rs745748841

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_005765.3(ATP6AP2):​c.315T>A​(p.Ser105Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000249 in 1,203,340 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Uncertain significance in ClinVar.

Frequency

Genomes: 𝑓 0.0000089 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.0000018 ( 0 hom. 0 hem. )

Consequence

ATP6AP2
NM_005765.3 missense

Scores

1
7
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.411

Publications

0 publications found
Variant links:
Genes affected
ATP6AP2 (HGNC:18305): (ATPase H+ transporting accessory protein 2) This gene encodes a protein that is associated with adenosine triphosphatases (ATPases). Proton-translocating ATPases have fundamental roles in energy conservation, secondary active transport, acidification of intracellular compartments, and cellular pH homeostasis. There are three classes of ATPases- F, P, and V. The vacuolar (V-type) ATPases have a transmembrane proton-conducting sector and an extramembrane catalytic sector. The encoded protein has been found associated with the transmembrane sector of the V-type ATPases. [provided by RefSeq, Jul 2008]
ATP6AP2 Gene-Disease associations (from GenCC):
  • ATP6AP2-related disorder
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • congenital disorder of glycosylation, type IIr
    Inheritance: AR, XL Classification: STRONG Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae)
  • syndromic X-linked intellectual disability Hedera type
    Inheritance: XL Classification: STRONG, MODERATE, SUPPORTIVE, LIMITED Submitted by: Orphanet, Ambry Genetics, G2P, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • X-linked parkinsonism-spasticity syndrome
    Inheritance: XL, Unknown Classification: MODERATE, SUPPORTIVE, LIMITED Submitted by: Orphanet, Ambry Genetics, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.21570784).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ATP6AP2NM_005765.3 linkc.315T>A p.Ser105Arg missense_variant Exon 4 of 9 ENST00000636580.2 NP_005756.2 O75787-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ATP6AP2ENST00000636580.2 linkc.315T>A p.Ser105Arg missense_variant Exon 4 of 9 1 NM_005765.3 ENSP00000490083.1 O75787-1

Frequencies

GnomAD3 genomes
AF:
0.00000888
AC:
1
AN:
112604
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000183
AC:
2
AN:
1090736
Hom.:
0
Cov.:
28
AF XY:
0.00
AC XY:
0
AN XY:
357444
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26250
American (AMR)
AF:
0.00
AC:
0
AN:
35189
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19330
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30157
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53896
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40519
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4091
European-Non Finnish (NFE)
AF:
0.00000239
AC:
2
AN:
835467
Other (OTH)
AF:
0.00
AC:
0
AN:
45837
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
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:
0.00000888
AC:
1
AN:
112604
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34752
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30991
American (AMR)
AF:
0.00
AC:
0
AN:
10613
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2657
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3643
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2787
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6151
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
239
European-Non Finnish (NFE)
AF:
0.0000188
AC:
1
AN:
53326
Other (OTH)
AF:
0.00
AC:
0
AN:
1510
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Syndromic X-linked intellectual disability Hedera type Uncertain:1
Jun 04, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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: "Possibly Damaging"; 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. This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with ATP6AP2-related conditions. This sequence change replaces serine, which is neutral and polar, with arginine, which is basic and polar, at codon 105 of the ATP6AP2 protein (p.Ser105Arg). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.83
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Benign
0.10
T;T;T;T;T;.;.;T;T
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Uncertain
0.96
D;D;D;D;D;D;D;D;D
M_CAP
Benign
0.074
D
MetaRNN
Benign
0.22
T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.80
T
MutationAssessor
Benign
1.9
.;L;.;.;.;.;.;.;.
PhyloP100
0.41
PrimateAI
Uncertain
0.67
T
PROVEAN
Uncertain
-3.0
D;.;.;.;.;N;.;.;N
REVEL
Benign
0.15
Sift
Uncertain
0.0030
D;.;.;.;.;D;.;.;T
Sift4G
Uncertain
0.0030
.;.;.;.;.;D;.;.;.
Polyphen
0.88
.;P;.;.;.;.;.;.;.
Vest4
0.55
MutPred
0.42
.;Loss of glycosylation at S105 (P = 0.0289);.;.;Loss of glycosylation at S105 (P = 0.0289);Loss of glycosylation at S105 (P = 0.0289);Loss of glycosylation at S105 (P = 0.0289);.;Loss of glycosylation at S105 (P = 0.0289);
MVP
0.55
MPC
1.0
ClinPred
0.80
D
GERP RS
1.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.65
gMVP
0.66
Mutation Taster
=78/22
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs745748841; hg19: chrX-40456515; API