing 2) This gene encodes an enzyme which catalyzes the first step in the hydrolysis of triglycerides in adipose tissue. Mutations in this gene are associated with neutral lipid storage disease with myopathy. [provided by RefSeq, Jul 2010]
PNPLA2 Gene-Disease associations (from GenCC):
  • neutral lipid storage myopathy
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, ClinGen, G2P, Labcorp Genetics (formerly Invitae), Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008915156).
BP6
Variant 11-824753-C-T is Benign according to our data. Variant chr11-824753-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 534196.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.000591 (90/152308) while in subpopulation AFR AF = 0.00209 (87/41580). AF 95% confidence interval is 0.00174. There are 0 homozygotes in GnomAd4. There are 40 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_020376.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PNPLA2
NM_020376.4
MANE Select
c.1406C>Tp.Pro469Leu
missense
Exon 10 of 10NP_065109.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PNPLA2
ENST00000336615.9
TSL:1 MANE Select
c.1406C>Tp.Pro469Leu
missense
Exon 10 of 10ENSP00000337701.4
PNPLA2
ENST00000529255.1
TSL:1
n.836C>T
non_coding_transcript_exon
Exon 4 of 4
PNPLA2
ENST00000869283.1
c.1790C>Tp.Pro597Leu
missense
Exon 11 of 11ENSP00000539342.1

Frequencies

GnomAD3 genomes
AF:
0.000591
AC:
90
AN:
152198
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00210
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
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:
0.00
Gnomad OTH
AF:
0.000955
GnomAD2 exomes
AF:
0.000101
AC:
17
AN:
167948
AF XY:
0.000107
show subpopulations
Gnomad AFR exome
AF:
0.00160
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000281
Gnomad OTH exome
AF:
0.000219
GnomAD4 exome
AF:
0.0000446
AC:
63
AN:
1412326
Hom.:
0
Cov.:
42
AF XY:
0.0000471
AC XY:
33
AN XY:
699992
show subpopulations
African (AFR)
AF:
0.00157
AC:
51
AN:
32476
American (AMR)
AF:
0.0000251
AC:
1
AN:
39848
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25360
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37650
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82136
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
35706
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5698
European-Non Finnish (NFE)
AF:
0.00000274
AC:
3
AN:
1094584
Other (OTH)
AF:
0.000136
AC:
8
AN:
58868
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.512
Heterozygous variant carriers
0
3
6
10
13
16
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000591
AC:
90
AN:
152308
Hom.:
0
Cov.:
33
AF XY:
0.000537
AC XY:
40
AN XY:
74470
show subpopulations
African (AFR)
AF:
0.00209
AC:
87
AN:
41580
American (AMR)
AF:
0.0000653
AC:
1
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5174
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10632
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67994
Other (OTH)
AF:
0.000945
AC:
2
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
5
10
14
19
24
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000348
Hom.:
0
Bravo
AF:
0.000521
ExAC
AF:
0.000108
AC:
12

ClinVar

ClinVar submissions as Germline
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
1
Neutral lipid storage myopathy (2)
-
1
-
Inborn genetic diseases (1)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.092
BayesDel_addAF
Benign
-0.54
T
BayesDel_noAF
Benign
-0.58
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.21
T
Eigen
Benign
-0.34
Eigen_PC
Benign
-0.49
FATHMM_MKL
Benign
0.17
N
LIST_S2
Benign
0.43
T
M_CAP
Benign
0.0034
T
MetaRNN
Benign
0.0089
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.5
L
PhyloP100
0.25
PrimateAI
Uncertain
0.67
T
PROVEAN
Benign
-0.81
N
REVEL
Benign
0.065
Sift
Benign
0.20
T
Sift4G
Benign
0.27
T
Polyphen
0.91
P
Vest4
0.11
MutPred
0.21
Loss of glycosylation at P469 (P = 0.0153)
MVP
0.46
MPC
0.63
ClinPred
0.046
T
GERP RS
3.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.2
Varity_R
0.039
gMVP
0.24
Mutation Taster
=88/12
polymorphism

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

Other links and lift over

dbSNP: rs201177082; hg19: chr11-824753; API