18-36187692-C-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_017947.4(MOCOS):​c.142+11C>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0198 in 1,264,752 control chromosomes in the GnomAD database, including 318 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.014 ( 27 hom., cov: 33)
Exomes 𝑓: 0.021 ( 291 hom. )

Consequence

MOCOS
NM_017947.4 intron

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: -1.97
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.69).
BP6
Variant 18-36187692-C-A is Benign according to our data. Variant chr18-36187692-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 1167027.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0138 (2105/152274) while in subpopulation NFE AF= 0.0213 (1445/67996). AF 95% confidence interval is 0.0203. There are 27 homozygotes in gnomad4. There are 928 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 27 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MOCOSNM_017947.4 linkuse as main transcriptc.142+11C>A intron_variant ENST00000261326.6 NP_060417.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MOCOSENST00000261326.6 linkuse as main transcriptc.142+11C>A intron_variant 1 NM_017947.4 ENSP00000261326 P1

Frequencies

GnomAD3 genomes
AF:
0.0139
AC:
2108
AN:
152162
Hom.:
27
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00345
Gnomad AMI
AF:
0.0428
Gnomad AMR
AF:
0.0183
Gnomad ASJ
AF:
0.0254
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00310
Gnomad FIN
AF:
0.00414
Gnomad MID
AF:
0.0538
Gnomad NFE
AF:
0.0212
Gnomad OTH
AF:
0.0177
GnomAD3 exomes
AF:
0.0162
AC:
652
AN:
40344
Hom.:
4
AF XY:
0.0171
AC XY:
385
AN XY:
22504
show subpopulations
Gnomad AFR exome
AF:
0.00410
Gnomad AMR exome
AF:
0.0147
Gnomad ASJ exome
AF:
0.0288
Gnomad EAS exome
AF:
0.000317
Gnomad SAS exome
AF:
0.00452
Gnomad FIN exome
AF:
0.00291
Gnomad NFE exome
AF:
0.0213
Gnomad OTH exome
AF:
0.0135
GnomAD4 exome
AF:
0.0206
AC:
22970
AN:
1112478
Hom.:
291
Cov.:
33
AF XY:
0.0203
AC XY:
10759
AN XY:
529146
show subpopulations
Gnomad4 AFR exome
AF:
0.00333
Gnomad4 AMR exome
AF:
0.0155
Gnomad4 ASJ exome
AF:
0.0230
Gnomad4 EAS exome
AF:
0.0000347
Gnomad4 SAS exome
AF:
0.00365
Gnomad4 FIN exome
AF:
0.00387
Gnomad4 NFE exome
AF:
0.0227
Gnomad4 OTH exome
AF:
0.0179
GnomAD4 genome
AF:
0.0138
AC:
2105
AN:
152274
Hom.:
27
Cov.:
33
AF XY:
0.0125
AC XY:
928
AN XY:
74448
show subpopulations
Gnomad4 AFR
AF:
0.00344
Gnomad4 AMR
AF:
0.0183
Gnomad4 ASJ
AF:
0.0254
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00290
Gnomad4 FIN
AF:
0.00414
Gnomad4 NFE
AF:
0.0213
Gnomad4 OTH
AF:
0.0175
Alfa
AF:
0.0160
Hom.:
4
Bravo
AF:
0.0145
Asia WGS
AF:
0.00144
AC:
5
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Likely benign, criteria provided, single submitterclinical testingGeneDxJan 12, 2021- -
Xanthinuria type II Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 25, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.69
CADD
Benign
1.5
DANN
Benign
0.94

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: rs141031604; hg19: chr18-33767655; API