1-225922042-C-T

Variant summary

Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PM1PM2PM5PP3_StrongPP5_Very_Strong

The NM_013328.4(PYCR2):​c.356G>A​(p.Arg119His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000205 in 1,461,816 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R119C) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

PYCR2
NM_013328.4 missense

Scores

10
8
1

Clinical Significance

Likely pathogenic criteria provided, multiple submitters, no conflicts P:2

Conservation

PhyloP100: 7.84
Variant links:
Genes affected
PYCR2 (HGNC:30262): (pyrroline-5-carboxylate reductase 2) This gene belongs to the pyrroline-5-carboxylate reductase family. The encoded mitochondrial protein catalyzes the conversion of pyrroline-5-carboxylate to proline, which is the last step in proline biosynthesis. Alternatively spliced transcript variants have been described for this gene. [provided by RefSeq, Nov 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 18 ACMG points.

PM1
In a strand (size 4) in uniprot entity P5CR2_HUMAN there are 4 pathogenic changes around while only 0 benign (100%) in NM_013328.4
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr1-225922043-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 192393.Status of the report is no_assertion_criteria_provided, 0 stars.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.979
PP5
Variant 1-225922042-C-T is Pathogenic according to our data. Variant chr1-225922042-C-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 429628.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PYCR2NM_013328.4 linkuse as main transcriptc.356G>A p.Arg119His missense_variant 4/7 ENST00000343818.11 NP_037460.2 Q96C36A0A0S2Z5U6
PYCR2NM_001271681.2 linkuse as main transcriptc.318+162G>A intron_variant NP_001258610.1 Q96C36A0A087WTV6
MIR6741NR_106799.1 linkuse as main transcriptn.*38G>A downstream_gene_variant
MIR6741unassigned_transcript_295 use as main transcriptn.*38G>A downstream_gene_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PYCR2ENST00000343818.11 linkuse as main transcriptc.356G>A p.Arg119His missense_variant 4/71 NM_013328.4 ENSP00000342502.6 Q96C36
ENSG00000255835ENST00000432920.2 linkuse as main transcriptc.318+162G>A intron_variant 2 ENSP00000414068.2 J3KR12

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000205
AC:
3
AN:
1461816
Hom.:
0
Cov.:
32
AF XY:
0.00000275
AC XY:
2
AN XY:
727198
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

ClinVar

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

Submissions by phenotype

Hypomyelinating leukodystrophy 10 Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsOct 31, 2018- -
not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingGeneDxMay 05, 2023Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 34055512, 25865492, 30125339) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.85
BayesDel_addAF
Pathogenic
0.35
D
BayesDel_noAF
Pathogenic
0.26
CADD
Pathogenic
27
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.49
T;D;T;T
Eigen
Uncertain
0.57
Eigen_PC
Uncertain
0.50
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.91
D;D;D;D
M_CAP
Uncertain
0.17
D
MetaRNN
Pathogenic
0.98
D;D;D;D
MetaSVM
Uncertain
0.21
D
MutationAssessor
Pathogenic
4.3
.;H;.;.
PrimateAI
Uncertain
0.70
T
PROVEAN
Pathogenic
-5.0
.;D;.;.
REVEL
Pathogenic
0.74
Sift
Uncertain
0.0060
.;D;.;.
Sift4G
Pathogenic
0.0
D;D;.;D
Polyphen
0.98
.;D;.;.
Vest4
0.95
MutPred
0.95
.;Gain of catalytic residue at C120 (P = 0.0461);.;.;
MVP
0.78
MPC
0.79
ClinPred
1.0
D
GERP RS
3.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.86
gMVP
0.95

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: rs149587849; hg19: chr1-226109742; COSMIC: COSV100661511; COSMIC: COSV100661511; API