16-72021211-G-C

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM2PP3_StrongPP5

The NM_001361.5(DHODH):ā€‹c.605G>Cā€‹(p.Gly202Ala) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000411 in 1,459,374 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 Pathogenic (no stars).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000041 ( 0 hom. )

Consequence

DHODH
NM_001361.5 missense

Scores

6
3
10

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 9.80
Variant links:
Genes affected
DHODH (HGNC:2867): (dihydroorotate dehydrogenase (quinone)) The protein encoded by this gene catalyzes the fourth enzymatic step, the ubiquinone-mediated oxidation of dihydroorotate to orotate, in de novo pyrimidine biosynthesis. This protein is a mitochondrial protein located on the outer surface of the inner mitochondrial membrane. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.967
PP5
Variant 16-72021211-G-C is Pathogenic according to our data. Variant chr16-72021211-G-C is described in ClinVar as [Pathogenic]. Clinvar id is 16804.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
DHODHNM_001361.5 linkuse as main transcriptc.605G>C p.Gly202Ala missense_variant 5/9 ENST00000219240.9 NP_001352.2 Q02127
DHODHXM_047433674.1 linkuse as main transcriptc.521G>C p.Gly174Ala missense_variant 5/9 XP_047289630.1
DHODHXM_005255829.5 linkuse as main transcriptc.176G>C p.Gly59Ala missense_variant 3/7 XP_005255886.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
DHODHENST00000219240.9 linkuse as main transcriptc.605G>C p.Gly202Ala missense_variant 5/91 NM_001361.5 ENSP00000219240.4 Q02127

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000413
AC:
1
AN:
242182
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
131700
show subpopulations
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 SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000910
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000411
AC:
6
AN:
1459374
Hom.:
0
Cov.:
33
AF XY:
0.00000413
AC XY:
3
AN XY:
725742
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000540
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Miller syndrome Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMJan 01, 2010- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.24
BayesDel_addAF
Pathogenic
0.37
D
BayesDel_noAF
Pathogenic
0.30
CADD
Benign
20
DANN
Benign
0.89
DEOGEN2
Uncertain
0.65
.;D
Eigen
Benign
-0.059
Eigen_PC
Benign
0.11
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Pathogenic
0.99
D;D
M_CAP
Benign
0.045
D
MetaRNN
Pathogenic
0.97
D;D
MetaSVM
Benign
-0.39
T
MutationAssessor
Benign
0.93
.;L
PrimateAI
Pathogenic
0.83
D
PROVEAN
Uncertain
-3.7
.;D
REVEL
Uncertain
0.61
Sift
Benign
0.42
.;T
Sift4G
Benign
0.35
T;T
Polyphen
0.16
.;B
Vest4
0.94
MutPred
0.88
Loss of stability (P = 0.379);Loss of stability (P = 0.379);
MVP
0.88
MPC
0.69
ClinPred
0.76
D
GERP RS
5.2
Varity_R
0.74
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: rs267606767; hg19: chr16-72055110; API