1-119750771-C-G

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_005518.4(HMGCS2):​c.*5+26G>C variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0159 in 1,467,736 control chromosomes in the GnomAD database, including 247 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.017 ( 37 hom., cov: 32)
Exomes 𝑓: 0.016 ( 210 hom. )

Consequence

HMGCS2
NM_005518.4 intron

Scores

2

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 1.19
Variant links:
Genes affected
HMGCS2 (HGNC:5008): (3-hydroxy-3-methylglutaryl-CoA synthase 2) The protein encoded by this gene belongs to the HMG-CoA synthase family. It is a mitochondrial enzyme that catalyzes the first reaction of ketogenesis, a metabolic pathway that provides lipid-derived energy for various organs during times of carbohydrate deprivation, such as fasting. Mutations in this gene are associated with HMG-CoA synthase deficiency. Alternatively spliced transcript variants encoding different isoforms 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 -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.77).
BP6
Variant 1-119750771-C-G is Benign according to our data. Variant chr1-119750771-C-G is described in ClinVar as [Likely_benign]. Clinvar id is 1187245.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0172 (2617/152236) while in subpopulation AFR AF= 0.0257 (1066/41534). AF 95% confidence interval is 0.0244. There are 37 homozygotes in gnomad4. There are 1181 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 37 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HMGCS2NM_005518.4 linkuse as main transcriptc.*5+26G>C intron_variant ENST00000369406.8 NP_005509.1
HMGCS2NM_001166107.1 linkuse as main transcriptc.*5+26G>C intron_variant NP_001159579.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HMGCS2ENST00000369406.8 linkuse as main transcriptc.*5+26G>C intron_variant 1 NM_005518.4 ENSP00000358414 P1P54868-1
HMGCS2ENST00000544913.2 linkuse as main transcriptc.*5+26G>C intron_variant 2 ENSP00000439495 P54868-2

Frequencies

GnomAD3 genomes
AF:
0.0172
AC:
2610
AN:
152118
Hom.:
36
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0256
Gnomad AMI
AF:
0.0219
Gnomad AMR
AF:
0.0138
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000577
Gnomad SAS
AF:
0.00913
Gnomad FIN
AF:
0.00490
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.0173
Gnomad OTH
AF:
0.0196
GnomAD3 exomes
AF:
0.0125
AC:
3126
AN:
250084
Hom.:
40
AF XY:
0.0124
AC XY:
1677
AN XY:
135148
show subpopulations
Gnomad AFR exome
AF:
0.0238
Gnomad AMR exome
AF:
0.00937
Gnomad ASJ exome
AF:
0.000299
Gnomad EAS exome
AF:
0.000654
Gnomad SAS exome
AF:
0.00966
Gnomad FIN exome
AF:
0.00584
Gnomad NFE exome
AF:
0.0170
Gnomad OTH exome
AF:
0.0103
GnomAD4 exome
AF:
0.0157
AC:
20704
AN:
1315500
Hom.:
210
Cov.:
19
AF XY:
0.0154
AC XY:
10182
AN XY:
662632
show subpopulations
Gnomad4 AFR exome
AF:
0.0258
Gnomad4 AMR exome
AF:
0.0103
Gnomad4 ASJ exome
AF:
0.000198
Gnomad4 EAS exome
AF:
0.000257
Gnomad4 SAS exome
AF:
0.00922
Gnomad4 FIN exome
AF:
0.00623
Gnomad4 NFE exome
AF:
0.0179
Gnomad4 OTH exome
AF:
0.0141
GnomAD4 genome
AF:
0.0172
AC:
2617
AN:
152236
Hom.:
37
Cov.:
32
AF XY:
0.0159
AC XY:
1181
AN XY:
74432
show subpopulations
Gnomad4 AFR
AF:
0.0257
Gnomad4 AMR
AF:
0.0138
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000578
Gnomad4 SAS
AF:
0.00893
Gnomad4 FIN
AF:
0.00490
Gnomad4 NFE
AF:
0.0173
Gnomad4 OTH
AF:
0.0203
Alfa
AF:
0.0129
Hom.:
3
Bravo
AF:
0.0185
Asia WGS
AF:
0.00722
AC:
25
AN:
3478

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Likely benign, criteria provided, single submitterclinical testingGeneDxJun 23, 2018- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.77
CADD
Benign
8.6
DANN
Benign
0.58

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs41310104; hg19: chr1-120293394; API