rs566369623
Variant summary
Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate
The NM_001253852.3(AP4B1):c.215T>C(p.Met72Thr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000105 in 1,614,238 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. M72I) has been classified as Uncertain significance.
Frequency
Consequence
NM_001253852.3 missense
Scores
Clinical Significance
Conservation
Publications
- AP-4 deficiency syndromeInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
 - hereditary spastic paraplegia 47Inheritance: AR Classification: STRONG, MODERATE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P
 - AP4-related intellectual disability and spastic paraplegiaInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 
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ACMG classification
Our verdict: Likely_benign. The variant received -2 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| AP4B1 | NM_001253852.3  | c.215T>C | p.Met72Thr | missense_variant | Exon 2 of 10 | ENST00000369569.6 | NP_001240781.1 | 
Ensembl
Frequencies
GnomAD3 genomes   AF:  0.0000263  AC: 4AN: 152228Hom.:  0  Cov.: 33 show subpopulations 
GnomAD2 exomes  AF:  0.0000437  AC: 11AN: 251492 AF XY:  0.0000441   show subpopulations 
GnomAD4 exome  AF:  0.00000958  AC: 14AN: 1461892Hom.:  0  Cov.: 31 AF XY:  0.0000110  AC XY: 8AN XY: 727246 show subpopulations 
Age Distribution
GnomAD4 genome   AF:  0.0000197  AC: 3AN: 152346Hom.:  0  Cov.: 33 AF XY:  0.0000268  AC XY: 2AN XY: 74494 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
Hereditary spastic paraplegia 47    Uncertain:1 
This sequence change replaces methionine, which is neutral and non-polar, with threonine, which is neutral and polar, at codon 72 of the AP4B1 protein (p.Met72Thr). This variant is present in population databases (rs566369623, gnomAD 0.03%). This variant has not been reported in the literature in individuals affected with AP4B1-related conditions. ClinVar contains an entry for this variant (Variation ID: 575639). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Benign"; Align-GVGD: "Class C0"). 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. -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at