1-151848264-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The ENST00000368817.10(THEM5):ā€‹c.493A>Gā€‹(p.Met165Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000372 in 1,613,944 control chromosomes in the GnomAD database, with no homozygous occurrence. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.0000066 ( 0 hom., cov: 32)
Exomes š‘“: 0.0000034 ( 0 hom. )

Consequence

THEM5
ENST00000368817.10 missense

Scores

1
4
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.105
Variant links:
Genes affected
THEM5 (HGNC:26755): (thioesterase superfamily member 5) Enables palmitoyl-CoA hydrolase activity. Involved in long-chain fatty-acyl-CoA metabolic process. Located in mitochondrial matrix. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
THEM5NM_182578.4 linkuse as main transcriptc.493A>G p.Met165Val missense_variant 4/6 ENST00000368817.10 NP_872384.2 Q8N1Q8
THEM5XM_011509421.2 linkuse as main transcriptc.493A>G p.Met165Val missense_variant 4/5 XP_011507723.1
C2CD4D-AS1NR_024237.2 linkuse as main transcriptn.1031-1969T>C intron_variant
C2CD4D-AS1NR_152846.1 linkuse as main transcriptn.951-1969T>C intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
THEM5ENST00000368817.10 linkuse as main transcriptc.493A>G p.Met165Val missense_variant 4/61 NM_182578.4 ENSP00000357807.4 Q8N1Q8
THEM5ENST00000453881.2 linkuse as main transcriptc.139A>G p.Met47Val missense_variant 2/34 ENSP00000406809.2 H0Y6P4
C2CD4D-AS1ENST00000434182.1 linkuse as main transcriptn.354-1969T>C intron_variant 5

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152166
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251082
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135736
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000342
AC:
5
AN:
1461778
Hom.:
0
Cov.:
32
AF XY:
0.00000413
AC XY:
3
AN XY:
727192
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:
0.00000360
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152166
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74332
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000113

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsOct 06, 2021The c.493A>G (p.M165V) alteration is located in exon 4 (coding exon 4) of the THEM5 gene. This alteration results from a A to G substitution at nucleotide position 493, causing the methionine (M) at amino acid position 165 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.24
T
BayesDel_noAF
Benign
-0.42
CADD
Benign
17
DANN
Benign
0.97
DEOGEN2
Benign
0.017
T
Eigen
Benign
-0.45
Eigen_PC
Benign
-0.36
FATHMM_MKL
Benign
0.60
D
LIST_S2
Benign
0.68
T
M_CAP
Benign
0.0076
T
MetaRNN
Uncertain
0.43
T
MetaSVM
Benign
-0.94
T
MutationAssessor
Pathogenic
3.0
M
MutationTaster
Benign
0.95
N
PrimateAI
Benign
0.37
T
PROVEAN
Uncertain
-3.0
D
REVEL
Benign
0.12
Sift
Uncertain
0.0060
D
Sift4G
Uncertain
0.049
D
Polyphen
0.13
B
Vest4
0.63
MutPred
0.50
Loss of disorder (P = 0.0808);
MVP
0.30
MPC
0.14
ClinPred
0.64
D
GERP RS
-0.76
Varity_R
0.59
gMVP
0.24

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: rs1389890173; hg19: chr1-151820740; API