6-49451521-C-T

Variant names:

• chr6-49451521-C-T
• rs533755473
• NM_000255.4:c.1277G>A

Variant summary

Our verdict is Pathogenic. The variant received 13 ACMG points: 13P and 0B. PM1 PM2 PM5 PP2 PP3_Strong PP5_Moderate

The NM_000255.4(MMUT):​c.1277G>A​(p.Gly426Glu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 12/20 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G426R) has been classified as Likely pathogenic.

• Frequency: Genomes: not found (cov: 32)
• Consequence: MMUT NM_000255.4 missense
• Clinical Significance: Pathogenic criteria provided, single submitter P:1
• Conservation: PhyloP100: 7.91
• Publications: 2 publications found

Genes affected

MMUT (HGNC:7526): (methylmalonyl-CoA mutase) This gene encodes the mitochondrial enzyme methylmalonyl Coenzyme A mutase. In humans, the product of this gene is a vitamin B12-dependent enzyme which catalyzes the isomerization of methylmalonyl-CoA to succinyl-CoA, while in other species this enzyme may have different functions. Mutations in this gene may lead to various types of methylmalonic aciduria. [provided by RefSeq, Jul 2008]

MMUT Gene-Disease associations (from GenCC):

• methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency

  Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), G2P
• vitamin B12-unresponsive methylmalonic acidemia type mut-

  Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
• vitamin B12-unresponsive methylmalonic acidemia type mut0

  Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

ACMG classification

Our verdict: Pathogenic. The variant received 13 ACMG points.

• PM1: In a hotspot region, there are 6 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 7 uncertain in NM_000255.4
• PM2: Very rare variant in population databases, with high coverage
• PM5: Other missense variant is known to change same aminoacid residue: Variant chr6-49451522-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 993879.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
• PP2: Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 150 curated pathogenic missense variants (we use a threshold of 10). The gene has 9 curated benign missense variants. Gene score misZ: 0.22855 (below the threshold of 3.09). Trascript score misZ: 1.0842 (below the threshold of 3.09). GenCC associations: The gene is linked to vitamin B12-unresponsive methylmalonic acidemia type mut-, methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency, vitamin B12-unresponsive methylmalonic acidemia type mut0.
• PP3: MetaRNN computational evidence supports a deleterious effect, 0.974
• PP5: Variant 6-49451521-C-T is Pathogenic according to our data. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-49451521-C-T is described in CliVar as Pathogenic. Clinvar id is 222932.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
MMUT	NM_000255.4	c.1277G>A	p.Gly426Glu	missense_variant	Exon 6 of 13	ENST00000274813.4	NP_000246.2
MMUT	XM_005249143.4	c.1277G>A	p.Gly426Glu	missense_variant	Exon 6 of 13		XP_005249200.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
MMUT	ENST00000274813.4	c.1277G>A	p.Gly426Glu	missense_variant	Exon 6 of 13	1	NM_000255.4	ENSP00000274813.3

Frequencies

GnomAD3 genomes Cov.: 32

GnomAD4 exome Cov.: 31

GnomAD4 genome Cov.: 32

Alfa AF: 0.00 Hom.: 0

Bravo AF: 0.0000113

ClinVar

Significance: Pathogenic

Submissions summary: Pathogenic:1

Revision: criteria provided, single submitter

Submissions by phenotype

Methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency Pathogenic:1

-

University Children's Hospital, University of Zurich

Significance: Pathogenic

Review Status: criteria provided, single submitter

Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Pathogenic	0.96
BayesDel_addAF	Pathogenic	0.58	D
BayesDel_noAF	Pathogenic	0.59
CADD	Pathogenic	27
DANN	Uncertain	1.0
Eigen	Pathogenic	0.87
Eigen_PC	Pathogenic	0.83
FATHMM_MKL	Pathogenic	0.98	D
LIST_S2	Pathogenic	0.99	D
M_CAP	Pathogenic	0.44	D
MetaRNN	Pathogenic	0.97	D
MetaSVM	Pathogenic	1.1	D
PhyloP100		7.9
PrimateAI	Pathogenic	0.80	T
PROVEAN	Pathogenic	-5.7	D
REVEL	Pathogenic	0.97
Sift	Pathogenic	0.0	D
Sift4G	Pathogenic	0.0010	D
Vest4		0.96
MutPred		0.86		Gain of relative solvent accessibility (P = 0.09);
MVP		0.99
MPC		0.55
ClinPred		1.0	D
GERP RS		5.5
RBP_binding_hub_radar		0.0
RBP_regulation_power_radar		1.7
gMVP		1.0
Mutation Taster		=4/96	disease causing (ClinVar)

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

Other links and lift over

dbSNP: rs533755473; hg19: chr6-49419234;