2-190296902-CT-CTT
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Variant summary
Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate
The NM_014362.4(HIBCH):c.129_130insA(p.Gly44ArgfsTer20) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000292 in 1,607,182 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: 𝑓 0.000013 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000031 ( 0 hom. )
Consequence
HIBCH
NM_014362.4 frameshift
NM_014362.4 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 0.863
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]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 12 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 2-190296902-C-CT is Pathogenic according to our data. Variant chr2-190296902-C-CT is described in ClinVar as [Likely_pathogenic]. Clinvar id is 208531.Status of the report is criteria_provided_single_submitter, 1 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
HIBCH | NM_014362.4 | c.129_130insA | p.Gly44ArgfsTer20 | frameshift_variant | 3/14 | ENST00000359678.10 | NP_055177.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
HIBCH | ENST00000359678.10 | c.129_130insA | p.Gly44ArgfsTer20 | frameshift_variant | 3/14 | 1 | NM_014362.4 | ENSP00000352706 | P1 | |
HIBCH | ENST00000392332.7 | c.129_130insA | p.Gly44ArgfsTer20 | frameshift_variant | 3/13 | 1 | ENSP00000376144 | |||
HIBCH | ENST00000409934.1 | c.291_292insA | p.Gly98ArgfsTer20 | frameshift_variant | 3/8 | 3 | ENSP00000387247 |
Frequencies
GnomAD3 genomes AF: 0.0000132 AC: 2AN: 151998Hom.: 0 Cov.: 33
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GnomAD4 exome AF: 0.0000309 AC: 45AN: 1455184Hom.: 0 Cov.: 33 AF XY: 0.0000387 AC XY: 28AN XY: 724144
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GnomAD4 genome AF: 0.0000132 AC: 2AN: 151998Hom.: 0 Cov.: 33 AF XY: 0.0000135 AC XY: 1AN XY: 74222
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ClinVar
Significance: Likely pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Beta-hydroxyisobutyryl-CoA deacylase deficiency Pathogenic:1
Pathogenic, no assertion criteria provided | literature only | OMIM | Aug 01, 2015 | - - |
not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitter | clinical testing | GeneDx | Mar 31, 2021 | Observed with a second variant in the HIBCH gene on the opposite allele (in trans) in a patient with developmental delay, hypotonia, and cerebral atrophy in the published literature (Peters et al., 2015); Frameshift variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss-of-function is a known mechanism of disease; Not observed at a significant frequency in large population cohorts (Lek et al., 2016); This variant is associated with the following publications: (PMID: 26163321) - |
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Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at