22-19433245-C-T
Variant names: 
Variant summary
Our verdict is Likely benign. The variant received -4 ACMG points: 2P and 6B. PM2BP4_StrongBP6_Moderate
The NM_003776.4(MRPL40):c.54-20C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000356 in 1,405,214 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).
Frequency
 Genomes: not found (cov: 33) 
 Exomes 𝑓:  0.0000036   (  0   hom.  ) 
Consequence
 MRPL40
NM_003776.4 intron
NM_003776.4 intron
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  -0.529  
Publications
0 publications found 
Genes affected
 MRPL40  (HGNC:14491):  (mitochondrial ribosomal protein L40) Mammalian mitochondrial ribosomal proteins are encoded by nuclear genes and help in protein synthesis within the mitochondrion. Mitochondrial ribosomes (mitoribosomes) consist of a small 28S subunit and a large 39S subunit. They have an estimated 75% protein to rRNA composition compared to prokaryotic ribosomes, where this ratio is reversed. Another difference between mammalian mitoribosomes and prokaryotic ribosomes is that the latter contain a 5S rRNA. Among different species, the proteins comprising the mitoribosome differ greatly in sequence, and sometimes in biochemical properties, which prevents easy recognition by sequence homology. This gene encodes a 39S subunit protein. Deletions in this gene may contribute to the etiology of velo-cardio-facial syndrome and DiGeorge syndrome. [provided by RefSeq, Jul 2008] 
 HIRA  (HGNC:4916):  (histone cell cycle regulator) This gene encodes a histone chaperone that preferentially places the variant histone H3.3 in nucleosomes. Orthologs of this gene in yeast, flies, and plants are necessary for the formation of transcriptionally silent heterochomatin. This gene plays an important role in the formation of the senescence-associated heterochromatin foci. These foci likely mediate the irreversible cell cycle changes that occur in senescent cells. It is considered the primary candidate gene in some haploinsufficiency syndromes such as DiGeorge syndrome, and insufficient production of the gene may disrupt normal embryonic development. [provided by RefSeq, Jul 2008] 
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ACMG classification
Classification was made for transcript
Our verdict: Likely_benign. The variant received -4 ACMG points.
PM2
Very rare variant in population databases, with high coverage; 
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.8). 
BP6
Variant 22-19433245-C-T is Benign according to our data. Variant chr22-19433245-C-T is described in ClinVar as Likely_benign. ClinVar VariationId is 1626380.Status of the report is criteria_provided_single_submitter, 1 stars. 
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  
GnomAD3 genomes 
Cov.: 
33
GnomAD2 exomes  AF:  0.00000797  AC: 2AN: 251092 AF XY:  0.00   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
2
AN: 
251092
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
 AF: 
Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
 AF: 
Gnomad FIN exome 
 AF: 
Gnomad NFE exome 
 AF: 
Gnomad OTH exome 
 AF: 
GnomAD4 exome  AF:  0.00000356  AC: 5AN: 1405214Hom.:  0  Cov.: 22 AF XY:  0.00000712  AC XY: 5AN XY: 702370 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
5
AN: 
1405214
Hom.: 
Cov.: 
22
 AF XY: 
AC XY: 
5
AN XY: 
702370
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
32326
American (AMR) 
 AF: 
AC: 
0
AN: 
44570
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
25708
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39282
South Asian (SAS) 
 AF: 
AC: 
3
AN: 
84968
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53170
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5656
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
1061080
Other (OTH) 
 AF: 
AC: 
2
AN: 
58454
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.545 
Heterozygous variant carriers
 0 
 1 
 1 
 2 
 2 
 3 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
 0 
 2 
 4 
 6 
 8 
 10 
 <30 
 30-35 
 35-40 
 40-45 
 45-50 
 50-55 
 55-60 
 60-65 
 65-70 
 70-75 
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 >80 
Age
GnomAD4 genome  
GnomAD4 genome 
Cov.: 
33
Alfa 
 AF: 
Hom.: 
Asia WGS 
 AF: 
AC: 
1
AN: 
3478
ClinVar
Significance: Likely benign 
Submissions summary: Benign:1 
Revision: criteria provided, single submitter
LINK: link 
Submissions by phenotype
not provided    Benign:1 
Oct 03, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
 RBP_binding_hub_radar 
 RBP_regulation_power_radar 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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