4-73065282-C-T
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Variant summary
Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3
The NM_001297732.2(COX18):c.566G>A(p.Arg189Gln) variant causes a missense change. The variant allele was found at a frequency of 0.0000726 in 1,612,640 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 Uncertain significance (★).
Frequency
Genomes: 𝑓 0.000053 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000075 ( 0 hom. )
Consequence
COX18
NM_001297732.2 missense
NM_001297732.2 missense
Scores
9
6
4
Clinical Significance
Conservation
PhyloP100: 7.00
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]
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ACMG classification
Classification made for transcript
Verdict is Uncertain_significance. Variant got 3 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.826
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
COX18 | NM_001297732.2 | c.566G>A | p.Arg189Gln | missense_variant | 3/6 | ENST00000507544.3 | NP_001284661.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
COX18 | ENST00000507544.3 | c.566G>A | p.Arg189Gln | missense_variant | 3/6 | 1 | NM_001297732.2 | ENSP00000425261 | A1 | |
COX18 | ENST00000295890.8 | c.566G>A | p.Arg189Gln | missense_variant | 3/6 | 1 | ENSP00000295890 | P4 | ||
COX18 | ENST00000449739.6 | c.*75G>A | 3_prime_UTR_variant, NMD_transcript_variant | 2/5 | 1 | ENSP00000394583 | ||||
COX18 | ENST00000510031.1 | c.*186G>A | 3_prime_UTR_variant, NMD_transcript_variant | 3/6 | 1 | ENSP00000424978 |
Frequencies
GnomAD3 genomes AF: 0.0000530 AC: 8AN: 151012Hom.: 0 Cov.: 31
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GnomAD3 exomes AF: 0.000127 AC: 32AN: 251382Hom.: 0 AF XY: 0.000169 AC XY: 23AN XY: 135874
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GnomAD4 exome AF: 0.0000746 AC: 109AN: 1461522Hom.: 0 Cov.: 32 AF XY: 0.0000949 AC XY: 69AN XY: 727072
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GnomAD4 genome AF: 0.0000529 AC: 8AN: 151118Hom.: 0 Cov.: 31 AF XY: 0.0000814 AC XY: 6AN XY: 73728
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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 submitter | clinical testing | Ambry Genetics | May 30, 2024 | The c.566G>A (p.R189Q) alteration is located in exon 3 (coding exon 3) of the COX18 gene. This alteration results from a G to A substitution at nucleotide position 566, causing the arginine (R) at amino acid position 189 to be replaced by a glutamine (Q). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
BayesDel_addAF
Pathogenic
D
BayesDel_noAF
Pathogenic
CADD
Pathogenic
DANN
Pathogenic
DEOGEN2
Uncertain
T;T
Eigen
Pathogenic
Eigen_PC
Pathogenic
FATHMM_MKL
Uncertain
D
LIST_S2
Uncertain
D;D
M_CAP
Benign
D
MetaRNN
Pathogenic
D;D
MetaSVM
Uncertain
D
MutationAssessor
Pathogenic
M;.
MutationTaster
Benign
D;D
PrimateAI
Benign
T
PROVEAN
Uncertain
D;D
REVEL
Uncertain
Sift
Pathogenic
D;D
Sift4G
Pathogenic
D;D
Polyphen
D;D
Vest4
MVP
MPC
ClinPred
D
GERP RS
Varity_R
gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at