20-17975704-C-T

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP4_StrongBS1BS2

The NM_052865.4(MGME1):​c.532C>T​(p.Arg178Trp) variant causes a missense change. The variant allele was found at a frequency of 0.00558 in 1,613,270 control chromosomes in the GnomAD database, including 41 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0043 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0057 ( 40 hom. )

Consequence

MGME1
NM_052865.4 missense

Scores

3
3
12

Clinical Significance

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

Conservation

PhyloP100: 5.69
Variant links:
Genes affected
MGME1 (HGNC:16205): (mitochondrial genome maintenance exonuclease 1) The protein encoded by this gene is a nuclear-encoded mitochondrial protein necessary for the maintenance of mitochondrial genome synthesis. The encoded protein is a RecB-type exonuclease and primarily cleaves single-stranded DNA. Defects in this gene have been associated with mitochondrial DNA depletion syndrome-11. Three transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2015]
OVOL2 (HGNC:15804): (ovo like zinc finger 2) This gene encodes a member of the evolutionarily conserved ovo-like protein family. Mammalian members of this family contain a single zinc finger domain composed of a tetrad of C2H2 zinc fingers with variable N- and C-terminal extensions that contain intrinsically disordered domains. Members of this family are involved in epithelial development and differentiation. Knockout of this gene in mouse results in early embryonic lethality with phenotypes that include neurectoderm expansion, impaired vascularization, and heart anomalies. In humans, allelic variants of this gene have been associated with posterior polymorphous corneal dystrophy. [provided by RefSeq, Apr 2016]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -12 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008896202).
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00429 (653/152084) while in subpopulation NFE AF= 0.00581 (395/68006). AF 95% confidence interval is 0.00534. There are 1 homozygotes in gnomad4. There are 327 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 40 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MGME1NM_052865.4 linkc.532C>T p.Arg178Trp missense_variant Exon 3 of 5 ENST00000377710.10 NP_443097.1 Q9BQP7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MGME1ENST00000377710.10 linkc.532C>T p.Arg178Trp missense_variant Exon 3 of 5 1 NM_052865.4 ENSP00000366939.5 Q9BQP7

Frequencies

GnomAD3 genomes
AF:
0.00430
AC:
653
AN:
151968
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00118
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.00269
Gnomad ASJ
AF:
0.00173
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000415
Gnomad FIN
AF:
0.0144
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00581
Gnomad OTH
AF:
0.00335
GnomAD3 exomes
AF:
0.00437
AC:
1099
AN:
251354
Hom.:
6
AF XY:
0.00436
AC XY:
592
AN XY:
135848
show subpopulations
Gnomad AFR exome
AF:
0.00105
Gnomad AMR exome
AF:
0.00156
Gnomad ASJ exome
AF:
0.00238
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000817
Gnomad FIN exome
AF:
0.0142
Gnomad NFE exome
AF:
0.00572
Gnomad OTH exome
AF:
0.00342
GnomAD4 exome
AF:
0.00572
AC:
8352
AN:
1461186
Hom.:
40
Cov.:
32
AF XY:
0.00557
AC XY:
4047
AN XY:
726814
show subpopulations
Gnomad4 AFR exome
AF:
0.000867
Gnomad4 AMR exome
AF:
0.00148
Gnomad4 ASJ exome
AF:
0.00230
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000707
Gnomad4 FIN exome
AF:
0.0151
Gnomad4 NFE exome
AF:
0.00632
Gnomad4 OTH exome
AF:
0.00492
GnomAD4 genome
AF:
0.00429
AC:
653
AN:
152084
Hom.:
1
Cov.:
32
AF XY:
0.00440
AC XY:
327
AN XY:
74342
show subpopulations
Gnomad4 AFR
AF:
0.00118
Gnomad4 AMR
AF:
0.00269
Gnomad4 ASJ
AF:
0.00173
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000416
Gnomad4 FIN
AF:
0.0144
Gnomad4 NFE
AF:
0.00581
Gnomad4 OTH
AF:
0.00332
Alfa
AF:
0.00489
Hom.:
4
Bravo
AF:
0.00296
TwinsUK
AF:
0.00593
AC:
22
ALSPAC
AF:
0.00701
AC:
27
ESP6500AA
AF:
0.00113
AC:
5
ESP6500EA
AF:
0.00419
AC:
36
ExAC
AF:
0.00420
AC:
510
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00534
EpiControl
AF:
0.00563

ClinVar

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

Submissions by phenotype

not provided Uncertain:1Benign:3
Feb 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

MGME1: BP4, BS2 -

May 01, 2017
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 03, 2019
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 25058219) -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Mitochondrial DNA depletion syndrome 11 Other:1
-
GenomeConnect, ClinGen
Significance: not provided
Review Status: no classification provided
Collection Method: phenotyping only

GenomeConnect assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. GenomeConnect staff make no attempt to reinterpret the clinical significance of the variant. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.44
CADD
Uncertain
25
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.016
T;T
Eigen
Uncertain
0.31
Eigen_PC
Uncertain
0.30
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.59
T;T
MetaRNN
Benign
0.0089
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.1
M;.
PrimateAI
Benign
0.20
T
PROVEAN
Benign
-2.1
N;N
REVEL
Pathogenic
0.67
Sift
Benign
0.077
T;D
Sift4G
Benign
0.11
T;T
Polyphen
1.0
D;.
Vest4
0.69
MVP
0.56
MPC
0.11
ClinPred
0.031
T
GERP RS
4.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.21
gMVP
0.53

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs143417446; hg19: chr20-17956347; COSMIC: COSV99071252; API