18-50920573-A-C

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_002396.5(ME2):​c.844+8A>C variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00185 in 1,574,270 control chromosomes in the GnomAD database, including 63 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (no stars).

Frequency

Genomes: 𝑓 0.010 ( 36 hom., cov: 32)
Exomes 𝑓: 0.00097 ( 27 hom. )

Consequence

ME2
NM_002396.5 splice_region, intron

Scores

2
Splicing: ADA: 0.00001362
2

Clinical Significance

Benign no assertion criteria provided B:1

Conservation

PhyloP100: 3.50
Variant links:
Genes affected
ME2 (HGNC:6984): (malic enzyme 2) This gene encodes a mitochondrial NAD-dependent malic enzyme, a homotetrameric protein, that catalyzes the oxidative decarboxylation of malate to pyruvate. It had previously been weakly linked to a syndrome known as Friedreich ataxia that has since been shown to be the result of mutation in a completely different gene. Certain single-nucleotide polymorphism haplotypes of this gene have been shown to increase the risk for idiopathic generalized epilepsy. Alternatively spliced transcript variants encoding different isoforms found for this gene. [provided by RefSeq, Dec 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.84).
BP6
Variant 18-50920573-A-C is Benign according to our data. Variant chr18-50920573-A-C is described in ClinVar as [Benign]. Clinvar id is 3033318.Status of the report is no_assertion_criteria_provided, 0 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0101 (1543/152304) while in subpopulation AFR AF= 0.0346 (1438/41562). AF 95% confidence interval is 0.0331. There are 36 homozygotes in gnomad4. There are 730 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 36 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ME2NM_002396.5 linkuse as main transcriptc.844+8A>C splice_region_variant, intron_variant ENST00000321341.11
ME2NM_001168335.2 linkuse as main transcriptc.844+8A>C splice_region_variant, intron_variant
ME2NR_174094.1 linkuse as main transcriptn.1047+8A>C splice_region_variant, intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ME2ENST00000321341.11 linkuse as main transcriptc.844+8A>C splice_region_variant, intron_variant 1 NM_002396.5 P1P23368-1

Frequencies

GnomAD3 genomes
AF:
0.0101
AC:
1543
AN:
152186
Hom.:
36
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0347
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00576
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000103
Gnomad OTH
AF:
0.00478
GnomAD3 exomes
AF:
0.00280
AC:
605
AN:
216008
Hom.:
11
AF XY:
0.00192
AC XY:
226
AN XY:
117992
show subpopulations
Gnomad AFR exome
AF:
0.0373
Gnomad AMR exome
AF:
0.00152
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:
0.0000289
Gnomad OTH exome
AF:
0.00139
GnomAD4 exome
AF:
0.000967
AC:
1375
AN:
1421966
Hom.:
27
Cov.:
26
AF XY:
0.000828
AC XY:
586
AN XY:
707334
show subpopulations
Gnomad4 AFR exome
AF:
0.0389
Gnomad4 AMR exome
AF:
0.00158
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000250
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000100
Gnomad4 OTH exome
AF:
0.00167
GnomAD4 genome
AF:
0.0101
AC:
1543
AN:
152304
Hom.:
36
Cov.:
32
AF XY:
0.00980
AC XY:
730
AN XY:
74478
show subpopulations
Gnomad4 AFR
AF:
0.0346
Gnomad4 AMR
AF:
0.00575
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000103
Gnomad4 OTH
AF:
0.00473
Alfa
AF:
0.00530
Hom.:
5
Bravo
AF:
0.0117
Asia WGS
AF:
0.000866
AC:
3
AN:
3478

ClinVar

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

Submissions by phenotype

ME2-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesFeb 22, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.84
CADD
Benign
6.3
DANN
Benign
0.42

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000014
dbscSNV1_RF
Benign
0.012
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: rs147910635; hg19: chr18-48446943; API