18-77016944-A-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_001025101.2(MBP):​c.464T>A​(p.Met155Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,892 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

MBP
NM_001025101.2 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.62
Variant links:
Genes affected
MBP (HGNC:6925): (myelin basic protein) The protein encoded by the classic MBP gene is a major constituent of the myelin sheath of oligodendrocytes and Schwann cells in the nervous system. However, MBP-related transcripts are also present in the bone marrow and the immune system. These mRNAs arise from the long MBP gene (otherwise called "Golli-MBP") that contains 3 additional exons located upstream of the classic MBP exons. Alternative splicing from the Golli and the MBP transcription start sites gives rise to 2 sets of MBP-related transcripts and gene products. The Golli mRNAs contain 3 exons unique to Golli-MBP, spliced in-frame to 1 or more MBP exons. They encode hybrid proteins that have N-terminal Golli aa sequence linked to MBP aa sequence. The second family of transcripts contain only MBP exons and produce the well characterized myelin basic proteins. This complex gene structure is conserved among species suggesting that the MBP transcription unit is an integral part of the Golli transcription unit and that this arrangement is important for the function and/or regulation of these genes. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.32131824).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MBPNM_001025101.2 linkuse as main transcriptc.464T>A p.Met155Lys missense_variant 4/9 ENST00000355994.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MBPENST00000355994.7 linkuse as main transcriptc.464T>A p.Met155Lys missense_variant 4/95 NM_001025101.2 P1P02686-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461892
Hom.:
0
Cov.:
33
AF XY:
0.00000138
AC XY:
1
AN XY:
727248
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:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMay 13, 2024The c.464T>A (p.M155K) alteration is located in exon 4 (coding exon 3) of the MBP gene. This alteration results from a T to A substitution at nucleotide position 464, causing the methionine (M) at amino acid position 155 to be replaced by a lysine (K). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.22
BayesDel_addAF
Benign
-0.031
T
BayesDel_noAF
Benign
-0.28
CADD
Benign
20
DANN
Benign
0.92
DEOGEN2
Benign
0.37
.;T;T;.;.;T;.;T;T;T;T;.;T;T;.;.;.;.
Eigen
Benign
-0.52
Eigen_PC
Benign
-0.55
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Uncertain
0.93
D;D;D;D;D;D;D;D;D;D;.;D;D;D;D;.;D;D
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.32
T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
1.0
.;L;.;.;.;.;.;.;.;.;L;.;.;.;.;L;L;.
MutationTaster
Benign
1.0
D;N;N;N;N;N;N;N;N;N;N;N;N;N;N;N
PrimateAI
Uncertain
0.53
T
PROVEAN
Uncertain
-3.9
D;D;D;D;D;D;D;D;D;D;.;.;.;.;D;D;D;.
REVEL
Benign
0.11
Sift
Uncertain
0.015
D;D;D;T;T;D;D;D;D;D;.;.;.;.;D;D;D;.
Sift4G
Benign
0.11
T;T;T;T;T;D;T;D;D;D;T;T;T;.;.;T;T;.
Polyphen
0.13
B;P;.;.;P;.;B;.;.;.;P;.;.;.;.;D;D;.
Vest4
0.50
MutPred
0.45
.;Gain of catalytic residue at M155 (P = 0.0065);.;.;.;.;.;.;.;.;Gain of catalytic residue at M155 (P = 0.0065);Gain of catalytic residue at M155 (P = 0.0065);.;.;.;Gain of catalytic residue at M155 (P = 0.0065);Gain of catalytic residue at M155 (P = 0.0065);Gain of catalytic residue at M155 (P = 0.0065);
MVP
0.22
MPC
0.48
ClinPred
0.65
D
GERP RS
-0.011
Varity_R
0.46
gMVP
0.061

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr18-74728900; API