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GeneBe

1-2591603-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_033467.4(MMEL1):c.2194G>A(p.Ala732Thr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000465 in 150,590 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 Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000046 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000060 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

MMEL1
NM_033467.4 missense

Scores

4
8
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.30
Variant links:
Genes affected
MMEL1 (HGNC:14668): (membrane metalloendopeptidase like 1) The protein encoded by this gene is a member of the neutral endopeptidase (NEP) or membrane metallo-endopeptidase (MME) family. Family members play important roles in pain perception, arterial pressure regulation, phosphate metabolism and homeostasis. This protein is a type II transmembrane protein and is thought to be expressed as a secreted protein. This gene is expressed mainly in testis with weak expression in the brain, kidney, and heart. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.763

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MMEL1NM_033467.4 linkuse as main transcriptc.2194G>A p.Ala732Thr missense_variant 23/24 ENST00000378412.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MMEL1ENST00000378412.8 linkuse as main transcriptc.2194G>A p.Ala732Thr missense_variant 23/242 NM_033467.4 P1Q495T6-1
MMEL1ENST00000502556.5 linkuse as main transcriptc.1723G>A p.Ala575Thr missense_variant 18/191 Q495T6-3
MMEL1ENST00000471840.5 linkuse as main transcriptc.55G>A p.Ala19Thr missense_variant 2/35
MMEL1ENST00000504800.5 linkuse as main transcriptc.*387G>A 3_prime_UTR_variant, NMD_transcript_variant 22/232 Q495T6-2

Frequencies

GnomAD3 genomes
AF:
0.0000465
AC:
7
AN:
150590
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000245
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000199
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:
0.0000442
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000811
AC:
20
AN:
246502
Hom.:
0
AF XY:
0.0000893
AC XY:
12
AN XY:
134310
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000262
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000902
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000603
AC:
88
AN:
1459648
Hom.:
0
Cov.:
32
AF XY:
0.0000565
AC XY:
41
AN XY:
726156
show subpopulations
Gnomad4 AFR exome
AF:
0.0000598
Gnomad4 AMR exome
AF:
0.000179
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000151
Gnomad4 SAS exome
AF:
0.0000232
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000567
Gnomad4 OTH exome
AF:
0.0000830
GnomAD4 genome
AF:
0.0000465
AC:
7
AN:
150590
Hom.:
0
Cov.:
32
AF XY:
0.0000409
AC XY:
3
AN XY:
73390
show subpopulations
Gnomad4 AFR
AF:
0.0000245
Gnomad4 AMR
AF:
0.000199
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000442
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000677
Hom.:
0
ExAC
AF:
0.0000494
AC:
6

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 GeneticsJan 09, 2024The c.2194G>A (p.A732T) alteration is located in exon 23 (coding exon 22) of the MMEL1 gene. This alteration results from a G to A substitution at nucleotide position 2194, causing the alanine (A) at amino acid position 732 to be replaced by a threonine (T). 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
Pathogenic
0.73
BayesDel_addAF
Pathogenic
0.18
D
BayesDel_noAF
Uncertain
0.030
Cadd
Uncertain
25
Dann
Uncertain
1.0
Eigen
Uncertain
0.36
Eigen_PC
Uncertain
0.23
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.84
T;D;T
M_CAP
Uncertain
0.20
D
MetaRNN
Pathogenic
0.76
D;D;D
MetaSVM
Uncertain
0.27
D
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.66
T
Sift4G
Uncertain
0.060
T;D;D
Polyphen
1.0
.;D;.
Vest4
0.85, 0.82
MutPred
0.52
.;Gain of ubiquitination at K737 (P = 0.0843);.;
MVP
0.73
MPC
0.67
ClinPred
0.91
D
GERP RS
3.9
Varity_R
0.29
gMVP
0.61

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: rs74867920; hg19: chr1-2523042; API