4-73058199-C-T

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_001297732.2(COX18):​c.920G>A​(p.Arg307Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000576 in 1,613,732 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00024 ( 1 hom., cov: 32)
Exomes 𝑓: 0.000038 ( 0 hom. )

Consequence

COX18
NM_001297732.2 missense

Scores

2
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.954
Variant links:
Genes affected
COX18 (HGNC:26801): (cytochrome c oxidase assembly factor COX18) This gene encodes a cytochrome c oxidase assembly protein. The encoded protein is essential for integral membrane protein insertion into the mitochondrial inner membrane. It is also required for cytochrome c oxidase assembly and activity. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.020486563).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
COX18NM_001297732.2 linkuse as main transcriptc.920G>A p.Arg307Gln missense_variant 6/6 ENST00000507544.3 NP_001284661.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
COX18ENST00000507544.3 linkuse as main transcriptc.920G>A p.Arg307Gln missense_variant 6/61 NM_001297732.2 ENSP00000425261 A1
COX18ENST00000295890.8 linkuse as main transcriptc.917G>A p.Arg306Gln missense_variant 6/61 ENSP00000295890 P4Q8N8Q8-1
COX18ENST00000449739.6 linkuse as main transcriptc.*426G>A 3_prime_UTR_variant, NMD_transcript_variant 5/51 ENSP00000394583 Q8N8Q8-3
COX18ENST00000510031.1 linkuse as main transcriptc.*537G>A 3_prime_UTR_variant, NMD_transcript_variant 6/61 ENSP00000424978 Q8N8Q8-2

Frequencies

GnomAD3 genomes
AF:
0.000250
AC:
38
AN:
152030
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000653
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000262
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000735
Gnomad OTH
AF:
0.000958
GnomAD3 exomes
AF:
0.000123
AC:
31
AN:
251270
Hom.:
0
AF XY:
0.0000663
AC XY:
9
AN XY:
135842
show subpopulations
Gnomad AFR exome
AF:
0.00135
Gnomad AMR exome
AF:
0.0000579
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:
0.0000616
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000383
AC:
56
AN:
1461584
Hom.:
0
Cov.:
30
AF XY:
0.0000316
AC XY:
23
AN XY:
727120
show subpopulations
Gnomad4 AFR exome
AF:
0.000807
Gnomad4 AMR exome
AF:
0.0000447
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000207
Gnomad4 OTH exome
AF:
0.0000331
GnomAD4 genome
AF:
0.000243
AC:
37
AN:
152148
Hom.:
1
Cov.:
32
AF XY:
0.000161
AC XY:
12
AN XY:
74394
show subpopulations
Gnomad4 AFR
AF:
0.000627
Gnomad4 AMR
AF:
0.000262
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000735
Gnomad4 OTH
AF:
0.000948
Alfa
AF:
0.0000679
Hom.:
0
Bravo
AF:
0.000344
ESP6500AA
AF:
0.00113
AC:
5
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000157
AC:
19
EpiCase
AF:
0.000218
EpiControl
AF:
0.00

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsFeb 16, 2023The c.917G>A (p.R306Q) alteration is located in exon 6 (coding exon 6) of the COX18 gene. This alteration results from a G to A substitution at nucleotide position 917, causing the arginine (R) at amino acid position 306 to be replaced by a glutamine (Q). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.094
BayesDel_addAF
Benign
-0.43
T
BayesDel_noAF
Benign
-0.42
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.17
T;T
Eigen
Benign
0.093
Eigen_PC
Benign
0.14
FATHMM_MKL
Benign
0.74
D
LIST_S2
Uncertain
0.94
D;D
M_CAP
Benign
0.0023
T
MetaRNN
Benign
0.020
T;T
MetaSVM
Benign
-0.92
T
MutationTaster
Benign
0.99
D;D
PrimateAI
Benign
0.31
T
PROVEAN
Benign
-1.5
N;N
REVEL
Benign
0.14
Sift
Benign
0.36
T;T
Sift4G
Benign
0.33
T;T
Polyphen
0.90
P;P
Vest4
0.14
MVP
0.47
MPC
0.39
ClinPred
0.031
T
GERP RS
4.5
Varity_R
0.12
gMVP
0.42

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: rs145314693; hg19: chr4-73923916; COSMIC: COSV105159600; API