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GeneBe

6-154093438-C-T

Variant summary

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

The ENST00000229768.9(OPRM1):​c.1333C>T​(p.Leu445=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.676 in 1,612,816 control chromosomes in the GnomAD database, including 371,452 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 0.67 ( 34184 hom., cov: 31)
Exomes 𝑓: 0.68 ( 337268 hom. )

Consequence

OPRM1
ENST00000229768.9 synonymous

Scores

2

Clinical Significance

drug response no assertion criteria provided O:1

Conservation

PhyloP100: 0.386
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.79).
BP7
Synonymous conserved (PhyloP=0.386 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 UniProt
OPRM1NM_000914.5 linkuse as main transcriptc.1164+1966C>T intron_variant ENST00000330432.12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
OPRM1ENST00000330432.12 linkuse as main transcriptc.1164+1966C>T intron_variant 1 NM_000914.5 P1P35372-1

Frequencies

GnomAD3 genomes
AF:
0.669
AC:
101319
AN:
151418
Hom.:
34180
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.624
Gnomad AMI
AF:
0.596
Gnomad AMR
AF:
0.730
Gnomad ASJ
AF:
0.688
Gnomad EAS
AF:
0.898
Gnomad SAS
AF:
0.833
Gnomad FIN
AF:
0.678
Gnomad MID
AF:
0.715
Gnomad NFE
AF:
0.652
Gnomad OTH
AF:
0.706
GnomAD3 exomes
AF:
0.713
AC:
177718
AN:
249284
Hom.:
64248
AF XY:
0.716
AC XY:
96791
AN XY:
135244
show subpopulations
Gnomad AFR exome
AF:
0.629
Gnomad AMR exome
AF:
0.773
Gnomad ASJ exome
AF:
0.684
Gnomad EAS exome
AF:
0.884
Gnomad SAS exome
AF:
0.824
Gnomad FIN exome
AF:
0.684
Gnomad NFE exome
AF:
0.657
Gnomad OTH exome
AF:
0.707
GnomAD4 exome
AF:
0.676
AC:
988529
AN:
1461280
Hom.:
337268
Cov.:
44
AF XY:
0.680
AC XY:
494529
AN XY:
726968
show subpopulations
Gnomad4 AFR exome
AF:
0.629
Gnomad4 AMR exome
AF:
0.770
Gnomad4 ASJ exome
AF:
0.686
Gnomad4 EAS exome
AF:
0.891
Gnomad4 SAS exome
AF:
0.820
Gnomad4 FIN exome
AF:
0.683
Gnomad4 NFE exome
AF:
0.654
Gnomad4 OTH exome
AF:
0.687
GnomAD4 genome
AF:
0.669
AC:
101357
AN:
151536
Hom.:
34184
Cov.:
31
AF XY:
0.676
AC XY:
50008
AN XY:
74006
show subpopulations
Gnomad4 AFR
AF:
0.623
Gnomad4 AMR
AF:
0.730
Gnomad4 ASJ
AF:
0.688
Gnomad4 EAS
AF:
0.897
Gnomad4 SAS
AF:
0.832
Gnomad4 FIN
AF:
0.678
Gnomad4 NFE
AF:
0.652
Gnomad4 OTH
AF:
0.705
Alfa
AF:
0.665
Hom.:
67091
Bravo
AF:
0.675
Asia WGS
AF:
0.844
AC:
2934
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
-0.79
CADD
Benign
14
DANN
Benign
0.62

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: rs562859; hg19: chr6-154414573; COSMIC: COSV57676979; COSMIC: COSV57676979; API