chr1-17027802-A-G

Variant summary

Our verdict is Benign. The variant received -11 ACMG points: 2P and 13B. PM1BP4_StrongBP6BS1BS2

The NM_003000.3(SDHB):​c.487T>C​(p.Ser163Pro) variant causes a missense change. The variant allele was found at a frequency of 0.0131 in 1,613,448 control chromosomes in the GnomAD database, including 207 homozygotes. 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. S163F) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0095 ( 14 hom., cov: 32)
Exomes 𝑓: 0.013 ( 193 hom. )

Consequence

SDHB
NM_003000.3 missense

Scores

5
13

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:4B:26O:1

Conservation

PhyloP100: 4.71
Variant links:
Genes affected
SDHB (HGNC:10681): (succinate dehydrogenase complex iron sulfur subunit B) This tumor suppressor gene encodes the iron-sulfur protein subunit of the succinate dehydrogenase (SDH) enzyme complex which plays a critical role in mitochondria. The SDH enzyme complex is composed of four nuclear-encoded subunits. This enzyme complex converts succinate to fumarate which releases electrons as part of the citric acid cycle, and the enzyme complex additionally provides an attachment site for released electrons to be transferred to the oxidative phosphorylation pathway. The SDH enzyme complex plays a role in oxygen-related gene regulation through its conversion of succinate, which is an oxygen sensor that stabilizes the hypoxia-inducible factor 1 (HIF1) transcription factor. Sporadic and familial mutations in this gene result in paragangliomas, pheochromocytoma, and gastrointestinal stromal tumors, supporting a link between mitochondrial dysfunction and tumorigenesis. Mutations in this gene are also implicated in nuclear type 4 mitochondrial complex II deficiency. [provided by RefSeq, Jun 2022]

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -11 ACMG points.

PM1
In a region_of_interest Interaction with SDHAF1 (size 72) in uniprot entity SDHB_HUMAN there are 67 pathogenic changes around while only 2 benign (97%) in NM_003000.3
BP4
Computational evidence support a benign effect (MetaRNN=0.008068502).
BP6
Variant 1-17027802-A-G is Benign according to our data. Variant chr1-17027802-A-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 12792.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=3, not_provided=1, Likely_benign=1, Benign=19}. Variant chr1-17027802-A-G is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.00947 (1441/152204) while in subpopulation SAS AF = 0.0193 (93/4824). AF 95% confidence interval is 0.0161. There are 14 homozygotes in GnomAd4. There are 717 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position FAILED quality control check.
BS2
High Homozygotes in GnomAd4 at 14 Mitochondrial gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SDHBNM_003000.3 linkc.487T>C p.Ser163Pro missense_variant Exon 5 of 8 ENST00000375499.8 NP_002991.2 P21912
SDHBNM_001407361.1 linkc.433T>C p.Ser145Pro missense_variant Exon 5 of 8 NP_001394290.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SDHBENST00000375499.8 linkc.487T>C p.Ser163Pro missense_variant Exon 5 of 8 1 NM_003000.3 ENSP00000364649.3 P21912

Frequencies

GnomAD3 genomes
AF:
0.00947
AC:
1441
AN:
152086
Hom.:
14
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00179
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00465
Gnomad ASJ
AF:
0.00749
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.0191
Gnomad FIN
AF:
0.0185
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0141
Gnomad OTH
AF:
0.00909
GnomAD2 exomes
AF:
0.0121
AC:
3045
AN:
251388
AF XY:
0.0130
show subpopulations
Gnomad AFR exome
AF:
0.00178
Gnomad AMR exome
AF:
0.00393
Gnomad ASJ exome
AF:
0.00655
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0216
Gnomad NFE exome
AF:
0.0152
Gnomad OTH exome
AF:
0.0114
GnomAD4 exome
AF:
0.0135
AC:
19718
AN:
1461244
Hom.:
193
Cov.:
29
AF XY:
0.0137
AC XY:
9927
AN XY:
726966
show subpopulations
Gnomad4 AFR exome
AF:
0.00215
AC:
72
AN:
33474
Gnomad4 AMR exome
AF:
0.00362
AC:
162
AN:
44718
Gnomad4 ASJ exome
AF:
0.00612
AC:
160
AN:
26126
Gnomad4 EAS exome
AF:
0.0000252
AC:
1
AN:
39692
Gnomad4 SAS exome
AF:
0.0174
AC:
1505
AN:
86248
Gnomad4 FIN exome
AF:
0.0215
AC:
1149
AN:
53366
Gnomad4 NFE exome
AF:
0.0143
AC:
15925
AN:
1111470
Gnomad4 Remaining exome
AF:
0.0111
AC:
673
AN:
60382
Heterozygous variant carriers
0
932
1865
2797
3730
4662
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Exome Het
Exome Hom
Variant carriers
0
592
1184
1776
2368
2960
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00947
AC:
1441
AN:
152204
Hom.:
14
Cov.:
32
AF XY:
0.00963
AC XY:
717
AN XY:
74424
show subpopulations
Gnomad4 AFR
AF:
0.00178
AC:
0.0017809
AN:
0.0017809
Gnomad4 AMR
AF:
0.00465
AC:
0.00464781
AN:
0.00464781
Gnomad4 ASJ
AF:
0.00749
AC:
0.0074928
AN:
0.0074928
Gnomad4 EAS
AF:
0.000193
AC:
0.000193274
AN:
0.000193274
Gnomad4 SAS
AF:
0.0193
AC:
0.0192786
AN:
0.0192786
Gnomad4 FIN
AF:
0.0185
AC:
0.018501
AN:
0.018501
Gnomad4 NFE
AF:
0.0141
AC:
0.0141181
AN:
0.0141181
Gnomad4 OTH
AF:
0.00852
AC:
0.00852273
AN:
0.00852273
Heterozygous variant carriers
0
78
156
233
311
389
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Genome Het
Genome Hom
Variant carriers
0
22
44
66
88
110
<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:
0.0121
Hom.:
54
Bravo
AF:
0.00751
TwinsUK
AF:
0.0183
AC:
68
ALSPAC
AF:
0.0125
AC:
48
ESP6500AA
AF:
0.00272
AC:
12
ESP6500EA
AF:
0.0130
AC:
112
ExAC
AF:
0.0125
AC:
1523
Asia WGS
AF:
0.00866
AC:
30
AN:
3478
EpiCase
AF:
0.0136
EpiControl
AF:
0.0149

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:4Benign:26Other:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Benign:10Other:1
Mar 04, 2025
Center for Genomic Medicine, Rigshospitalet, Copenhagen University Hospital
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, Amsterdam University Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

May 08, 2017
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: The SDHB c.487T>C (p.Ser163Pro) variant involves the alteration of a conserved nucleotide. 2/4 in silico tools predict a benign outcome for this variant (SNPsandGO not captured due to low reliability index). This variant was found in 1523/121404 control chromosomes (21 homozygotes) at a frequency of 0.0125449, which largely exceeds the estimated maximal expected allele frequency of a pathogenic SDHB variant (0.0000009), suggesting this variant is likely a benign polymorphism. In addition, multiple clinical diagnostic laboratories/reputable databases classified this variant as benign. Taken together, this variant is classified as benign. -

Nov 16, 2016
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 03, 2018
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Sep 19, 2013
ITMI
Significance:not provided
Review Status:no classification provided
Collection Method:reference population

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Sep 23, 2024
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Paragangliomas 4 Uncertain:2Benign:3
Apr 24, 2023
Myriad Genetics, Inc.
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered benign. This variant has been observed at a population frequency that is significantly greater than expected given the associated disease prevalence and penetrance. -

Mar 23, 2016
Counsyl
Significance:Benign
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. -

Nov 01, 2016
Center for Human Genetics, Inc, Center for Human Genetics, Inc
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 13, 2015
Genomic Diagnostic Laboratory, Division of Genomic Diagnostics, Children's Hospital of Philadelphia
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 21, 2018
Equipe Genetique des Anomalies du Developpement, Université de Bourgogne
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Uncertain:1Benign:4
Jun 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

SDHB: BS1, BS2 -

Oct 08, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 13, 2012
Biesecker Lab/Clinical Genomics Section, National Institutes of Health
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:research

- -

Nov 03, 2021
Institute for Clinical Genetics, University Hospital TU Dresden, University Hospital TU Dresden
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 10, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 19215943, 16322339, 17298551, 16912137, 22995991, 19768395, 22584711, 19802898, 19399650, 22293219, 24735130, 20981092, 27153395, 18678321, 21979946, 25376524, 22938532, 22703879, 25694510, 23666964, 25333069, 24728327, 26071763, 17102082, 17102083, 22270996, 25695889, 17639058, 14985401, 26182300, 18419787, 19153209, 19522823, 19454582, 27279923, 27884173, 26092435, 28374168, 29386252, 30050099, 31019283) -

Gastrointestinal stromal tumor Benign:2
Jun 22, 2021
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 28, 2019
Mendelics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Hereditary cancer-predisposing syndrome Benign:2
Sep 11, 2020
Sema4, Sema4
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:curation

- -

Dec 23, 2014
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Hereditary pheochromocytoma-paraganglioma Benign:2
Jun 09, 2022
Color Diagnostics, LLC DBA Color Health
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 06, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Cowden syndrome Uncertain:1
Aug 01, 2008
OMIM
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Pheochromocytoma;C0238198:Gastrointestinal stromal tumor;C1861848:Paragangliomas 4 Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Malignant tumor of breast Benign:1
-
Center of Medical Genetics and Primary Health Care
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Carney-Stratakis syndrome Benign:1
Mar 06, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.085
T
BayesDel_noAF
Uncertain
0.12
CADD
Benign
22
DANN
Benign
0.86
DEOGEN2
Benign
0.24
T;.;T
Eigen
Benign
-0.23
Eigen_PC
Benign
0.029
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Benign
0.81
T;T;T
MetaRNN
Benign
0.0081
T;T;T
MetaSVM
Uncertain
0.12
D
MutationAssessor
Benign
0.47
N;.;.
PrimateAI
Uncertain
0.51
T
PROVEAN
Benign
0.44
N;.;.
REVEL
Uncertain
0.44
Sift
Benign
0.77
T;.;.
Sift4G
Benign
1.0
T;T;T
Polyphen
0.0
B;.;.
Vest4
0.12
MPC
0.21
ClinPred
0.025
T
GERP RS
5.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.19
gMVP
0.76
Mutation Taster
=44/56
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs33927012; hg19: chr1-17354297; COSMIC: COSV64965186; COSMIC: COSV64965186; API