NM_004718.4:c.*555_*556insGTGTGTATTT
Variant summary
Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BA1
The NM_004718.4(COX7A2L):c.*555_*556insGTGTGTATTT variant causes a 3 prime UTR change involving the alteration of a non-conserved nucleotide. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.
Frequency
 Genomes: 𝑓 0.61   (  28678   hom.,  cov: 0) 
 Exomes 𝑓:  0.50   (  0   hom.  ) 
Consequence
 COX7A2L
NM_004718.4 3_prime_UTR
NM_004718.4 3_prime_UTR
Scores
 Not classified 
Clinical Significance
 Not reported in ClinVar 
Conservation
 PhyloP100:  0.600  
Publications
12 publications found 
Genes affected
 COX7A2L  (HGNC:2289):  (cytochrome c oxidase subunit 7A2 like) Cytochrome c oxidase (COX), the terminal component of the mitochondrial respiratory chain, catalyzes the electron transfer from reduced cytochrome c to oxygen. This component is a heteromeric complex consisting of 3 catalytic subunits encoded by mitochondrial genes and multiple structural subunits encoded by nuclear genes. The mitochondrially-encoded subunits function in electron transfer, and the nuclear-encoded subunits may function in the regulation and assembly of the complex. This nuclear gene encodes a protein similar to polypeptides 1 and 2 of subunit VIIa in the C-terminal region, and also highly similar to the mouse Sig81 protein sequence. This gene is expressed in all tissues, and upregulated in a breast cancer cell line after estrogen treatment. It is possible that this gene represents a regulatory subunit of COX and mediates the higher level of energy production in target cells by estrogen. Several transcript variants, some protein-coding and others non-protein coding, have been found for this gene. [provided by RefSeq, Jan 2016] 
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ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -8 ACMG points.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.722  is higher than 0.05. 
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes   AF:  0.609  AC: 92201AN: 151420Hom.:  28638  Cov.: 0 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
92201
AN: 
151420
Hom.: 
Cov.: 
0
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
 AF: 
Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
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Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD4 exome  AF:  0.500  AC: 2AN: 4Hom.:  0  Cov.: 0 AF XY:  0.500  AC XY: 1AN XY: 2 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
2
AN: 
4
Hom.: 
Cov.: 
0
 AF XY: 
AC XY: 
1
AN XY: 
2
show subpopulations 
African (AFR) 
AC: 
0
AN: 
0
American (AMR) 
AC: 
0
AN: 
0
Ashkenazi Jewish (ASJ) 
AC: 
0
AN: 
0
East Asian (EAS) 
AC: 
0
AN: 
0
South Asian (SAS) 
AC: 
0
AN: 
0
European-Finnish (FIN) 
 AF: 
AC: 
1
AN: 
2
Middle Eastern (MID) 
AC: 
0
AN: 
0
European-Non Finnish (NFE) 
 AF: 
AC: 
1
AN: 
2
Other (OTH) 
AC: 
0
AN: 
0
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.550 
Heterozygous variant carriers
 0 
 0 
 1 
 1 
 2 
 2 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
GnomAD4 genome   AF:  0.609  AC: 92299AN: 151540Hom.:  28678  Cov.: 0 AF XY:  0.607  AC XY: 44951AN XY: 74044 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
92299
AN: 
151540
Hom.: 
Cov.: 
0
 AF XY: 
AC XY: 
44951
AN XY: 
74044
show subpopulations 
African (AFR) 
 AF: 
AC: 
29136
AN: 
41306
American (AMR) 
 AF: 
AC: 
6889
AN: 
15258
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
2004
AN: 
3460
East Asian (EAS) 
 AF: 
AC: 
3798
AN: 
5120
South Asian (SAS) 
 AF: 
AC: 
2705
AN: 
4812
European-Finnish (FIN) 
 AF: 
AC: 
6563
AN: 
10552
Middle Eastern (MID) 
 AF: 
AC: 
129
AN: 
292
European-Non Finnish (NFE) 
 AF: 
AC: 
39339
AN: 
67752
Other (OTH) 
 AF: 
AC: 
1227
AN: 
2100
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.501 
Heterozygous variant carriers
 0 
 1791 
 3582 
 5374 
 7165 
 8956 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Genome Hom
Variant carriers
 0 
 750 
 1500 
 2250 
 3000 
 3750 
 <30 
 30-35 
 35-40 
 40-45 
 45-50 
 50-55 
 55-60 
 60-65 
 65-70 
 70-75 
 75-80 
 >80 
Age
Alfa 
 AF: 
Hom.: 
Asia WGS 
 AF: 
AC: 
2106
AN: 
3478
ClinVar
Not reported inComputational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 PhyloP100 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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