rs5110

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000482.4(APOA4):​c.1140G>T​(p.Gln380His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.073 in 1,614,064 control chromosomes in the GnomAD database, including 4,952 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.052 ( 306 hom., cov: 33)
Exomes 𝑓: 0.075 ( 4646 hom. )

Consequence

APOA4
NM_000482.4 missense

Scores

15

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts P:1B:3

Conservation

PhyloP100: -0.513

Publications

59 publications found
Variant links:
Genes affected
APOA4 (HGNC:602): (apolipoprotein A4) Apoliprotein (apo) A-IV gene contains 3 exons separated by two introns. A sequence polymorphism has been identified in the 3'UTR of the third exon. The primary translation product is a 396-residue preprotein which after proteolytic processing is secreted its primary site of synthesis, the intestine, in association with chylomicron particles. Although its precise function is not known, apo A-IV is a potent activator of lecithin-cholesterol acyltransferase in vitro. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0017547011).
BP6
Variant 11-116820918-C-A is Benign according to our data. Variant chr11-116820918-C-A is described in ClinVar as Benign. ClinVar VariationId is 17905.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.0791 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
APOA4NM_000482.4 linkc.1140G>T p.Gln380His missense_variant Exon 3 of 3 ENST00000357780.5 NP_000473.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
APOA4ENST00000357780.5 linkc.1140G>T p.Gln380His missense_variant Exon 3 of 3 1 NM_000482.4 ENSP00000350425.3
ENSG00000285513ENST00000645414.1 linkn.169-102C>A intron_variant Intron 1 of 1
ENSG00000305923ENST00000814126.1 linkn.135+6578C>A intron_variant Intron 1 of 1

Frequencies

GnomAD3 genomes
AF:
0.0519
AC:
7905
AN:
152210
Hom.:
306
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0156
Gnomad AMI
AF:
0.0669
Gnomad AMR
AF:
0.0500
Gnomad ASJ
AF:
0.0628
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.0170
Gnomad FIN
AF:
0.0488
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0809
Gnomad OTH
AF:
0.0516
GnomAD2 exomes
AF:
0.0523
AC:
13128
AN:
251086
AF XY:
0.0528
show subpopulations
Gnomad AFR exome
AF:
0.0143
Gnomad AMR exome
AF:
0.0361
Gnomad ASJ exome
AF:
0.0665
Gnomad EAS exome
AF:
0.000272
Gnomad FIN exome
AF:
0.0516
Gnomad NFE exome
AF:
0.0784
Gnomad OTH exome
AF:
0.0636
GnomAD4 exome
AF:
0.0752
AC:
109875
AN:
1461736
Hom.:
4646
Cov.:
67
AF XY:
0.0730
AC XY:
53054
AN XY:
727142
show subpopulations
African (AFR)
AF:
0.0119
AC:
398
AN:
33480
American (AMR)
AF:
0.0383
AC:
1712
AN:
44712
Ashkenazi Jewish (ASJ)
AF:
0.0665
AC:
1738
AN:
26132
East Asian (EAS)
AF:
0.000151
AC:
6
AN:
39700
South Asian (SAS)
AF:
0.0192
AC:
1655
AN:
86252
European-Finnish (FIN)
AF:
0.0513
AC:
2741
AN:
53404
Middle Eastern (MID)
AF:
0.0201
AC:
116
AN:
5768
European-Non Finnish (NFE)
AF:
0.0878
AC:
97576
AN:
1111900
Other (OTH)
AF:
0.0651
AC:
3933
AN:
60388
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.456
Heterozygous variant carriers
0
6224
12447
18671
24894
31118
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
3582
7164
10746
14328
17910
<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:
0.0519
AC:
7904
AN:
152328
Hom.:
306
Cov.:
33
AF XY:
0.0483
AC XY:
3600
AN XY:
74480
show subpopulations
African (AFR)
AF:
0.0155
AC:
645
AN:
41578
American (AMR)
AF:
0.0500
AC:
766
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.0628
AC:
218
AN:
3470
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5188
South Asian (SAS)
AF:
0.0170
AC:
82
AN:
4832
European-Finnish (FIN)
AF:
0.0488
AC:
518
AN:
10618
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.0809
AC:
5504
AN:
68012
Other (OTH)
AF:
0.0510
AC:
108
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.479
Heterozygous variant carriers
0
359
718
1077
1436
1795
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
94
188
282
376
470
<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:
0.0681
Hom.:
1287
Bravo
AF:
0.0523
TwinsUK
AF:
0.0876
AC:
325
ALSPAC
AF:
0.0944
AC:
364
ESP6500AA
AF:
0.0177
AC:
78
ESP6500EA
AF:
0.0829
AC:
712
ExAC
AF:
0.0524
AC:
6357
Asia WGS
AF:
0.00779
AC:
30
AN:
3478
EpiCase
AF:
0.0775
EpiControl
AF:
0.0772

ClinVar

Significance: Benign
Submissions summary: Pathogenic:1Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

May 04, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 9714133, 20117098, 1349197) -

Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

APOLIPOPROTEIN A-IV POLYMORPHISM, APOA4*1/APOA4*2 Pathogenic:1
May 01, 1992
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.55
T
BayesDel_noAF
Benign
-0.49
CADD
Benign
0.24
DANN
Benign
0.58
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.017
N
MetaRNN
Benign
0.0018
T
MetaSVM
Benign
-1.1
T
PhyloP100
-0.51
PrimateAI
Benign
0.25
T
PROVEAN
Benign
-0.17
N
REVEL
Benign
0.047
Sift
Benign
0.45
T
Sift4G
Benign
0.19
T
Vest4
0.051
MutPred
0.25
Loss of solvent accessibility (P = 0.0635);
MPC
0.050
ClinPred
0.00085
T
GERP RS
0.14
gMVP
0.20
Mutation Taster
=98/2
disease causing (ClinVar)

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: rs5110; hg19: chr11-116691634; COSMIC: COSV63361267; API