6-154087567-G-A

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP4_StrongBA1

The ENST00000522236.1(OPRM1):​c.-248G>A variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.149 in 984,764 control chromosomes in the GnomAD database, including 11,629 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as drug response (no stars).

Frequency

Genomes: 𝑓 0.12 ( 1359 hom., cov: 32)
Exomes 𝑓: 0.15 ( 10270 hom. )

Consequence

OPRM1
ENST00000522236.1 5_prime_UTR

Scores

2

Clinical Significance

drug response no assertion criteria provided O:1

Conservation

PhyloP100: -0.357
Variant links:
Genes affected
OPRM1 (HGNC:8156): (opioid receptor mu 1) This gene encodes one of at least three opioid receptors in humans; the mu opioid receptor (MOR). The MOR is the principal target of endogenous opioid peptides and opioid analgesic agents such as beta-endorphin and enkephalins. The MOR also has an important role in dependence to other drugs of abuse, such as nicotine, cocaine, and alcohol via its modulation of the dopamine system. The NM_001008503.2:c.118A>G allele has been associated with opioid and alcohol addiction and variations in pain sensitivity but evidence for it having a causal role is conflicting. Multiple transcript variants encoding different isoforms have been found for this gene. Though the canonical MOR belongs to the superfamily of 7-transmembrane-spanning G-protein-coupled receptors some isoforms of this gene have only 6 transmembrane domains. [provided by RefSeq, Oct 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -12 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.96).
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.154 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
OPRM1NM_000914.5 linkuse as main transcriptc.291-2259G>A intron_variant ENST00000330432.12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
OPRM1ENST00000330432.12 linkuse as main transcriptc.291-2259G>A intron_variant 1 NM_000914.5 P1P35372-1

Frequencies

GnomAD3 genomes
AF:
0.120
AC:
18272
AN:
152054
Hom.:
1360
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0600
Gnomad AMI
AF:
0.0768
Gnomad AMR
AF:
0.0928
Gnomad ASJ
AF:
0.0784
Gnomad EAS
AF:
0.0433
Gnomad SAS
AF:
0.0586
Gnomad FIN
AF:
0.249
Gnomad MID
AF:
0.0981
Gnomad NFE
AF:
0.156
Gnomad OTH
AF:
0.113
GnomAD4 exome
AF:
0.155
AC:
128781
AN:
832592
Hom.:
10270
Cov.:
31
AF XY:
0.154
AC XY:
59398
AN XY:
384510
show subpopulations
Gnomad4 AFR exome
AF:
0.0509
Gnomad4 AMR exome
AF:
0.0752
Gnomad4 ASJ exome
AF:
0.0831
Gnomad4 EAS exome
AF:
0.0369
Gnomad4 SAS exome
AF:
0.0651
Gnomad4 FIN exome
AF:
0.216
Gnomad4 NFE exome
AF:
0.161
Gnomad4 OTH exome
AF:
0.129
GnomAD4 genome
AF:
0.120
AC:
18267
AN:
152172
Hom.:
1359
Cov.:
32
AF XY:
0.121
AC XY:
9008
AN XY:
74382
show subpopulations
Gnomad4 AFR
AF:
0.0598
Gnomad4 AMR
AF:
0.0925
Gnomad4 ASJ
AF:
0.0784
Gnomad4 EAS
AF:
0.0432
Gnomad4 SAS
AF:
0.0587
Gnomad4 FIN
AF:
0.249
Gnomad4 NFE
AF:
0.156
Gnomad4 OTH
AF:
0.111
Alfa
AF:
0.132
Hom.:
349
Bravo
AF:
0.109
Asia WGS
AF:
0.0410
AC:
143
AN:
3478

ClinVar

Significance: drug response
Submissions summary: Other:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Tramadol response Other:1
drug response, no assertion criteria providedresearchBruce Budowle Laboratory, University of North Texas Health Science CenterApr 28, 2018- T:M1 = postmortem ratio or tramadol to O-desmethyltramadol; t-MP = model-based clustered metabolizer phenotype inferred from T:M1

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.96
CADD
Benign
0.46
DANN
Benign
0.66

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: rs9322446; hg19: chr6-154408702; API