9-128322860-T-G

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PVS1_SupportingPM2

The NM_016035.5(COQ4):ā€‹c.2T>Gā€‹(p.Met1?) variant causes a start lost change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000709 in 1,410,984 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 7.1e-7 ( 0 hom. )

Consequence

COQ4
NM_016035.5 start_lost

Scores

4
2
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.250
Variant links:
Genes affected
COQ4 (HGNC:19693): (coenzyme Q4) This gene encodes a component of the coenzyme Q biosynthesis pathway. Coenzyme Q, an essential component of the electron transport chain, shuttles electrons between complexes I or II to complex III of the mitochondrial transport chain. This protein appears to play a structural role in stabilizing a complex that contains most of the coenzyme Q biosynthesis enzymes. Mutations in this gene are associated with mitochondrial disorders linked to coenzyme Q deficiency. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Apr 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PVS1
Start lost variant, no pathogenic variants between lost start and next in-frame start position. Next in-frame start position is after 25 codons. Genomic position: 128323018. Lost 0.091 part of the original CDS.
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COQ4NM_016035.5 linkc.2T>G p.Met1? start_lost Exon 1 of 7 ENST00000300452.8 NP_057119.3 Q9Y3A0-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COQ4ENST00000300452.8 linkc.2T>G p.Met1? start_lost Exon 1 of 7 1 NM_016035.5 ENSP00000300452.3 Q9Y3A0-1
COQ4ENST00000372875.3 linkc.2T>G p.Met1? start_lost Exon 1 of 4 2 ENSP00000361966.3 Q5T4B9
COQ4ENST00000608951.5 linkc.2T>G p.Met1? start_lost Exon 1 of 3 2 ENSP00000476323.1 V9GY32
COQ4ENST00000609948.1 linkc.2T>G p.Met1? start_lost Exon 1 of 2 2 ENSP00000477292.1 V9GZ09

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
7.09e-7
AC:
1
AN:
1410984
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
698952
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.17e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Neonatal encephalomyopathy-cardiomyopathy-respiratory distress syndrome Uncertain:1
Apr 21, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. This variant has not been reported in the literature in individuals affected with COQ4-related conditions. This variant is not present in population databases (gnomAD no frequency). This sequence change affects the initiator methionine of the COQ4 mRNA. The next in-frame methionine is located at codon 25. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.58
D
BayesDel_noAF
Uncertain
0.050
CADD
Benign
23
DANN
Benign
0.92
DEOGEN2
Benign
0.0036
T;T;.;.
Eigen
Benign
-0.015
Eigen_PC
Benign
-0.023
FATHMM_MKL
Benign
0.31
N
LIST_S2
Uncertain
0.90
D;D;D;D
M_CAP
Benign
0.067
D
MetaRNN
Pathogenic
0.96
D;D;D;D
MetaSVM
Benign
-1.1
T
PROVEAN
Benign
-0.19
N;.;.;N
REVEL
Benign
0.28
Sift
Pathogenic
0.0
D;.;.;D
Sift4G
Pathogenic
0.0
D;D;D;D
Polyphen
0.85
P;.;.;P
Vest4
0.62
MutPred
0.97
Loss of helix (P = 0.0033);Loss of helix (P = 0.0033);Loss of helix (P = 0.0033);Loss of helix (P = 0.0033);
MVP
0.39
ClinPred
0.99
D
GERP RS
4.1
Varity_R
0.98
gMVP
0.73

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr9-131085139; API