3-155118752-C-G

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_007289.4(MME):ā€‹c.661C>Gā€‹(p.Gln221Glu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000695 in 1,439,714 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

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

Consequence

MME
NM_007289.4 missense

Scores

9
6
4

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 7.53
Variant links:
Genes affected
MME (HGNC:7154): (membrane metalloendopeptidase) The protein encoded by this gene is a type II transmembrane glycoprotein and a common acute lymphocytic leukemia antigen that is an important cell surface marker in the diagnosis of human acute lymphocytic leukemia (ALL). The encoded protein is present on leukemic cells of pre-B phenotype, which represent 85% of cases of ALL. This protein is not restricted to leukemic cells, however, and is found on a variety of normal tissues. The protein is a neutral endopeptidase that cleaves peptides at the amino side of hydrophobic residues and inactivates several peptide hormones including glucagon, enkephalins, substance P, neurotensin, oxytocin, and bradykinin. [provided by RefSeq, Aug 2017]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.977

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MMENM_007289.4 linkuse as main transcriptc.661C>G p.Gln221Glu missense_variant 8/23 ENST00000360490.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MMEENST00000360490.7 linkuse as main transcriptc.661C>G p.Gln221Glu missense_variant 8/231 NM_007289.4 P1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000412
AC:
1
AN:
242612
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
131640
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000294
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.95e-7
AC:
1
AN:
1439714
Hom.:
0
Cov.:
27
AF XY:
0.00
AC XY:
0
AN XY:
717116
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000226
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:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.27
BayesDel_addAF
Pathogenic
0.32
D
BayesDel_noAF
Pathogenic
0.30
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Pathogenic
0.84
D;D;T;D;D;D;D
Eigen
Pathogenic
0.78
Eigen_PC
Pathogenic
0.77
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Uncertain
0.97
.;.;D;.;.;.;D
M_CAP
Benign
0.073
D
MetaRNN
Pathogenic
0.98
D;D;D;D;D;D;D
MetaSVM
Uncertain
0.26
D
MutationAssessor
Uncertain
2.4
M;M;.;M;M;M;M
MutationTaster
Benign
1.0
D;D;D;D;D
PrimateAI
Benign
0.43
T
PROVEAN
Uncertain
-2.8
D;D;D;D;D;D;.
REVEL
Pathogenic
0.83
Sift
Pathogenic
0.0
D;D;D;D;D;D;.
Sift4G
Uncertain
0.019
D;D;T;D;D;D;D
Polyphen
0.99
D;D;.;D;D;D;D
Vest4
0.91
MutPred
0.92
Gain of catalytic residue at Q221 (P = 0.0631);Gain of catalytic residue at Q221 (P = 0.0631);Gain of catalytic residue at Q221 (P = 0.0631);Gain of catalytic residue at Q221 (P = 0.0631);Gain of catalytic residue at Q221 (P = 0.0631);Gain of catalytic residue at Q221 (P = 0.0631);Gain of catalytic residue at Q221 (P = 0.0631);
MVP
0.88
MPC
0.40
ClinPred
0.87
D
GERP RS
5.5
Varity_R
0.94
gMVP
0.78

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: rs879253751; hg19: chr3-154836541; API