21-32298972-A-G

Variant summary

Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate

The NM_001379228.1(MRAP):​c.1A>G​(p.Met1?) variant causes a start lost change. The variant allele was found at a frequency of 0.00000411 in 1,459,782 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000041 ( 0 hom. )

Consequence

MRAP
NM_001379228.1 start_lost

Scores

7
6
3

Clinical Significance

Pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 5.13
Variant links:
Genes affected
MRAP (HGNC:1304): (melanocortin 2 receptor accessory protein) This gene encodes a melanocortin receptor-interacting protein. The encoded protein regulates trafficking and function of the melanocortin 2 receptor in the adrenal gland. The encoded protein can also modulate signaling of other melanocortin receptors. Mutations in this gene have been associated with familial glucocorticoid deficiency type 2. Alternatively spliced transcript variants have been described. [provided by RefSeq, Dec 2009]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 12 ACMG points.

PVS1
Start lost variant, no new inframe start found.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 21-32298972-A-G is Pathogenic according to our data. Variant chr21-32298972-A-G is described in ClinVar as [Pathogenic]. Clinvar id is 444067.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MRAPNM_001379228.1 linkuse as main transcriptc.1A>G p.Met1? start_lost 1/3 ENST00000303645.10 NP_001366157.1
MRAPNM_178817.4 linkuse as main transcriptc.1A>G p.Met1? start_lost 3/5 NP_848932.1
MRAPNM_206898.2 linkuse as main transcriptc.1A>G p.Met1? start_lost 3/5 NP_996781.1
MRAPNM_001285394.2 linkuse as main transcriptc.-72+5840A>G intron_variant NP_001272323.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MRAPENST00000303645.10 linkuse as main transcriptc.1A>G p.Met1? start_lost 1/31 NM_001379228.1 ENSP00000306697 P1Q8TCY5-4
MRAPENST00000399784.6 linkuse as main transcriptc.1A>G p.Met1? start_lost 3/51 ENSP00000382684 P1Q8TCY5-4
MRAPENST00000339944.4 linkuse as main transcriptc.1A>G p.Met1? start_lost 1/31 ENSP00000343661 Q8TCY5-2
MRAPENST00000497833.1 linkuse as main transcriptn.177+5840A>G intron_variant, non_coding_transcript_variant 1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000411
AC:
6
AN:
1459782
Hom.:
0
Cov.:
30
AF XY:
0.00000688
AC XY:
5
AN XY:
726296
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:
0.00000540
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

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

Submissions by phenotype

Glucocorticoid deficiency 1 Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingInstitute of Human Genetics Munich, Klinikum Rechts Der Isar, TU MünchenSep 30, 2017- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.42
D
BayesDel_noAF
Pathogenic
0.37
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Benign
0.31
T;T;.
Eigen
Uncertain
0.34
Eigen_PC
Uncertain
0.34
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Uncertain
0.90
.;D;D
M_CAP
Pathogenic
0.68
D
MetaRNN
Pathogenic
0.99
D;D;D
MetaSVM
Uncertain
0.37
D
MutationTaster
Benign
1.0
D;D;D
PROVEAN
Benign
-2.3
N;N;N
REVEL
Pathogenic
0.72
Sift
Pathogenic
0.0
D;D;D
Sift4G
Pathogenic
0.0
D;D;D
Polyphen
0.96
D;D;P
Vest4
0.89
MutPred
1.0
Loss of glycosylation at T5 (P = 0.2209);Loss of glycosylation at T5 (P = 0.2209);Loss of glycosylation at T5 (P = 0.2209);
MVP
0.95
ClinPred
0.99
D
GERP RS
5.1
Varity_R
0.93
gMVP
0.28

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: rs1555897462; hg19: chr21-33671283; API