1-119422001-C-T

Variant summary

Our verdict is Benign. The variant received -7 ACMG points: 2P and 9B. PM1BP4_StrongBP6BS2

The NM_000198.4(HSD3B2):​c.500C>T​(p.Ala167Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00122 in 1,614,062 control chromosomes in the GnomAD database, including 6 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. A167A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00097 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0012 ( 6 hom. )

Consequence

HSD3B2
NM_000198.4 missense

Scores

1
3
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:2

Conservation

PhyloP100: 0.218

Publications

13 publications found
Variant links:
Genes affected
HSD3B2 (HGNC:5218): (hydroxy-delta-5-steroid dehydrogenase, 3 beta- and steroid delta-isomerase 2) The protein encoded by this gene is a bifunctional enzyme that catalyzes the oxidative conversion of delta(5)-ene-3-beta-hydroxy steroid, and the oxidative conversion of ketosteroids. It plays a crucial role in the biosynthesis of all classes of hormonal steroids. This gene is predominantly expressed in the adrenals and the gonads. Mutations in this gene are associated with 3-beta-hydroxysteroid dehydrogenase, type II, deficiency. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Oct 2009]
HSD3B2 Gene-Disease associations (from GenCC):
  • congenital adrenal hyperplasia due to 3-beta-hydroxysteroid dehydrogenase deficiency
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -7 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 3 uncertain in NM_000198.4
BP4
Computational evidence support a benign effect (MetaRNN=0.024929136).
BP6
Variant 1-119422001-C-T is Benign according to our data. Variant chr1-119422001-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 724290.
BS2
High Homozygotes in GnomAdExome4 at 6 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
HSD3B2NM_000198.4 linkc.500C>T p.Ala167Val missense_variant Exon 4 of 4 ENST00000369416.4 NP_000189.1 P26439-1A0A024R0F9
HSD3B2NM_001166120.2 linkc.500C>T p.Ala167Val missense_variant Exon 4 of 4 NP_001159592.1 P26439-1A0A024R0F9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
HSD3B2ENST00000369416.4 linkc.500C>T p.Ala167Val missense_variant Exon 4 of 4 1 NM_000198.4 ENSP00000358424.3 P26439-1
HSD3B2ENST00000543831.5 linkc.500C>T p.Ala167Val missense_variant Exon 4 of 4 3 ENSP00000445122.1 P26439-1
HSD3B2ENST00000433745.5 linkc.500C>T p.Ala167Val missense_variant Exon 4 of 4 3 ENSP00000388292.1 Q5QP01
HSD3B2ENST00000448448.2 linkn.444C>T non_coding_transcript_exon_variant Exon 3 of 3 5

Frequencies

GnomAD3 genomes
AF:
0.000966
AC:
147
AN:
152112
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000262
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00373
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00173
Gnomad OTH
AF:
0.00287
GnomAD2 exomes
AF:
0.00142
AC:
357
AN:
251122
AF XY:
0.00153
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00124
Gnomad ASJ exome
AF:
0.0000993
Gnomad EAS exome
AF:
0.000109
Gnomad FIN exome
AF:
0.000647
Gnomad NFE exome
AF:
0.00156
Gnomad OTH exome
AF:
0.000979
GnomAD4 exome
AF:
0.00125
AC:
1821
AN:
1461832
Hom.:
6
Cov.:
31
AF XY:
0.00138
AC XY:
1000
AN XY:
727224
show subpopulations
African (AFR)
AF:
0.0000896
AC:
3
AN:
33478
American (AMR)
AF:
0.000984
AC:
44
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26136
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39684
South Asian (SAS)
AF:
0.00406
AC:
350
AN:
86258
European-Finnish (FIN)
AF:
0.000580
AC:
31
AN:
53420
Middle Eastern (MID)
AF:
0.00208
AC:
12
AN:
5768
European-Non Finnish (NFE)
AF:
0.00117
AC:
1306
AN:
1111976
Other (OTH)
AF:
0.00121
AC:
73
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
133
265
398
530
663
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
40
80
120
160
200
<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:
0.000966
AC:
147
AN:
152230
Hom.:
0
Cov.:
31
AF XY:
0.00103
AC XY:
77
AN XY:
74450
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41524
American (AMR)
AF:
0.000262
AC:
4
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5178
South Asian (SAS)
AF:
0.00374
AC:
18
AN:
4818
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10612
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00173
AC:
118
AN:
68018
Other (OTH)
AF:
0.00284
AC:
6
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
7
14
22
29
36
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.000852
Hom.:
1
Bravo
AF:
0.000873
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.00130
AC:
5
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00174
AC:
15
ExAC
AF:
0.00164
AC:
199
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00142
EpiControl
AF:
0.00130

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

3 beta-Hydroxysteroid dehydrogenase deficiency Uncertain:2Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -

Dec 09, 2019
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

May 18, 2021
Pars Genome Lab
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Uncertain:1Benign:1
Oct 17, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 03, 2021
Institute for Clinical Genetics, University Hospital TU Dresden, University Hospital TU Dresden
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.28
CADD
Benign
16
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.59
D;T;D
Eigen
Benign
-0.094
Eigen_PC
Benign
-0.27
FATHMM_MKL
Benign
0.65
D
LIST_S2
Benign
0.57
T;T;.
M_CAP
Benign
0.064
D
MetaRNN
Benign
0.025
T;T;T
MetaSVM
Benign
-0.32
T
MutationAssessor
Pathogenic
3.3
M;.;M
PhyloP100
0.22
PrimateAI
Benign
0.28
T
PROVEAN
Benign
-2.0
N;N;N
REVEL
Uncertain
0.43
Sift
Benign
0.056
T;T;T
Sift4G
Benign
0.26
T;T;T
Polyphen
0.94
P;.;P
Vest4
0.079
MVP
0.99
MPC
0.87
ClinPred
0.10
T
GERP RS
0.74
Varity_R
0.24
gMVP
0.48
Mutation Taster
=88/12
polymorphism

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: rs35486059; hg19: chr1-119964624; COSMIC: COSV65593534; COSMIC: COSV65593534; API