VCV002892919.2 - ClinVar

NM_000484.4(APP):c.2240G>A (p.Arg747His)

Germline

Classification

The aggregate germline classification for this variant, typically for a monogenic or Mendelian disorder as in the ACMG/AMP guidelines, or for response to a drug. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the aggregate classification.

(2)

Stars represent the aggregate review status, or the level of review supporting the aggregate germline classification for this VCV record. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. The number of submissions which contribute to this review status is shown in parentheses.

Uncertain significance

criteria provided, multiple submitters, no conflicts

Somatic

No data submitted for somatic clinical impact

Somatic

No data submitted for oncogenicity

Variant Details

Identifiers

NM_000484.4(APP):c.2240G>A (p.Arg747His)

Variation ID: 2892919 Accession: VCV002892919.2

Type and length

single nucleotide variant, 1 bp

Location

Cytogenetic: 21q21.3 21: 27254054 (GRCh37) [ NCBI UCSC ] 21: 25881743 (GRCh38) [ NCBI UCSC ]

Timeline in ClinVar

	First in ClinVar Help The date this variant first appeared in ClinVar with each type of classification.	Last submission Help The date of the most recent submission for each type of classification for this variant.	Last evaluated Help The most recent date that a submitter evaluated this variant for each type of classification.
Germline	Feb 20, 2024	May 1, 2024	Dec 9, 2023

HGVS

Nucleotide	Protein	Molecular consequence
NM_000484.4:c.2240G>A MANE Select Help Transcripts from the Matched Annotation from the NCBI and EMBL-EBI (MANE) collaboration.	NP_000475.1:p.Arg747His	missense
NM_000484.3:c.2240G>A
NM_001136016.3:c.2168G>A	NP_001129488.1:p.Arg723His	missense
NM_001136129.3:c.1847G>A	NP_001129601.1:p.Arg616His	missense
NM_001136130.3:c.2072G>A	NP_001129602.1:p.Arg691His	missense
NM_001136131.3:c.1910G>A	NP_001129603.1:p.Arg637His	missense
NM_001204301.2:c.2186G>A	NP_001191230.1:p.Arg729His	missense
NM_001204302.2:c.2129G>A	NP_001191231.1:p.Arg710His	missense
NM_001204303.2:c.1961G>A	NP_001191232.1:p.Arg654His	missense
NM_001385253.1:c.2072G>A	NP_001372182.1:p.Arg691His	missense
NM_201413.3:c.2183G>A	NP_958816.1:p.Arg728His	missense
NM_201414.3:c.2015G>A	NP_958817.1:p.Arg672His	missense
NC_000021.9:g.25881743C>T
NC_000021.8:g.27254054C>T
NG_007376.2:g.294386G>A

... more HGVS ... less HGVS

Protein change

R729H, R654H, R616H, R672H, R691H, R728H, R747H, R637H, R710H, R723H

Other names

Canonical SPDI

NC_000021.9:25881742:C:T

Functional consequence Help The effect of the variant on RNA or protein function, based on experimental evidence from submitters.

Global minor allele frequency (GMAF) Help The global minor allele frequency calculated by the 1000 Genomes Project. The minor allele at this location is indicated in parentheses and may be different from the allele represented by this VCV record.

Allele frequency Help The frequency of the allele represented by this VCV record.

Links

VarSome

Genes

Gene	OMIM	ClinGen Gene Dosage Sensitivity Curation		Variation Viewer Help Links to Variation Viewer, a genome browser to view variation data from NCBI databases.	Related variants
Gene	OMIM	HI score Help The haploinsufficiency score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team.	TS score Help The triplosensitivity score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team.		Within gene Help The number of variants in ClinVar that are contained within this gene, with a link to view the list of variants.	All Help The number of variants in ClinVar for this gene, including smaller variants within the gene and larger CNVs that overlap or fully contain the gene.
APP		No evidence available	Sufficient evidence for dosage pathogenicity	GRCh38 GRCh37	462	573

Conditions - Germline

Condition Help The condition for this variant-condition (RCV) record in ClinVar.	Classification Help The aggregate germline classification for this variant-condition (RCV) record in ClinVar. The number of submissions that contribute to this aggregate classification is shown in parentheses. (# of submissions)	Review status Help The aggregate review status for this variant-condition (RCV) record in ClinVar. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status.	Last evaluated Help The most recent date that a submitter evaluated this variant for the condition.	Variation/condition record Help The RCV accession number, with most recent version number, for the variant-condition record, with a link to the RCV web page.
Alzheimer disease	Uncertain significance (1)	criteria provided, single submitter	Nov 24, 2023	RCV003623832.2
Inborn genetic diseases	Uncertain significance (1)	criteria provided, single submitter	Dec 9, 2023	RCV004374081.1

Submissions - Germline

Classification Help The submitted germline classification for each SCV record. (Last evaluated)	Review status Help Stars represent the review status, or the level of review supporting the submitted (SCV) record. This value is calculated by NCBI based on data from the submitter. Read our rules for calculating the review status. This column also includes a link to the submitter’s assertion criteria if provided, and the collection method. (Assertion criteria)	Condition Help The condition for the classification, provided by the submitter for this submitted (SCV) record. This column also includes the affected status and allele origin of individuals observed with this variant.	Submitter Help The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar.	More information Help This column includes more information supporting the classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter.
Uncertain significance (Nov 24, 2023)	criteria provided, single submitter (Invitae Variant Classification Sherloc (09022015)) Method: clinical testing	Alzheimer disease Affected status: unknown Allele origin: germline	Labcorp Genetics (formerly Invitae), Labcorp Accession: SCV004519706.1 First in ClinVar: Feb 20, 2024 Last updated: Feb 20, 2024	Comment: This sequence change replaces arginine, which is basic and polar, with histidine, which is basic and polar, at codon 747 of the APP protein (p.Arg747His). … (more) This sequence change replaces arginine, which is basic and polar, with histidine, which is basic and polar, at codon 747 of the APP protein (p.Arg747His). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with APP-related conditions. Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt APP protein function with a positive predictive value of 95%. 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. (less)
Uncertain significance (Dec 09, 2023)	criteria provided, single submitter (Ambry Variant Classification Scheme 2023) Method: clinical testing	Inborn genetic diseases Affected status: unknown Allele origin: germline	Ambry Genetics Accession: SCV004907664.1 First in ClinVar: May 01, 2024 Last updated: May 01, 2024	Comment: The c.2240G>A (p.R747H) alteration is located in exon 18 (coding exon 18) of the APP gene. This alteration results from a G to A substitution … (more) The c.2240G>A (p.R747H) alteration is located in exon 18 (coding exon 18) of the APP gene. This alteration results from a G to A substitution at nucleotide position 2240, causing the arginine (R) at amino acid position 747 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. (less)

Comment:

This sequence change replaces arginine, which is basic and polar, with histidine, which is basic and polar, at codon 747 of the APP protein (p.Arg747His). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with APP-related conditions. Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt APP protein function with a positive predictive value of 95%. 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.

Comment:

The c.2240G>A (p.R747H) alteration is located in exon 18 (coding exon 18) of the APP gene. This alteration results from a G to A substitution at nucleotide position 2240, causing the arginine (R) at amino acid position 747 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear.

Germline Functional Evidence

There is no functional evidence in ClinVar for this variation. If you have generated functional data for this variation, please consider submitting that data to ClinVar.

Comment:

Citations for germline classification of this variant

There are no citations for germline classification of this variant in ClinVar. If you know of citations for this variation, please consider submitting that information to ClinVar.

Text-mined citations for this variant ...

Record last updated Sep 30, 2024

ClinVar Genomic variation as it relates to human health

NM_000484.4(APP):c.2240G>A (p.Arg747His)

Variant Details

Genes

Conditions - Germline

Submissions - Germline

Germline Functional Evidence

Citations for germline classification of this variant

Text-mined citations for this variant ...