X-153953629-G-C
Variant summary
Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4BP6BS2
The NM_005334.3(HCFC1):c.4475C>G(p.Pro1492Arg) variant causes a missense change. The variant allele was found at a frequency of 0.0000587 in 1,208,909 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 21 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P1492L) has been classified as Uncertain significance.
Frequency
Consequence
NM_005334.3 missense
Scores
Clinical Significance
Conservation
Publications
- methylmalonic acidemia with homocystinuria, type cblXInheritance: XL Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: G2P, Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae)
- X-linked intellectual disabilityInheritance: XL Classification: DEFINITIVE Submitted by: ClinGen, Illumina
- non-syndromic X-linked intellectual disabilityInheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Likely_benign. The variant received -6 ACMG points.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
HCFC1 | ENST00000310441.12 | c.4475C>G | p.Pro1492Arg | missense_variant | Exon 18 of 26 | 1 | NM_005334.3 | ENSP00000309555.7 | ||
HCFC1 | ENST00000369984.4 | c.4475C>G | p.Pro1492Arg | missense_variant | Exon 18 of 26 | 5 | ENSP00000359001.4 | |||
HCFC1 | ENST00000444191.5 | c.197C>G | p.Pro66Arg | missense_variant | Exon 2 of 10 | 5 | ENSP00000399589.1 |
Frequencies
GnomAD3 genomes AF: 0.00000889 AC: 1AN: 112499Hom.: 0 Cov.: 25 show subpopulations
GnomAD2 exomes AF: 0.0000391 AC: 7AN: 178896 AF XY: 0.0000302 show subpopulations
GnomAD4 exome AF: 0.0000638 AC: 70AN: 1096410Hom.: 0 Cov.: 31 AF XY: 0.0000579 AC XY: 21AN XY: 362472 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.00000889 AC: 1AN: 112499Hom.: 0 Cov.: 25 AF XY: 0.00 AC XY: 0AN XY: 34633 show subpopulations
ClinVar
Submissions by phenotype
not specified Uncertain:3
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The P1492R variant in the HCFC1 gene has not been reported previously as a pathogenic variant, nor as a benign variant, to our knowledge. The P1492R variant was not observed in approximately 6400 individuals of European and African American ancestry in the NHLBI Exome Sequencing Project, indicating it is not a common benign variant in these populations. The P1492R variant is a non-conservative amino acid substitution, which is likely to impact secondary protein structure as these residues differ in polarity, charge, size and/or other properties. This substitution occurs at a position that is conserved across species. In silico analysis predicts this variant is probably damaging to the protein structure/function. We interpret P1492R as a variant of uncertain significance. -
Variant summary: HCFC1 c.4475C>G (p.Pro1492Arg) results in a non-conservative amino acid change in the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 3.9e-05 in 178896 control chromosomes (gnomAD). The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.4475C>G has been reported in the literature in an individual affected with Methylmalonic Acidemia With Homocystinuria (Zhang_2019). These data do not allow any conclusion about variant significance. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publication has been ascertained in the context of this evaluation (PMID: 31998365). ClinVar contains an entry for this variant (Variation ID: 373423). Based on the evidence outlined above, the variant was classified as uncertain significance. -
Methylmalonic acidemia with homocystinuria, type cblX Benign:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at