rs675

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.1099A>T​(p.Thr367Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.178 in 1,613,684 control chromosomes in the GnomAD database, including 27,179 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 (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T367A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.16 ( 2071 hom., cov: 33)
Exomes 𝑓: 0.18 ( 25108 hom. )

Consequence

APOA4
NM_000482.4 missense

Scores

15

Clinical Significance

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

Conservation

PhyloP100: -0.211

Publications

69 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=0.001034677).
BP6
Variant 11-116820959-T-A is Benign according to our data. Variant chr11-116820959-T-A is described in ClinVar as Benign. ClinVar VariationId is 1245704.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.198 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
APOA4NM_000482.4 linkc.1099A>T p.Thr367Ser missense_variant Exon 3 of 3 ENST00000357780.5 NP_000473.2 P06727

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
APOA4ENST00000357780.5 linkc.1099A>T p.Thr367Ser missense_variant Exon 3 of 3 1 NM_000482.4 ENSP00000350425.3 P06727
ENSG00000285513ENST00000645414.1 linkn.169-61T>A intron_variant Intron 1 of 1
ENSG00000305923ENST00000814126.1 linkn.135+6619T>A intron_variant Intron 1 of 1

Frequencies

GnomAD3 genomes
AF:
0.157
AC:
23864
AN:
151724
Hom.:
2072
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.116
Gnomad AMI
AF:
0.234
Gnomad AMR
AF:
0.133
Gnomad ASJ
AF:
0.221
Gnomad EAS
AF:
0.00213
Gnomad SAS
AF:
0.119
Gnomad FIN
AF:
0.136
Gnomad MID
AF:
0.223
Gnomad NFE
AF:
0.201
Gnomad OTH
AF:
0.168
GnomAD2 exomes
AF:
0.150
AC:
37745
AN:
251308
AF XY:
0.155
show subpopulations
Gnomad AFR exome
AF:
0.113
Gnomad AMR exome
AF:
0.0941
Gnomad ASJ exome
AF:
0.214
Gnomad EAS exome
AF:
0.000652
Gnomad FIN exome
AF:
0.142
Gnomad NFE exome
AF:
0.197
Gnomad OTH exome
AF:
0.178
GnomAD4 exome
AF:
0.180
AC:
262873
AN:
1461840
Hom.:
25108
Cov.:
78
AF XY:
0.180
AC XY:
130631
AN XY:
727224
show subpopulations
African (AFR)
AF:
0.113
AC:
3782
AN:
33480
American (AMR)
AF:
0.100
AC:
4470
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.213
AC:
5569
AN:
26136
East Asian (EAS)
AF:
0.000353
AC:
14
AN:
39698
South Asian (SAS)
AF:
0.134
AC:
11526
AN:
86254
European-Finnish (FIN)
AF:
0.142
AC:
7580
AN:
53408
Middle Eastern (MID)
AF:
0.243
AC:
1400
AN:
5768
European-Non Finnish (NFE)
AF:
0.196
AC:
217970
AN:
1111984
Other (OTH)
AF:
0.175
AC:
10562
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.486
Heterozygous variant carriers
0
14306
28612
42919
57225
71531
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
7366
14732
22098
29464
36830
<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:
0.157
AC:
23881
AN:
151844
Hom.:
2071
Cov.:
33
AF XY:
0.154
AC XY:
11402
AN XY:
74192
show subpopulations
African (AFR)
AF:
0.116
AC:
4812
AN:
41386
American (AMR)
AF:
0.132
AC:
2019
AN:
15270
Ashkenazi Jewish (ASJ)
AF:
0.221
AC:
765
AN:
3466
East Asian (EAS)
AF:
0.00213
AC:
11
AN:
5160
South Asian (SAS)
AF:
0.120
AC:
575
AN:
4810
European-Finnish (FIN)
AF:
0.136
AC:
1437
AN:
10530
Middle Eastern (MID)
AF:
0.224
AC:
66
AN:
294
European-Non Finnish (NFE)
AF:
0.201
AC:
13636
AN:
67910
Other (OTH)
AF:
0.165
AC:
348
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.506
Heterozygous variant carriers
0
1056
2112
3167
4223
5279
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
258
516
774
1032
1290
<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:
0.169
Hom.:
1478
Bravo
AF:
0.154
TwinsUK
AF:
0.201
AC:
745
ALSPAC
AF:
0.201
AC:
775
ESP6500AA
AF:
0.113
AC:
496
ESP6500EA
AF:
0.197
AC:
1693
ExAC
AF:
0.150
AC:
18255
EpiCase
AF:
0.201
EpiControl
AF:
0.202

ClinVar

Significance: Benign
Submissions summary: Benign: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

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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: 1349197, 23096082, 12676816, 20117098) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.081
BayesDel_addAF
Benign
-0.71
T
BayesDel_noAF
Benign
-0.65
CADD
Benign
5.6
DANN
Benign
0.40
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.020
N
MetaRNN
Benign
0.0010
T
MetaSVM
Benign
-1.1
T
PhyloP100
-0.21
PrimateAI
Benign
0.26
T
PROVEAN
Benign
-0.030
N
REVEL
Benign
0.023
Sift
Benign
0.50
T
Sift4G
Benign
0.79
T
Vest4
0.022
MutPred
0.13
Loss of methylation at K366 (P = 0.1326);
MPC
0.049
ClinPred
0.00030
T
GERP RS
0.012
gMVP
0.086
Mutation Taster
=100/0
polymorphism (auto)

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: rs675; hg19: chr11-116691675; COSMIC: COSV63360269; API