NM_001370658.1:c.569A>G

Variant names:

• chr3-15644485-A-G
• rs397507174
• NM_001370658.1:c.569A>G

Variant summary

Our verdict is Pathogenic. The variant received 17 ACMG points: 17P and 0B. PM1 PM2 PP2 PP3_Strong PP5_Very_Strong

The NM_001370658.1(BTD):​c.569A>G​(p.Tyr190Cys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,894 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 Likely pathogenic (★★).

• Frequency:
  • Genomes: not found (cov: 32)
  • Exomes 𝑓: 6.8e-7 (0 hom.)
• Consequence: BTD NM_001370658.1 missense
• Clinical Significance: Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:4
• Conservation: PhyloP100: 9.32
• Publications: 2 publications found

Genes affected

BTD (HGNC:1122): (biotinidase) The protein encoded by this gene functions to recycle protein-bound biotin by cleaving biocytin (biotin-epsilon-lysine), a normal product of carboxylase degradation, resulting in regeneration of free biotin. The encoded protein has also been shown to have biotinyl transferase activity. Mutations in this gene are associated with biotinidase deficiency. Multiple transcript variants encoding different isoforms have been described. [provided by RefSeq, Aug 2013]

BTD Gene-Disease associations (from GenCC):

• biotinidase deficiency

  Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Myriad Women’s Health, ClinGen, Orphanet, Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
• Leigh syndrome

  Inheritance: AR Classification: MODERATE Submitted by: ClinGen

ACMG classification

Our verdict: Pathogenic. The variant received 17 ACMG points.

• PM1: In a hotspot region, there are 10 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 4 uncertain in NM_001370658.1
• PM2: Very rare variant in population databases, with high coverage
• PP2: Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 88 curated pathogenic missense variants (we use a threshold of 10). The gene has 9 curated benign missense variants. Gene score misZ: -0.52516 (below the threshold of 3.09). Trascript score misZ: 0.15371 (below the threshold of 3.09). GenCC associations: The gene is linked to Leigh syndrome, biotinidase deficiency.
• PP3: MetaRNN computational evidence supports a deleterious effect, 0.993
• PP5: Variant 3-15644485-A-G is Pathogenic according to our data. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-15644485-A-G is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 38275.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
BTD	NM_001370658.1	c.569A>G	p.Tyr190Cys	missense_variant	Exon 4 of 4	ENST00000643237.3	NP_001357587.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
BTD	ENST00000643237.3	c.569A>G	p.Tyr190Cys	missense_variant	Exon 4 of 4		NM_001370658.1	ENSP00000495254.2

Frequencies

GnomAD3 genomes Cov.: 32

GnomAD4 exome AF: 6.84e-7 AC: 1 AN: 1461894 Hom.: 0 Cov.: 31 AF XY: 0.00000138 AC XY: 1 AN XY: 727248

African (AFR) AF: 0.00 AC: 0 AN: 33480

American (AMR) AF: 0.00 AC: 0 AN: 44724

Ashkenazi Jewish (ASJ) AF: 0.00 AC: 0 AN: 26136

East Asian (EAS) AF: 0.00 AC: 0 AN: 39700

South Asian (SAS) AF: 0.0000116 AC: 1 AN: 86258

European-Finnish (FIN) AF: 0.00 AC: 0 AN: 53420

Middle Eastern (MID) AF: 0.00 AC: 0 AN: 5768

European-Non Finnish (NFE) AF: 0.00 AC: 0 AN: 1112012

Other (OTH) AF: 0.00 AC: 0 AN: 60396

GnomAD4 genome Cov.: 32

Alfa AF: 0.00 Hom.: 0

ClinVar

Significance: Pathogenic/Likely pathogenic

Submissions summary: Pathogenic:4

Revision: criteria provided, multiple submitters, no conflicts

Submissions by phenotype

Biotinidase deficiency Pathogenic:3

Mar 17, 2017

Counsyl

Significance: Likely pathogenic

Review Status: no assertion criteria provided

Collection Method: clinical testing

This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -

Aug 29, 2023

Women's Health and Genetics/Laboratory Corporation of America, LabCorp

Significance: Pathogenic

Review Status: criteria provided, single submitter

Collection Method: clinical testing

Variant summary: BTD c.569A>G (p.Tyr190Cys) results in a non-conservative amino acid change located in the Carbon-nitrogen hydrolase domain (IPR003010) of the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant was absent in 251486 control chromosomes (gnomAD). c.569A>G has been reported in the literature in multiple compound heterozygous and homozygous individuals affected with Biotinidase Deficiency (e.g., Pomponio_1997, Norrgard_1999, Sarafoglou_2009, Gannavarapu_2015). These data indicate that the variant is very likely to be associated with disease. The following publications have been ascertained in the context of this evaluation (PMID: 26361991, 10400129, 9396567, 19757147). One submitter has reported clinical-significance assessments for this variant to ClinVar after 2014 and has classified the variant as pathogenic/likely pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic. -

Jun 06, 2023

Baylor Genetics

Significance: Pathogenic

Review Status: criteria provided, single submitter

Collection Method: clinical testing

- -

not provided Pathogenic:1

Jul 16, 2014

Eurofins Ntd Llc (ga)

Significance: Likely pathogenic

Review Status: criteria provided, single submitter

Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Pathogenic	0.87
BayesDel_addAF	Pathogenic	0.51	D
BayesDel_noAF	Pathogenic	0.50
CADD	Pathogenic	28
DANN	Uncertain	1.0
DEOGEN2	Uncertain	0.73	.;.;D;.;.;.;D;.
Eigen	Pathogenic	0.98
Eigen_PC	Pathogenic	0.91
FATHMM_MKL	Pathogenic	1.0	D
LIST_S2	Pathogenic	0.98	.;D;D;.;.;D;D;D
M_CAP	Pathogenic	0.39	D
MetaRNN	Pathogenic	0.99	D;D;D;D;D;D;D;D
MetaSVM	Pathogenic	1.1	D
MutationAssessor	Pathogenic	3.6	.;.;H;.;.;.;.;.
PhyloP100		9.3
PrimateAI	Uncertain	0.66	T
PROVEAN	Pathogenic	-8.7	.;D;.;.;.;D;D;D
REVEL	Pathogenic	0.97
Sift	Pathogenic	0.0	.;D;.;.;.;D;D;D
Sift4G	Pathogenic	0.0	.;D;.;.;.;D;D;D
Polyphen		1.0	.;.;D;.;.;.;.;.
Vest4		0.98, 0.98
MutPred		0.97		.;.;Gain of methylation at K212 (P = 0.0524);.;.;.;.;.;
MVP		1.0
MPC		0.47
ClinPred		1.0	D
GERP RS		5.6
Varity_R		0.95
gMVP		0.97
Mutation Taster		=0/100	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: rs397507174; hg19: chr3-15685992;