5-7895829-G-A

Variant summary

Our verdict is Benign. The variant received -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BS1BS2

The NM_002454.3(MTRR):​c.1653G>A​(p.Pro551Pro) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00981 in 1,614,060 control chromosomes in the GnomAD database, including 95 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0069 ( 4 hom., cov: 32)
Exomes 𝑓: 0.010 ( 91 hom. )

Consequence

MTRR
NM_002454.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -0.143

Publications

5 publications found
Variant links:
Genes affected
MTRR (HGNC:7473): (5-methyltetrahydrofolate-homocysteine methyltransferase reductase) This gene encodes a member of the ferredoxin-NADP(+) reductase (FNR) family of electron transferases. This protein functions in the synthesis of methionine by regenerating methionine synthase to a functional state. Because methionine synthesis requires methyl-group transfer by a folate donor, activity of the encoded enzyme is important for folate metabolism and cellular methylation. Mutations in this gene can cause homocystinuria-megaloblastic anemia, cbl E type. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, Dec 2015]
MTRR Gene-Disease associations (from GenCC):
  • methylcobalamin deficiency type cblE
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, G2P, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.45).
BP6
Variant 5-7895829-G-A is Benign according to our data. Variant chr5-7895829-G-A is described in ClinVar as [Benign]. Clinvar id is 203840.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.143 with no splicing effect.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00693 (1055/152266) while in subpopulation NFE AF = 0.0115 (784/68000). AF 95% confidence interval is 0.0109. There are 4 homozygotes in GnomAd4. There are 527 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 4 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MTRRNM_002454.3 linkc.1653G>A p.Pro551Pro synonymous_variant Exon 12 of 15 ENST00000440940.7 NP_002445.2 Q9UBK8-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MTRRENST00000440940.7 linkc.1653G>A p.Pro551Pro synonymous_variant Exon 12 of 15 1 NM_002454.3 ENSP00000402510.2 Q9UBK8-2

Frequencies

GnomAD3 genomes
AF:
0.00695
AC:
1057
AN:
152148
Hom.:
4
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00171
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00452
Gnomad ASJ
AF:
0.00231
Gnomad EAS
AF:
0.000578
Gnomad SAS
AF:
0.00704
Gnomad FIN
AF:
0.00706
Gnomad MID
AF:
0.00318
Gnomad NFE
AF:
0.0115
Gnomad OTH
AF:
0.00574
GnomAD2 exomes
AF:
0.00803
AC:
2019
AN:
251430
AF XY:
0.00824
show subpopulations
Gnomad AFR exome
AF:
0.00166
Gnomad AMR exome
AF:
0.00275
Gnomad ASJ exome
AF:
0.00228
Gnomad EAS exome
AF:
0.000109
Gnomad FIN exome
AF:
0.00970
Gnomad NFE exome
AF:
0.0125
Gnomad OTH exome
AF:
0.00619
GnomAD4 exome
AF:
0.0101
AC:
14776
AN:
1461794
Hom.:
91
Cov.:
31
AF XY:
0.0101
AC XY:
7336
AN XY:
727192
show subpopulations
African (AFR)
AF:
0.00119
AC:
40
AN:
33480
American (AMR)
AF:
0.00253
AC:
113
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00210
AC:
55
AN:
26130
East Asian (EAS)
AF:
0.000126
AC:
5
AN:
39682
South Asian (SAS)
AF:
0.00716
AC:
618
AN:
86256
European-Finnish (FIN)
AF:
0.00962
AC:
514
AN:
53418
Middle Eastern (MID)
AF:
0.00451
AC:
26
AN:
5768
European-Non Finnish (NFE)
AF:
0.0116
AC:
12920
AN:
1111944
Other (OTH)
AF:
0.00803
AC:
485
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.466
Heterozygous variant carriers
0
761
1523
2284
3046
3807
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
476
952
1428
1904
2380
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00693
AC:
1055
AN:
152266
Hom.:
4
Cov.:
32
AF XY:
0.00708
AC XY:
527
AN XY:
74450
show subpopulations
African (AFR)
AF:
0.00171
AC:
71
AN:
41560
American (AMR)
AF:
0.00445
AC:
68
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.00231
AC:
8
AN:
3470
East Asian (EAS)
AF:
0.000579
AC:
3
AN:
5182
South Asian (SAS)
AF:
0.00684
AC:
33
AN:
4824
European-Finnish (FIN)
AF:
0.00706
AC:
75
AN:
10616
Middle Eastern (MID)
AF:
0.00342
AC:
1
AN:
292
European-Non Finnish (NFE)
AF:
0.0115
AC:
784
AN:
68000
Other (OTH)
AF:
0.00568
AC:
12
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
53
105
158
210
263
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00833
Hom.:
8
Bravo
AF:
0.00609
Asia WGS
AF:
0.00462
AC:
16
AN:
3478
EpiCase
AF:
0.00981
EpiControl
AF:
0.00907

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
May 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

MTRR: BP4, BP7, BS1, BS2 -

Sep 03, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Methylcobalamin deficiency type cblE Benign:2
Jan 20, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not specified Benign:1
Aug 11, 2014
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Disorders of Intracellular Cobalamin Metabolism Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.45
CADD
Benign
7.9
DANN
Benign
0.54
PhyloP100
-0.14
Mutation Taster
=100/0
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs139206262; hg19: chr5-7895942; API