chr1-244835741-G-C

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 4P and 2B. PM1PM2BP4_Moderate

The NM_198076.6(COX20):ā€‹c.27G>Cā€‹(p.Glu9Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000016 in 1,121,938 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E9K) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.000016 ( 0 hom. )

Consequence

COX20
NM_198076.6 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.332
Variant links:
Genes affected
COX20 (HGNC:26970): (cytochrome c oxidase assembly factor COX20) This gene encodes a protein that plays a role in the assembly of cytochrome C oxidase, an important component of the respiratory pathway. It contains two transmembrane helices and localizes to the mitochondrial membrane. Mutations in this gene can cause mitochondrial complex IV deficiency, which results in ataxia and muscle hypotonia. There are multiple pseudogenes for this gene. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2015]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM1
In a chain Cytochrome c oxidase assembly protein COX20, mitochondrial (size 116) in uniprot entity COX20_HUMAN there are 6 pathogenic changes around while only 2 benign (75%) in NM_198076.6
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.16435617).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
COX20NM_198076.6 linkc.27G>C p.Glu9Asp missense_variant 1/4 ENST00000411948.7 NP_932342.1 Q5RI15-1B3KM21

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
COX20ENST00000411948.7 linkc.27G>C p.Glu9Asp missense_variant 1/41 NM_198076.6 ENSP00000406327.2 Q5RI15-1
COX20ENST00000391839.6 linkn.86G>C non_coding_transcript_exon_variant 1/31
COX20ENST00000366528.3 linkc.27G>C p.Glu9Asp missense_variant 1/52 ENSP00000355486.3 Q5RI15-2
COX20ENST00000498262.1 linkn.83G>C non_coding_transcript_exon_variant 1/42

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.0000160
AC:
18
AN:
1121938
Hom.:
0
Cov.:
31
AF XY:
0.0000242
AC XY:
13
AN XY:
537370
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:
0.0000392
Gnomad4 NFE exome
AF:
0.0000171
Gnomad4 OTH exome
AF:
0.0000221
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

Mitochondrial complex 4 deficiency, nuclear type 11 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsJan 28, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Benign
-0.50
CADD
Benign
15
DANN
Benign
0.97
DEOGEN2
Benign
0.086
T;.
Eigen
Benign
-0.56
Eigen_PC
Benign
-0.68
FATHMM_MKL
Benign
0.56
D
LIST_S2
Benign
0.39
T;T
M_CAP
Uncertain
0.18
D
MetaRNN
Benign
0.16
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.0
L;L
PrimateAI
Uncertain
0.68
T
PROVEAN
Benign
-0.11
N;N
REVEL
Benign
0.093
Sift
Benign
0.15
T;T
Sift4G
Benign
0.091
T;T
Polyphen
1.0
D;.
Vest4
0.13
MutPred
0.16
Loss of glycosylation at P7 (P = 0.0804);Loss of glycosylation at P7 (P = 0.0804);
MVP
0.076
MPC
0.22
ClinPred
0.62
D
GERP RS
0.091
Varity_R
0.058
gMVP
0.10

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

LitVar

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

Other links and lift over

dbSNP: rs978231489; hg19: chr1-244999043; API