20-13785073-T-G

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_024120.5(NDUFAF5):ā€‹c.5T>Gā€‹(p.Leu2Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000685 in 1,458,922 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. L2Q) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 6.9e-7 ( 0 hom. )

Consequence

NDUFAF5
NM_024120.5 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.0250
Variant links:
Genes affected
NDUFAF5 (HGNC:15899): (NADH:ubiquinone oxidoreductase complex assembly factor 5) The NADH-ubiquinone oxidoreductase complex (complex I) of the mitochondrial respiratory chain catalyzes the transfer of electrons from NADH to ubiquinone, and consists of at least 43 subunits. The complex is located in the inner mitochondrial membrane. This gene encodes a mitochondrial protein that is associated with the matrix face of the mitochondrial inner membrane and is required for complex I assembly. A mutation in this gene results in mitochondrial complex I deficiency. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2009]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.18832591).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NDUFAF5NM_024120.5 linkuse as main transcriptc.5T>G p.Leu2Arg missense_variant 1/11 ENST00000378106.10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NDUFAF5ENST00000378106.10 linkuse as main transcriptc.5T>G p.Leu2Arg missense_variant 1/111 NM_024120.5 P1Q5TEU4-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.85e-7
AC:
1
AN:
1458922
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
725738
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJan 22, 2024The c.5T>G (p.L2R) alteration is located in exon 1 (coding exon 1) of the NDUFAF5 gene. This alteration results from a T to G substitution at nucleotide position 5, causing the leucine (L) at amino acid position 2 to be replaced by an arginine (R). 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
0.052
BayesDel_addAF
Uncertain
0.012
T
BayesDel_noAF
Benign
-0.22
CADD
Benign
15
DANN
Benign
0.97
DEOGEN2
Benign
0.046
T;.
Eigen
Benign
-0.84
Eigen_PC
Benign
-0.89
FATHMM_MKL
Benign
0.34
N
LIST_S2
Benign
0.46
T;T
M_CAP
Uncertain
0.15
D
MetaRNN
Benign
0.19
T;T
MetaSVM
Benign
-0.71
T
MutationAssessor
Benign
1.4
L;L
MutationTaster
Benign
1.0
N;N
PrimateAI
Uncertain
0.59
T
PROVEAN
Benign
-0.77
N;N
REVEL
Uncertain
0.33
Sift
Uncertain
0.0070
D;D
Sift4G
Benign
0.11
T;T
Polyphen
0.28
B;B
Vest4
0.23
MutPred
0.26
Gain of methylation at L2 (P = 0.0135);Gain of methylation at L2 (P = 0.0135);
MVP
0.38
MPC
0.21
ClinPred
0.25
T
GERP RS
0.30
Varity_R
0.16
gMVP
0.76

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: rs1396426892; hg19: chr20-13765719; API