rs999885

Variant summary

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

The NM_004722.4(AP4M1):​c.462+34G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.526 in 1,613,518 control chromosomes in the GnomAD database, including 229,167 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.47 ( 18579 hom., cov: 31)
Exomes 𝑓: 0.53 ( 210588 hom. )

Consequence

AP4M1
NM_004722.4 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 0.532

Publications

51 publications found
Variant links:
Genes affected
AP4M1 (HGNC:574): (adaptor related protein complex 4 subunit mu 1) This gene encodes a subunit of the heterotetrameric AP-4 complex. The encoded protein belongs to the adaptor complexes medium subunits family. This AP-4 complex is involved in the recognition and sorting of cargo proteins with tyrosine-based motifs from the trans-golgi network to the endosomal-lysosomal system. [provided by RefSeq, Jul 2008]
AP4M1 Gene-Disease associations (from GenCC):
  • AP-4 deficiency syndrome
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • hereditary spastic paraplegia 50
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
  • AP4-related intellectual disability and spastic paraplegia
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

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 (BayesDel_noAF=-0.85).
BP6
Variant 7-100103553-G-A is Benign according to our data. Variant chr7-100103553-G-A is described in ClinVar as Benign. ClinVar VariationId is 678005.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.801 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
AP4M1NM_004722.4 linkc.462+34G>A intron_variant Intron 5 of 14 ENST00000359593.9 NP_004713.2 O00189

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
AP4M1ENST00000359593.9 linkc.462+34G>A intron_variant Intron 5 of 14 1 NM_004722.4 ENSP00000352603.4 O00189

Frequencies

GnomAD3 genomes
AF:
0.474
AC:
72051
AN:
151894
Hom.:
18569
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.278
Gnomad AMI
AF:
0.507
Gnomad AMR
AF:
0.571
Gnomad ASJ
AF:
0.600
Gnomad EAS
AF:
0.822
Gnomad SAS
AF:
0.650
Gnomad FIN
AF:
0.541
Gnomad MID
AF:
0.576
Gnomad NFE
AF:
0.515
Gnomad OTH
AF:
0.505
GnomAD2 exomes
AF:
0.558
AC:
140229
AN:
251472
AF XY:
0.563
show subpopulations
Gnomad AFR exome
AF:
0.275
Gnomad AMR exome
AF:
0.614
Gnomad ASJ exome
AF:
0.597
Gnomad EAS exome
AF:
0.835
Gnomad FIN exome
AF:
0.538
Gnomad NFE exome
AF:
0.515
Gnomad OTH exome
AF:
0.555
GnomAD4 exome
AF:
0.531
AC:
776684
AN:
1461506
Hom.:
210588
Cov.:
38
AF XY:
0.536
AC XY:
389706
AN XY:
727098
show subpopulations
African (AFR)
AF:
0.266
AC:
8912
AN:
33472
American (AMR)
AF:
0.611
AC:
27304
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.593
AC:
15486
AN:
26134
East Asian (EAS)
AF:
0.823
AC:
32672
AN:
39696
South Asian (SAS)
AF:
0.641
AC:
55272
AN:
86248
European-Finnish (FIN)
AF:
0.532
AC:
28385
AN:
53404
Middle Eastern (MID)
AF:
0.614
AC:
3542
AN:
5766
European-Non Finnish (NFE)
AF:
0.515
AC:
572622
AN:
1111684
Other (OTH)
AF:
0.538
AC:
32489
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
21215
42430
63644
84859
106074
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
16606
33212
49818
66424
83030
<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:
0.474
AC:
72094
AN:
152012
Hom.:
18579
Cov.:
31
AF XY:
0.484
AC XY:
35976
AN XY:
74298
show subpopulations
African (AFR)
AF:
0.278
AC:
11517
AN:
41470
American (AMR)
AF:
0.571
AC:
8728
AN:
15274
Ashkenazi Jewish (ASJ)
AF:
0.600
AC:
2084
AN:
3472
East Asian (EAS)
AF:
0.821
AC:
4247
AN:
5170
South Asian (SAS)
AF:
0.651
AC:
3138
AN:
4818
European-Finnish (FIN)
AF:
0.541
AC:
5705
AN:
10536
Middle Eastern (MID)
AF:
0.578
AC:
170
AN:
294
European-Non Finnish (NFE)
AF:
0.515
AC:
34970
AN:
67958
Other (OTH)
AF:
0.509
AC:
1074
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
1801
3603
5404
7206
9007
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
658
1316
1974
2632
3290
<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:
0.514
Hom.:
9482
Bravo
AF:
0.470
Asia WGS
AF:
0.713
AC:
2481
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Hereditary spastic paraplegia 50 Benign:2
Jan 15, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 14, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
Jun 14, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

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

- -

Hereditary spastic paraplegia Benign:1
Dec 12, 2016
Genome Diagnostics Laboratory, The Hospital for Sick Children
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.85
CADD
Benign
3.1
DANN
Benign
0.37
PhyloP100
0.53
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: rs999885; hg19: chr7-99701176; API