1-119422001-C-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

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. 13/21 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
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.024929136).
BS2
High Homozygotes in GnomAdExome4 at 6 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HSD3B2NM_000198.4 linkuse as main transcriptc.500C>T p.Ala167Val missense_variant 4/4 ENST00000369416.4
HSD3B2NM_001166120.2 linkuse as main transcriptc.500C>T p.Ala167Val missense_variant 4/4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HSD3B2ENST00000369416.4 linkuse as main transcriptc.500C>T p.Ala167Val missense_variant 4/41 NM_000198.4 P1P26439-1
HSD3B2ENST00000543831.5 linkuse as main transcriptc.500C>T p.Ala167Val missense_variant 4/43 P1P26439-1
HSD3B2ENST00000433745.5 linkuse as main transcriptc.500C>T p.Ala167Val missense_variant 4/43
HSD3B2ENST00000448448.2 linkuse as main transcriptn.444C>T non_coding_transcript_exon_variant 3/35

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
GnomAD3 exomes
AF:
0.00142
AC:
357
AN:
251122
Hom.:
2
AF XY:
0.00153
AC XY:
208
AN XY:
135720
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 SAS exome
AF:
0.00372
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
Gnomad4 AFR exome
AF:
0.0000896
Gnomad4 AMR exome
AF:
0.000984
Gnomad4 ASJ exome
AF:
0.0000383
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00406
Gnomad4 FIN exome
AF:
0.000580
Gnomad4 NFE exome
AF:
0.00117
Gnomad4 OTH exome
AF:
0.00121
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
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.000262
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00374
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00173
Gnomad4 OTH
AF:
0.00284
Alfa
AF:
0.00134
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
Uncertain significance, criteria provided, single submitterclinical testingPars Genome LabMay 18, 2021- -
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This 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. -
Benign, no assertion criteria providedclinical testingNatera, Inc.Dec 09, 2019- -
not provided Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitterclinical testingInstitute for Clinical Genetics, University Hospital TU Dresden, University Hospital TU DresdenNov 03, 2021- -
Benign, criteria provided, single submitterclinical testingInvitaeJan 31, 2024- -

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
MutationTaster
Benign
0.99
N;N
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

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

LitVar

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

Other links and lift over

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