13-48045720-G-A
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Variant summary
Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBS1_SupportingBS2
The NM_018283.4(NUDT15):c.416G>A(p.Arg139His) variant causes a missense change. The variant allele was found at a frequency of 0.00077 in 1,612,492 control chromosomes in the GnomAD database, including 13 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as drug response (no stars).
Frequency
Genomes: 𝑓 0.0022 ( 5 hom., cov: 32)
Exomes 𝑓: 0.00062 ( 8 hom. )
Consequence
NUDT15
NM_018283.4 missense
NM_018283.4 missense
Scores
6
12
Clinical Significance
Conservation
PhyloP100: 4.13
Genes affected
NUDT15 (HGNC:23063): (nudix hydrolase 15) This gene encodes an enzyme that belongs to the Nudix hydrolase superfamily. Members of this superfamily catalyze the hydrolysis of nucleoside diphosphates, including substrates like 8-oxo-dGTP, which are a result of oxidative damage, and can induce base mispairing during DNA replication, causing transversions. The encoded enzyme is a negative regulator of thiopurine activation and toxicity. Mutations in this gene result in poor metabolism of thiopurines, and are associated with thiopurine-induced early leukopenia. Multiple pseudogenes of this gene have been identified. [provided by RefSeq, Apr 2016]
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ACMG classification
Classification made for transcript
Verdict is Benign. Variant got -9 ACMG points.
BP4
Computational evidence support a benign effect (MetaRNN=0.006871134).
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.00222 (338/152226) while in subpopulation AMR AF= 0.0205 (313/15286). AF 95% confidence interval is 0.0186. There are 5 homozygotes in gnomad4. There are 197 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High AC in GnomAd4 at 338 AD gene.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
NUDT15 | NM_018283.4 | c.416G>A | p.Arg139His | missense_variant | 3/3 | ENST00000258662.3 | NP_060753.1 | |
NUDT15 | NR_136687.2 | n.437G>A | non_coding_transcript_exon_variant | 3/5 | ||||
NUDT15 | NR_136688.2 | n.437G>A | non_coding_transcript_exon_variant | 3/5 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
NUDT15 | ENST00000258662.3 | c.416G>A | p.Arg139His | missense_variant | 3/3 | 1 | NM_018283.4 | ENSP00000258662.1 |
Frequencies
GnomAD3 genomes AF: 0.00218 AC: 332AN: 152108Hom.: 4 Cov.: 32
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GnomAD3 exomes AF: 0.00261 AC: 653AN: 250140Hom.: 7 AF XY: 0.00205 AC XY: 278AN XY: 135300
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GnomAD4 exome AF: 0.000619 AC: 904AN: 1460266Hom.: 8 Cov.: 30 AF XY: 0.000560 AC XY: 407AN XY: 726526
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GnomAD4 genome AF: 0.00222 AC: 338AN: 152226Hom.: 5 Cov.: 32 AF XY: 0.00265 AC XY: 197AN XY: 74428
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ClinVar
Significance: drug response
Submissions summary: Other:1
Revision: no assertion criteria provided
LINK: link
Submissions by phenotype
Thiopurines, poor metabolism of, 2 Other:1
drug response, no assertion criteria provided | literature only | OMIM | Oct 25, 2016 | - - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
BayesDel_addAF
Benign
T
BayesDel_noAF
Benign
CADD
Uncertain
DANN
Uncertain
DEOGEN2
Benign
T
Eigen
Uncertain
Eigen_PC
Uncertain
FATHMM_MKL
Uncertain
D
LIST_S2
Uncertain
D
MetaRNN
Benign
T
MetaSVM
Benign
T
MutationAssessor
Uncertain
M
PrimateAI
Benign
T
PROVEAN
Benign
N
REVEL
Benign
Sift
Benign
T
Sift4G
Benign
T
Polyphen
D
Vest4
MVP
MPC
ClinPred
T
GERP RS
Varity_R
gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at