3-49022903-G-C

Variant summary

Our verdict is Uncertain significance. The variant received 5 ACMG points: 5P and 0B. PM2PP2PP3PP5

The NM_199069.2(NDUFAF3):​c.365G>C​(p.Arg122Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,748 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 (no stars).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

NDUFAF3
NM_199069.2 missense

Scores

5
7
7

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 2.71

Publications

8 publications found
Variant links:
Genes affected
NDUFAF3 (HGNC:29918): (NADH:ubiquinone oxidoreductase complex assembly factor 3) This gene encodes a mitochondrial complex I assembly protein that interacts with complex I subunits. Mutations in this gene cause mitochondrial complex I deficiency, a fatal neonatal disorder of the oxidative phosphorylation system. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2009]
NDUFAF3 Gene-Disease associations (from GenCC):
  • mitochondrial disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • mitochondrial complex I deficiency, nuclear type 18
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • Leigh syndrome with cardiomyopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • mitochondrial complex I deficiency
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 5 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 3 curated pathogenic missense variants (we use a threshold of 10). The gene has 0 curated benign missense variants. Gene score misZ: -0.49374 (below the threshold of 3.09). Trascript score misZ: 0.2437 (below the threshold of 3.09). GenCC associations: The gene is linked to mitochondrial complex I deficiency, mitochondrial disease, Leigh syndrome with cardiomyopathy, mitochondrial complex I deficiency, nuclear type 18.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.822
PP5
Variant 3-49022903-G-C is Pathogenic according to our data. Variant chr3-49022903-G-C is described in ClinVar as Pathogenic. ClinVar VariationId is 423.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NDUFAF3NM_199069.2 linkc.365G>C p.Arg122Pro missense_variant Exon 4 of 5 ENST00000326925.11 NP_951032.1
NDUFAF3NM_199070.2 linkc.194G>C p.Arg65Pro missense_variant Exon 4 of 5 NP_951033.1
NDUFAF3NM_199073.2 linkc.194G>C p.Arg65Pro missense_variant Exon 4 of 5 NP_951047.1
NDUFAF3NM_199074.2 linkc.194G>C p.Arg65Pro missense_variant Exon 4 of 5 NP_951056.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NDUFAF3ENST00000326925.11 linkc.365G>C p.Arg122Pro missense_variant Exon 4 of 5 1 NM_199069.2 ENSP00000323076.5

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461748
Hom.:
0
Cov.:
32
AF XY:
0.00000138
AC XY:
1
AN XY:
727172
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33480
American (AMR)
AF:
0.00
AC:
0
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86258
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53282
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
8.99e-7
AC:
1
AN:
1112006
Other (OTH)
AF:
0.00
AC:
0
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Mitochondrial complex I deficiency, nuclear type 18 Pathogenic:1
Jun 01, 2009
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.77
BayesDel_addAF
Pathogenic
0.31
D
BayesDel_noAF
Pathogenic
0.20
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.44
.;T;.;.
Eigen
Benign
-0.040
Eigen_PC
Benign
0.061
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Benign
0.84
.;T;.;T
M_CAP
Uncertain
0.14
D
MetaRNN
Pathogenic
0.82
D;D;D;D
MetaSVM
Uncertain
0.10
D
MutationAssessor
Uncertain
2.8
.;M;.;.
PhyloP100
2.7
PrimateAI
Benign
0.38
T
PROVEAN
Uncertain
-2.8
D;N;D;D
REVEL
Pathogenic
0.66
Sift
Benign
0.096
T;T;T;T
Sift4G
Benign
0.15
T;T;T;T
Polyphen
0.027
.;B;.;.
Vest4
0.64
MutPred
0.70
.;Gain of glycosylation at T119 (P = 0.025);.;.;
MVP
0.86
MPC
1.6
ClinPred
0.79
D
GERP RS
3.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.87
gMVP
0.92
Mutation Taster
=5/95
disease causing (ClinVar)

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

Other links and lift over

dbSNP: rs121918135; hg19: chr3-49060336; API