18-36187649-A-G

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_017947.4(MOCOS):​c.110A>G​(p.Glu37Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

MOCOS
NM_017947.4 missense

Scores

3
16

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 0.850

Publications

1 publications found
Variant links:
Genes affected
MOCOS (HGNC:18234): (molybdenum cofactor sulfurase) This gene encodes an enzyme that sulfurates the molybdenum cofactor which is required for activation of the xanthine dehydrogenase (XDH) and aldehyde oxidase (AO) enzymes. XDH catalyzes the conversion of hypoxanthine to uric acid via xanthine, as well as the conversion of allopurinol to oxypurinol, and pyrazinamide to 5-hydroxy pyrazinamide. Mutations in this gene cause the metabolic disorder classical xanthinuria type II which is characterized by the loss of XDH/XO and AO enzyme activity, decreased levels of uric acid in the urine, increased levels of xanthine and hypoxanthine in the serum and urine, formation of xanthine stones in the urinary tract, and myositis due to tissue deposition of xanthine. [provided by RefSeq, Apr 2017]
COSMOC (HGNC:51610): (cell fate and sterol metabolism associated divergent transcript of MOCOS)

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.14961848).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MOCOSNM_017947.4 linkc.110A>G p.Glu37Gly missense_variant Exon 1 of 15 ENST00000261326.6 NP_060417.4 Q96EN8
COSMOCNR_134605.1 linkn.-214T>C upstream_gene_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MOCOSENST00000261326.6 linkc.110A>G p.Glu37Gly missense_variant Exon 1 of 15 1 NM_017947.4 ENSP00000261326.4 Q96EN8
COSMOCENST00000568654.3 linkn.-175T>C upstream_gene_variant 1
COSMOCENST00000687261.3 linkn.-174T>C upstream_gene_variant
COSMOCENST00000738210.1 linkn.-229T>C upstream_gene_variant

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
22564
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
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1100680
Hom.:
0
Cov.:
34
AF XY:
0.00
AC XY:
0
AN XY:
522586
African (AFR)
AF:
0.00
AC:
0
AN:
23842
American (AMR)
AF:
0.00
AC:
0
AN:
9386
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
14520
East Asian (EAS)
AF:
0.00
AC:
0
AN:
27724
South Asian (SAS)
AF:
0.00
AC:
0
AN:
23004
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
23054
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4022
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
930632
Other (OTH)
AF:
0.00
AC:
0
AN:
44496
GnomAD4 genome
Cov.:
33
ExAC
AF:
0.00000996
AC:
1

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Uncertain:1
Sep 09, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.110A>G (p.E37G) alteration is located in exon 1 (coding exon 1) of the MOCOS gene. This alteration results from a A to G substitution at nucleotide position 110, causing the glutamic acid (E) at amino acid position 37 to be replaced by a glycine (G). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Xanthinuria type II Uncertain:1
Mar 22, 2024
Fulgent Genetics, Fulgent Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.095
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Benign
-0.51
CADD
Benign
18
DANN
Uncertain
1.0
DEOGEN2
Benign
0.19
T
Eigen
Benign
-0.44
Eigen_PC
Benign
-0.30
FATHMM_MKL
Benign
0.39
N
LIST_S2
Benign
0.50
T
M_CAP
Benign
0.025
T
MetaRNN
Benign
0.15
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.9
L
PhyloP100
0.85
PrimateAI
Uncertain
0.72
T
PROVEAN
Uncertain
-2.6
D
REVEL
Benign
0.091
Sift
Benign
0.13
T
Sift4G
Benign
0.24
T
Polyphen
0.22
B
Vest4
0.20
MutPred
0.35
Gain of MoRF binding (P = 0.0249);
MVP
0.32
MPC
1.7
ClinPred
0.75
D
GERP RS
4.2
PromoterAI
-0.026
Neutral
Varity_R
0.13
gMVP
0.27

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

Other links and lift over

dbSNP: rs773029922; hg19: chr18-33767612; API