11-63999559-G-A

Variant summary

Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_014067.4(MACROD1):​c.788C>T​(p.Ala263Val) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000686 in 1,457,804 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 2/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 6.9e-7 ( 0 hom. )

Consequence

MACROD1
NM_014067.4 missense, splice_region

Scores

6
8
5
Splicing: ADA: 0.8010
1
1

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.75

Publications

0 publications found
Variant links:
Genes affected
MACROD1 (HGNC:29598): (mono-ADP ribosylhydrolase 1) Enables ADP-ribosylglutamate hydrolase activity and deacetylase activity. Involved in cellular response to DNA damage stimulus; peptidyl-glutamate ADP-deribosylation; and purine nucleoside metabolic process. Located in nucleoplasm. [provided by Alliance of Genome Resources, Apr 2022]
OTUB1 (HGNC:23077): (OTU deubiquitinase, ubiquitin aldehyde binding 1) The product of this gene is a member of the OTU (ovarian tumor) superfamily of predicted cysteine proteases. The encoded protein is a highly specific ubiquitin iso-peptidase, and cleaves ubiquitin from branched poly-ubiquitin chains but not from ubiquitinated substrates. It interacts with another ubiquitin protease and an E3 ubiquitin ligase that inhibits cytokine gene transcription in the immune system. It is proposed to function in specific ubiquitin-dependent pathways, possibly by providing an editing function for polyubiquitin chain growth. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.968

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MACROD1NM_014067.4 linkc.788C>T p.Ala263Val missense_variant, splice_region_variant Exon 7 of 11 ENST00000255681.7 NP_054786.2 Q9BQ69
MACROD1NM_001411019.1 linkc.788C>T p.Ala263Val missense_variant, splice_region_variant Exon 7 of 10 NP_001397948.1
MACROD1XM_011544970.3 linkc.758C>T p.Ala253Val missense_variant, splice_region_variant Exon 6 of 9 XP_011543272.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MACROD1ENST00000255681.7 linkc.788C>T p.Ala263Val missense_variant, splice_region_variant Exon 7 of 11 1 NM_014067.4 ENSP00000255681.6 Q9BQ69

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
233256
AF XY:
0.00
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS 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:
6.86e-7
AC:
1
AN:
1457804
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
724846
show subpopulations
African (AFR)
AF:
0.0000299
AC:
1
AN:
33448
American (AMR)
AF:
0.00
AC:
0
AN:
44330
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26018
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39578
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85568
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52138
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5756
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1110790
Other (OTH)
AF:
0.00
AC:
0
AN:
60178
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
Cov.:
33

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Jan 26, 2022
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.788C>T (p.A263V) alteration is located in exon 7 (coding exon 7) of the MACROD1 gene. This alteration results from a C to T substitution at nucleotide position 788, causing the alanine (A) at amino acid position 263 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
Pathogenic
0.69
BayesDel_addAF
Uncertain
0.068
T
BayesDel_noAF
Benign
-0.14
CADD
Pathogenic
34
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.19
T
Eigen
Uncertain
0.50
Eigen_PC
Uncertain
0.38
FATHMM_MKL
Benign
0.71
D
LIST_S2
Pathogenic
0.99
D
M_CAP
Pathogenic
0.67
D
MetaRNN
Pathogenic
0.97
D
MetaSVM
Benign
-0.64
T
MutationAssessor
Uncertain
2.7
M
PhyloP100
2.8
PrimateAI
Pathogenic
0.86
D
PROVEAN
Uncertain
-3.3
D
REVEL
Uncertain
0.44
Sift
Uncertain
0.023
D
Sift4G
Uncertain
0.030
D
Polyphen
1.0
D
Vest4
0.72
MutPred
0.88
Loss of catalytic residue at A263 (P = 0.0725);
MVP
0.45
MPC
0.29
ClinPred
0.99
D
GERP RS
3.6
Varity_R
0.73
gMVP
0.68
Mutation Taster
=56/44
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.80
dbscSNV1_RF
Pathogenic
0.73
SpliceAI score (max)
0.040
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs1257139287; hg19: chr11-63767031; API