2-190246167-C-T

Variant summary

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

The NM_014362.4(HIBCH):​c.796G>A​(p.Asp266Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00425 in 1,581,178 control chromosomes in the GnomAD database, including 19 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0030 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0044 ( 17 hom. )

Consequence

HIBCH
NM_014362.4 missense

Scores

3
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: 2.52
Variant links:
Genes affected
HIBCH (HGNC:4908): (3-hydroxyisobutyryl-CoA hydrolase) This gene encodes the enzyme responsible for hydrolysis of both HIBYL-CoA and beta-hydroxypropionyl-CoA. Mutations in this gene have been associated with 3-hyroxyisobutyryl-CoA hydrolase deficiency. Alternative splicing results in multiple transcript variants.[provided by RefSeq, May 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0078730285).
BP6
Variant 2-190246167-C-T is Benign according to our data. Variant chr2-190246167-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 235593.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=1}.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00298 (453/152236) while in subpopulation NFE AF= 0.00554 (377/68000). AF 95% confidence interval is 0.00508. There are 2 homozygotes in gnomad4. There are 192 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
HIBCHNM_014362.4 linkc.796G>A p.Asp266Asn missense_variant Exon 10 of 14 ENST00000359678.10 NP_055177.2 Q6NVY1-1A0A140VJL0

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
HIBCHENST00000359678.10 linkc.796G>A p.Asp266Asn missense_variant Exon 10 of 14 1 NM_014362.4 ENSP00000352706.5 Q6NVY1-1

Frequencies

GnomAD3 genomes
AF:
0.00298
AC:
453
AN:
152118
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00118
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000590
Gnomad ASJ
AF:
0.000865
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.000755
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00554
Gnomad OTH
AF:
0.00239
GnomAD3 exomes
AF:
0.00253
AC:
632
AN:
249884
Hom.:
2
AF XY:
0.00249
AC XY:
336
AN XY:
135178
show subpopulations
Gnomad AFR exome
AF:
0.00137
Gnomad AMR exome
AF:
0.000348
Gnomad ASJ exome
AF:
0.000199
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000688
Gnomad FIN exome
AF:
0.000418
Gnomad NFE exome
AF:
0.00487
Gnomad OTH exome
AF:
0.00279
GnomAD4 exome
AF:
0.00438
AC:
6261
AN:
1428942
Hom.:
17
Cov.:
26
AF XY:
0.00424
AC XY:
3025
AN XY:
713134
show subpopulations
Gnomad4 AFR exome
AF:
0.000761
Gnomad4 AMR exome
AF:
0.000493
Gnomad4 ASJ exome
AF:
0.000154
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000702
Gnomad4 FIN exome
AF:
0.000488
Gnomad4 NFE exome
AF:
0.00544
Gnomad4 OTH exome
AF:
0.00399
GnomAD4 genome
AF:
0.00298
AC:
453
AN:
152236
Hom.:
2
Cov.:
32
AF XY:
0.00258
AC XY:
192
AN XY:
74416
show subpopulations
Gnomad4 AFR
AF:
0.00118
Gnomad4 AMR
AF:
0.000589
Gnomad4 ASJ
AF:
0.000865
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000415
Gnomad4 FIN
AF:
0.000755
Gnomad4 NFE
AF:
0.00554
Gnomad4 OTH
AF:
0.00236
Alfa
AF:
0.00415
Hom.:
2
Bravo
AF:
0.00288
TwinsUK
AF:
0.00512
AC:
19
ALSPAC
AF:
0.00493
AC:
19
ESP6500AA
AF:
0.00114
AC:
5
ESP6500EA
AF:
0.00524
AC:
45
ExAC
AF:
0.00250
AC:
303
Asia WGS
AF:
0.000289
AC:
1
AN:
3476
EpiCase
AF:
0.00507
EpiControl
AF:
0.00469

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:1
Jun 12, 2015
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jun 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

HIBCH: BP4, BS2 -

3-hydroxyisobutyryl-CoA hydrolase deficiency Benign:1
Jan 23, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

HIBCH-related disorder Benign:1
Mar 04, 2024
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as likely 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
AlphaMissense
Benign
0.080
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.43
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Benign
0.28
.;T;D;D;.
Eigen
Benign
0.034
Eigen_PC
Benign
0.16
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.87
D;D;D;D;D
M_CAP
Benign
0.016
T
MetaRNN
Benign
0.0079
T;T;T;T;T
MetaSVM
Benign
-0.74
T
MutationAssessor
Benign
1.8
L;L;.;.;.
PrimateAI
Benign
0.41
T
PROVEAN
Benign
-1.3
N;N;N;N;N
REVEL
Benign
0.096
Sift
Benign
0.18
T;T;T;T;T
Sift4G
Benign
0.26
T;T;T;T;.
Polyphen
0.0
B;B;.;.;.
Vest4
0.38
MVP
0.67
MPC
0.034
ClinPred
0.020
T
GERP RS
4.0
Varity_R
0.28
gMVP
0.27

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs144053672; hg19: chr2-191110893; API