6-154093428-A-G

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP7BA1

The ENST00000229768.9(OPRM1):ā€‹c.1323A>Gā€‹(p.Gly441=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.681 in 1,612,778 control chromosomes in the GnomAD database, including 377,522 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as drug response (no stars).

Frequency

Genomes: š‘“ 0.70 ( 37138 hom., cov: 31)
Exomes š‘“: 0.68 ( 340384 hom. )

Consequence

OPRM1
ENST00000229768.9 synonymous

Scores

2

Clinical Significance

drug response no assertion criteria provided O:1

Conservation

PhyloP100: -0.315
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 -13 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.82).
BP7
Synonymous conserved (PhyloP=-0.315 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.876 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
OPRM1NM_000914.5 linkuse as main transcriptc.1164+1956A>G intron_variant ENST00000330432.12 NP_000905.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
OPRM1ENST00000330432.12 linkuse as main transcriptc.1164+1956A>G intron_variant 1 NM_000914.5 ENSP00000328264 P1P35372-1

Frequencies

GnomAD3 genomes
AF:
0.698
AC:
105623
AN:
151380
Hom.:
37125
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.723
Gnomad AMI
AF:
0.596
Gnomad AMR
AF:
0.742
Gnomad ASJ
AF:
0.687
Gnomad EAS
AF:
0.898
Gnomad SAS
AF:
0.834
Gnomad FIN
AF:
0.678
Gnomad MID
AF:
0.718
Gnomad NFE
AF:
0.652
Gnomad OTH
AF:
0.729
GnomAD3 exomes
AF:
0.720
AC:
179571
AN:
249392
Hom.:
65507
AF XY:
0.721
AC XY:
97565
AN XY:
135308
show subpopulations
Gnomad AFR exome
AF:
0.726
Gnomad AMR exome
AF:
0.778
Gnomad ASJ exome
AF:
0.684
Gnomad EAS exome
AF:
0.884
Gnomad SAS exome
AF:
0.826
Gnomad FIN exome
AF:
0.684
Gnomad NFE exome
AF:
0.658
Gnomad OTH exome
AF:
0.711
GnomAD4 exome
AF:
0.680
AC:
993073
AN:
1461280
Hom.:
340384
Cov.:
45
AF XY:
0.683
AC XY:
496529
AN XY:
726974
show subpopulations
Gnomad4 AFR exome
AF:
0.727
Gnomad4 AMR exome
AF:
0.775
Gnomad4 ASJ exome
AF:
0.686
Gnomad4 EAS exome
AF:
0.891
Gnomad4 SAS exome
AF:
0.822
Gnomad4 FIN exome
AF:
0.683
Gnomad4 NFE exome
AF:
0.655
Gnomad4 OTH exome
AF:
0.694
GnomAD4 genome
AF:
0.698
AC:
105683
AN:
151498
Hom.:
37138
Cov.:
31
AF XY:
0.703
AC XY:
52030
AN XY:
73998
show subpopulations
Gnomad4 AFR
AF:
0.722
Gnomad4 AMR
AF:
0.741
Gnomad4 ASJ
AF:
0.687
Gnomad4 EAS
AF:
0.898
Gnomad4 SAS
AF:
0.833
Gnomad4 FIN
AF:
0.678
Gnomad4 NFE
AF:
0.652
Gnomad4 OTH
AF:
0.730
Alfa
AF:
0.674
Hom.:
73659
Bravo
AF:
0.707
Asia WGS
AF:
0.855
AC:
2974
AN:
3478
EpiCase
AF:
0.662
EpiControl
AF:
0.668

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
-0.82
CADD
Benign
0.31
DANN
Benign
0.43

Splicing

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: rs675026; hg19: chr6-154414563; COSMIC: COSV57676970; COSMIC: COSV57676970; API