VCV002684912.1 - ClinVar

GRCh37/hg19 21q21.1-22.11(chr21:20408138-32852758)x3

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.

(1)

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.

Pathogenic

criteria provided, single submitter

Somatic

No data submitted for somatic clinical impact

Somatic

No data submitted for oncogenicity

Variant Details

Identifiers

GRCh37/hg19 21q21.1-22.11(chr21:20408138-32852758)x3

Variation ID: 2684912 Accession: VCV002684912.1

Type and length

copy number gain, -

Location

Cytogenetic: 21q21.1-22.11 21: 20408138-32852758 (GRCh37) [ 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	Jan 26, 2024	Jan 26, 2024	Aug 9, 2022

HGVS

Protein change

Other names

Canonical SPDI

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	467	580
ADAMTS1		-	-	GRCh38 GRCh37	86	165
ADAMTS5		-	-	GRCh38 GRCh37	88	161
ATP5PF		-	-	GRCh38 GRCh37	10	79
BACH1		-	-	GRCh38 GRCh37	54	123
CCT8		-	-	GRCh38 GRCh38 GRCh37	37	102
CLDN17		-	-	GRCh38 GRCh37	20	91
CLDN8		-	-	GRCh38 GRCh37	26	96
CYYR1		-	-	GRCh38 GRCh37	3	80
GABPA		-	-	GRCh38 GRCh37	24	94

There are 44 more genes affected by this variant. See the full set of genes in Variation Viewer (GRCh37) and ClinGen Dosage Sensitivity Map.

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.
not provided	Pathogenic (1)	criteria provided, single submitter	Aug 9, 2022	RCV003485220.1

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.
Pathogenic (Aug 09, 2022)	criteria provided, single submitter (ACMG/ClinGen CNV Guidelines, 2019) Method: clinical testing	not provided Affected status: unknown Allele origin: unknown	Quest Diagnostics Nichols Institute San Juan Capistrano Accession: SCV004231146.1 First in ClinVar: Jan 26, 2024 Last updated: Jan 26, 2024	Comment: The copy number gain of 21q21.1q22.11 involves numerous protein-coding genes, including APP (OMIM 104760). Heterozygous duplications of APP have been reported to associate with cerebral … (more) The copy number gain of 21q21.1q22.11 involves numerous protein-coding genes, including APP (OMIM 104760). Heterozygous duplications of APP have been reported to associate with cerebral amyloid angiopathy, or cerebroarterial amyloidosis (CAA) and with early myoclonic epilepsy (Llado 2014). In addition, heterozygous missense variants as well as duplications of APP have been associated with autosomal dominant familial Alzheimer disease 1 (OMIM 104300, Antonell 2012, Hooli 2012). There are no similar copy number gains of this region in the general populations of the Database of Genomic Variants. Therefore, based on current medical literature and gene content, this copy number variant (CNV) is classified as pathogenic. References: Antonell et al., J Alzheimers Dis. 2012;28(2):303-8. PMID: 22008262 Hooli et al., Neurology. 2012 Apr 17;78(16):1250-7. PMID: 22491860 Llado et al., Neurogenetics. 2014 May;15(2):145-9. PMID: 24691562 (less)

Comment:

The copy number gain of 21q21.1q22.11 involves numerous protein-coding genes, including APP (OMIM 104760). Heterozygous duplications of APP have been reported to associate with cerebral amyloid angiopathy, or cerebroarterial amyloidosis (CAA) and with early myoclonic epilepsy (Llado 2014). In addition, heterozygous missense variants as well as duplications of APP have been associated with autosomal dominant familial Alzheimer disease 1 (OMIM 104300, Antonell 2012, Hooli 2012). There are no similar copy number gains of this region in the general populations of the Database of Genomic Variants. Therefore, based on current medical literature and gene content, this copy number variant (CNV) is classified as pathogenic. References: Antonell et al., J Alzheimers Dis. 2012;28(2):303-8. PMID: 22008262 Hooli et al., Neurology. 2012 Apr 17;78(16):1250-7. PMID: 22491860 Llado et al., Neurogenetics. 2014 May;15(2):145-9. PMID: 24691562

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 01, 2024

ClinVar Genomic variation as it relates to human health

GRCh37/hg19 21q21.1-22.11(chr21:20408138-32852758)x3

Variant Details

Genes

Conditions - Germline

Submissions - Germline

Germline Functional Evidence

Citations for germline classification of this variant

Text-mined citations for this variant ...