chr14-64400804-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_005956.4(MTHFD1):​c.53C>T​(p.Ala18Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00385 in 1,612,920 control chromosomes in the GnomAD database, including 19 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. A18A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0032 ( 3 hom., cov: 32)
Exomes 𝑓: 0.0039 ( 16 hom. )

Consequence

MTHFD1
NM_005956.4 missense

Scores

1
16

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 1.40
Variant links:
Genes affected
MTHFD1 (HGNC:7432): (methylenetetrahydrofolate dehydrogenase, cyclohydrolase and formyltetrahydrofolate synthetase 1) This gene encodes a protein that possesses three distinct enzymatic activities, 5,10-methylenetetrahydrofolate dehydrogenase, 5,10-methenyltetrahydrofolate cyclohydrolase and 10-formyltetrahydrofolate synthetase. Each of these activities catalyzes one of three sequential reactions in the interconversion of 1-carbon derivatives of tetrahydrofolate, which are substrates for methionine, thymidylate, and de novo purine syntheses. The trifunctional enzymatic activities are conferred by two major domains, an aminoterminal portion containing the dehydrogenase and cyclohydrolase activities and a larger synthetase domain. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008382082).
BP6
Variant 14-64400804-C-T is Benign according to our data. Variant chr14-64400804-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 791428.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr14-64400804-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00324 (493/152266) while in subpopulation NFE AF= 0.00479 (326/68010). AF 95% confidence interval is 0.00437. There are 3 homozygotes in gnomad4. There are 223 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 3 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MTHFD1NM_005956.4 linkuse as main transcriptc.53C>T p.Ala18Val missense_variant 2/28 ENST00000652337.1
MTHFD1NM_001364837.1 linkuse as main transcriptc.53C>T p.Ala18Val missense_variant 2/27

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MTHFD1ENST00000652337.1 linkuse as main transcriptc.53C>T p.Ala18Val missense_variant 2/28 NM_005956.4 P1

Frequencies

GnomAD3 genomes
AF:
0.00323
AC:
492
AN:
152148
Hom.:
3
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000917
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00288
Gnomad ASJ
AF:
0.0179
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00228
Gnomad FIN
AF:
0.000471
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00478
Gnomad OTH
AF:
0.00335
GnomAD3 exomes
AF:
0.00346
AC:
868
AN:
250952
Hom.:
2
AF XY:
0.00351
AC XY:
476
AN XY:
135626
show subpopulations
Gnomad AFR exome
AF:
0.000678
Gnomad AMR exome
AF:
0.00295
Gnomad ASJ exome
AF:
0.0168
Gnomad EAS exome
AF:
0.000163
Gnomad SAS exome
AF:
0.00246
Gnomad FIN exome
AF:
0.000462
Gnomad NFE exome
AF:
0.00411
Gnomad OTH exome
AF:
0.00506
GnomAD4 exome
AF:
0.00391
AC:
5718
AN:
1460654
Hom.:
16
Cov.:
30
AF XY:
0.00404
AC XY:
2935
AN XY:
726678
show subpopulations
Gnomad4 AFR exome
AF:
0.000657
Gnomad4 AMR exome
AF:
0.00275
Gnomad4 ASJ exome
AF:
0.0161
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.00246
Gnomad4 FIN exome
AF:
0.000581
Gnomad4 NFE exome
AF:
0.00411
Gnomad4 OTH exome
AF:
0.00466
GnomAD4 genome
AF:
0.00324
AC:
493
AN:
152266
Hom.:
3
Cov.:
32
AF XY:
0.00300
AC XY:
223
AN XY:
74454
show subpopulations
Gnomad4 AFR
AF:
0.000914
Gnomad4 AMR
AF:
0.00288
Gnomad4 ASJ
AF:
0.0179
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00228
Gnomad4 FIN
AF:
0.000471
Gnomad4 NFE
AF:
0.00479
Gnomad4 OTH
AF:
0.00331
Alfa
AF:
0.00338
Hom.:
2
Bravo
AF:
0.00330
TwinsUK
AF:
0.00297
AC:
11
ALSPAC
AF:
0.00311
AC:
12
ESP6500AA
AF:
0.00136
AC:
6
ESP6500EA
AF:
0.00500
AC:
43
ExAC
AF:
0.00337
AC:
409
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.00692
EpiControl
AF:
0.00641

ClinVar

Significance: Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
MTHFD1-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesFeb 24, 2020This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.099
BayesDel_addAF
Benign
-0.57
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
18
DANN
Benign
0.93
Eigen
Benign
-0.62
Eigen_PC
Benign
-0.58
FATHMM_MKL
Benign
0.47
N
LIST_S2
Uncertain
0.92
.;.;D
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.0084
T;T;T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
1.0
N;N;N;N
PrimateAI
Benign
0.27
T
PROVEAN
Benign
-1.2
N;.;.
REVEL
Benign
0.038
Sift
Benign
0.047
D;.;.
Sift4G
Benign
0.079
T;T;T
Polyphen
0.034
B;.;.
Vest4
0.23
MVP
0.32
MPC
0.36
ClinPred
0.0040
T
GERP RS
2.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

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: rs151019303; hg19: chr14-64867522; COSMIC: COSV53699028; API