chr1-97720909-G-C

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The ENST00000306031.5(DPYD):​c.501C>G​(p.Phe167Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00105 in 1,609,662 control chromosomes in the GnomAD database, including 12 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/16 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0054 ( 7 hom., cov: 32)
Exomes 𝑓: 0.00060 ( 5 hom. )

Consequence

DPYD
ENST00000306031.5 missense

Scores

1
1
12

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.297

Publications

2 publications found
Variant links:
Genes affected
DPYD (HGNC:3012): (dihydropyrimidine dehydrogenase) The protein encoded by this gene is a pyrimidine catabolic enzyme and the initial and rate-limiting factor in the pathway of uracil and thymidine catabolism. Mutations in this gene result in dihydropyrimidine dehydrogenase deficiency, an error in pyrimidine metabolism associated with thymine-uraciluria and an increased risk of toxicity in cancer patients receiving 5-fluorouracil chemotherapy. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, May 2009]
DPYD Gene-Disease associations (from GenCC):
  • dihydropyrimidine dehydrogenase deficiency
    Inheritance: AR Classification: DEFINITIVE Submitted by: G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0043946505).
BP6
Variant 1-97720909-G-C is Benign according to our data. Variant chr1-97720909-G-C is described in ClinVar as [Benign]. Clinvar id is 585803.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00544 (826/151706) while in subpopulation AFR AF = 0.0189 (783/41472). AF 95% confidence interval is 0.0178. There are 7 homozygotes in GnomAd4. There are 413 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 7 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DPYDNM_000110.4 linkc.483+601C>G intron_variant Intron 5 of 22 ENST00000370192.8 NP_000101.2 Q12882-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DPYDENST00000306031.5 linkc.501C>G p.Phe167Leu missense_variant Exon 6 of 6 1 ENSP00000307107.5 Q12882-2
DPYDENST00000370192.8 linkc.483+601C>G intron_variant Intron 5 of 22 1 NM_000110.4 ENSP00000359211.3 Q12882-1
DPYDENST00000474241.1 linkn.163C>G non_coding_transcript_exon_variant Exon 2 of 4 3

Frequencies

GnomAD3 genomes
AF:
0.00539
AC:
817
AN:
151588
Hom.:
7
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0187
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00172
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000208
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000590
Gnomad OTH
AF:
0.00577
GnomAD2 exomes
AF:
0.00131
AC:
324
AN:
246634
AF XY:
0.000925
show subpopulations
Gnomad AFR exome
AF:
0.0196
Gnomad AMR exome
AF:
0.000527
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000896
Gnomad OTH exome
AF:
0.000503
GnomAD4 exome
AF:
0.000595
AC:
868
AN:
1457956
Hom.:
5
Cov.:
32
AF XY:
0.000492
AC XY:
357
AN XY:
725222
show subpopulations
African (AFR)
AF:
0.0219
AC:
728
AN:
33268
American (AMR)
AF:
0.000878
AC:
39
AN:
44424
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25990
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39554
South Asian (SAS)
AF:
0.0000582
AC:
5
AN:
85966
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53338
Middle Eastern (MID)
AF:
0.000528
AC:
3
AN:
5682
European-Non Finnish (NFE)
AF:
0.00000901
AC:
10
AN:
1109594
Other (OTH)
AF:
0.00138
AC:
83
AN:
60140
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.471
Heterozygous variant carriers
0
42
84
126
168
210
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
24
48
72
96
120
<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:
0.00544
AC:
826
AN:
151706
Hom.:
7
Cov.:
32
AF XY:
0.00557
AC XY:
413
AN XY:
74164
show subpopulations
African (AFR)
AF:
0.0189
AC:
783
AN:
41472
American (AMR)
AF:
0.00172
AC:
26
AN:
15138
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3462
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5162
South Asian (SAS)
AF:
0.000208
AC:
1
AN:
4810
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10596
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000590
AC:
4
AN:
67760
Other (OTH)
AF:
0.00571
AC:
12
AN:
2100
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
42
84
127
169
211
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.000946
Hom.:
0
Bravo
AF:
0.00634
ESP6500AA
AF:
0.0195
AC:
61
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00159
AC:
191
Asia WGS
AF:
0.00144
AC:
6
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Oct 05, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.54
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
8.7
DANN
Benign
0.95
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.049
N
LIST_S2
Benign
0.37
T
MetaRNN
Benign
0.0044
T
MetaSVM
Benign
-1.0
T
PhyloP100
-0.30
PROVEAN
Benign
-2.3
N
REVEL
Benign
0.10
Sift
Uncertain
0.0070
D
Sift4G
Pathogenic
0.0
D
Vest4
0.097
MutPred
0.54
Gain of disorder (P = 0.0935);
MVP
0.38
ClinPred
0.0094
T
GERP RS
0.10
Mutation Taster
=95/5
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.10
Details are displayed if max score is > 0.2

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

Publications

Other links and lift over

dbSNP: rs72977734; hg19: chr1-98186465; API