12-4659027-A-T

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_005002.5(NDUFA9):​c.411-9A>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.258 in 1,606,668 control chromosomes in the GnomAD database, including 55,286 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.26 ( 5230 hom., cov: 33)
Exomes 𝑓: 0.26 ( 50056 hom. )

Consequence

NDUFA9
NM_005002.5 intron

Scores

2
Splicing: ADA: 0.00001367
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 2.11

Publications

12 publications found
Variant links:
Genes affected
NDUFA9 (HGNC:7693): (NADH:ubiquinone oxidoreductase subunit A9) The encoded protein is a subunit of the hydrophobic protein fraction of the NADH:ubiquinone oxidoreductase (complex I), the first enzyme complex in the electron transport chain located in the inner mitochondrial membrane. A pseudogene has been identified on chromosome 12. [provided by RefSeq, May 2010]
NDUFA9 Gene-Disease associations (from GenCC):
  • Leigh syndrome
    Inheritance: AR Classification: MODERATE, LIMITED Submitted by: ClinGen, G2P
  • Leigh syndrome with leukodystrophy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • mitochondrial complex I deficiency, nuclear type 26
    Inheritance: AR Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.92).
BP6
Variant 12-4659027-A-T is Benign according to our data. Variant chr12-4659027-A-T is described in ClinVar as Benign. ClinVar VariationId is 138447.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.278 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NDUFA9NM_005002.5 linkc.411-9A>T intron_variant Intron 4 of 10 ENST00000266544.10 NP_004993.1 Q16795

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NDUFA9ENST00000266544.10 linkc.411-9A>T intron_variant Intron 4 of 10 1 NM_005002.5 ENSP00000266544.5 Q16795
ENSG00000255639ENST00000648836.1 linkc.411-9A>T intron_variant Intron 4 of 14 ENSP00000497305.1 A0A3B3ISG8
ENSG00000272921ENST00000536588.1 linkn.*411-9A>T intron_variant Intron 5 of 6 3 ENSP00000445121.1 H0YGX0

Frequencies

GnomAD3 genomes
AF:
0.259
AC:
39322
AN:
151980
Hom.:
5236
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.250
Gnomad AMI
AF:
0.289
Gnomad AMR
AF:
0.241
Gnomad ASJ
AF:
0.364
Gnomad EAS
AF:
0.192
Gnomad SAS
AF:
0.172
Gnomad FIN
AF:
0.199
Gnomad MID
AF:
0.389
Gnomad NFE
AF:
0.281
Gnomad OTH
AF:
0.289
GnomAD2 exomes
AF:
0.244
AC:
60822
AN:
249372
AF XY:
0.244
show subpopulations
Gnomad AFR exome
AF:
0.249
Gnomad AMR exome
AF:
0.209
Gnomad ASJ exome
AF:
0.365
Gnomad EAS exome
AF:
0.189
Gnomad FIN exome
AF:
0.197
Gnomad NFE exome
AF:
0.280
Gnomad OTH exome
AF:
0.265
GnomAD4 exome
AF:
0.258
AC:
375233
AN:
1454570
Hom.:
50056
Cov.:
31
AF XY:
0.257
AC XY:
186110
AN XY:
723828
show subpopulations
African (AFR)
AF:
0.247
AC:
8168
AN:
33094
American (AMR)
AF:
0.211
AC:
9350
AN:
44240
Ashkenazi Jewish (ASJ)
AF:
0.365
AC:
9481
AN:
26008
East Asian (EAS)
AF:
0.157
AC:
6214
AN:
39634
South Asian (SAS)
AF:
0.169
AC:
14496
AN:
85814
European-Finnish (FIN)
AF:
0.200
AC:
10686
AN:
53306
Middle Eastern (MID)
AF:
0.340
AC:
1744
AN:
5126
European-Non Finnish (NFE)
AF:
0.270
AC:
299434
AN:
1107344
Other (OTH)
AF:
0.261
AC:
15660
AN:
60004
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.471
Heterozygous variant carriers
0
11980
23960
35939
47919
59899
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
9762
19524
29286
39048
48810
<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
AF:
0.259
AC:
39321
AN:
152098
Hom.:
5230
Cov.:
33
AF XY:
0.252
AC XY:
18711
AN XY:
74350
show subpopulations
African (AFR)
AF:
0.250
AC:
10370
AN:
41486
American (AMR)
AF:
0.241
AC:
3681
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.364
AC:
1265
AN:
3472
East Asian (EAS)
AF:
0.191
AC:
989
AN:
5174
South Asian (SAS)
AF:
0.173
AC:
836
AN:
4832
European-Finnish (FIN)
AF:
0.199
AC:
2100
AN:
10576
Middle Eastern (MID)
AF:
0.388
AC:
114
AN:
294
European-Non Finnish (NFE)
AF:
0.281
AC:
19095
AN:
67960
Other (OTH)
AF:
0.287
AC:
607
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
1517
3034
4550
6067
7584
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
388
776
1164
1552
1940
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.279
Hom.:
2045
Bravo
AF:
0.260
Asia WGS
AF:
0.210
AC:
735
AN:
3478
EpiCase
AF:
0.293
EpiControl
AF:
0.300

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Feb 22, 2016
Mayo Clinic Laboratories, Mayo Clinic
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:1
Oct 25, 2013
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.92
CADD
Benign
7.8
DANN
Benign
0.64
PhyloP100
2.1
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000014
dbscSNV1_RF
Benign
0.0040
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

Other links and lift over

dbSNP: rs4147682; hg19: chr12-4768193; API