1-11801399-C-A

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_ModeratePP5_Moderate

The ENST00000376590.9(MTHFR):​c.237G>T​(p.Arg79Ser) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,846 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Likely pathogenic (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

MTHFR
ENST00000376590.9 missense, splice_region

Scores

6
9
4
Splicing: ADA: 0.9984
2

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 1.35
Variant links:
Genes affected
MTHFR (HGNC:7436): (methylenetetrahydrofolate reductase) The protein encoded by this gene catalyzes the conversion of 5,10-methylenetetrahydrofolate to 5-methyltetrahydrofolate, a co-substrate for homocysteine remethylation to methionine. Genetic variation in this gene influences susceptibility to occlusive vascular disease, neural tube defects, colon cancer and acute leukemia, and mutations in this gene are associated with methylenetetrahydrofolate reductase deficiency.[provided by RefSeq, Oct 2009]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.913
PP5
Variant 1-11801399-C-A is Pathogenic according to our data. Variant chr1-11801399-C-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 522640.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MTHFRNM_005957.5 linkuse as main transcriptc.237G>T p.Arg79Ser missense_variant, splice_region_variant 3/12 ENST00000376590.9 NP_005948.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MTHFRENST00000376590.9 linkuse as main transcriptc.237G>T p.Arg79Ser missense_variant, splice_region_variant 3/121 NM_005957.5 ENSP00000365775 A1P42898-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461846
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
727222
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Homocystinuria due to methylene tetrahydrofolate reductase deficiency Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingGenomic Research Center, Shahid Beheshti University of Medical SciencesDec 03, 2017- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.77
BayesDel_addAF
Pathogenic
0.22
D
BayesDel_noAF
Uncertain
0.080
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Pathogenic
0.92
D;.;.;D;.;.;.;.
Eigen
Benign
-0.14
Eigen_PC
Benign
-0.064
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Uncertain
0.95
.;D;.;D;D;D;D;D
M_CAP
Uncertain
0.25
D
MetaRNN
Pathogenic
0.91
D;D;D;D;D;D;D;D
MetaSVM
Uncertain
0.46
D
MutationAssessor
Benign
1.6
L;.;.;L;.;.;.;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.56
T
PROVEAN
Pathogenic
-5.3
D;D;D;D;.;.;.;D
REVEL
Pathogenic
0.73
Sift
Uncertain
0.0020
D;D;D;D;.;.;.;D
Sift4G
Uncertain
0.051
T;D;D;T;.;.;.;.
Polyphen
0.94
P;.;.;P;.;.;.;.
Vest4
0.71
MutPred
0.79
Loss of MoRF binding (P = 0.0745);.;.;Loss of MoRF binding (P = 0.0745);.;Loss of MoRF binding (P = 0.0745);Loss of MoRF binding (P = 0.0745);Loss of MoRF binding (P = 0.0745);
MVP
0.99
MPC
0.76
ClinPred
0.97
D
GERP RS
3.6
Varity_R
0.95
gMVP
0.82

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.80
SpliceAI score (max)
0.59
Details are displayed if max score is > 0.2
DS_AL_spliceai
0.59
Position offset: 0

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs1553187509; hg19: chr1-11861456; API