chr16-57447519-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_020312.4(COQ9):​c.14C>T​(p.Ala5Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000398 in 1,305,306 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A5G) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 34)
Exomes 𝑓: 0.000042 ( 0 hom. )

Consequence

COQ9
NM_020312.4 missense

Scores

3
15

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: -0.370

Publications

1 publications found
Variant links:
Genes affected
COQ9 (HGNC:25302): (coenzyme Q9) This locus represents a mitochondrial ubiquinone biosynthesis gene. The encoded protein is likely necessary for biosynthesis of coenzyme Q10, as mutations at this locus have been associated with autosomal-recessive neonatal-onset primary coenzyme Q10 deficiency.[provided by RefSeq, Sep 2010]
CIAPIN1 (HGNC:28050): (cytokine induced apoptosis inhibitor 1) CIAPIN1 is a cytokine-induced inhibitor of apoptosis with no relation to apoptosis regulatory molecules of the BCL2 (MIM 151430) or CASP (see MIM 147678) families. Expression of CIAPIN1 is dependent on growth factor stimulation (Shibayama et al., 2004 [PubMed 14970183]).[supplied by OMIM, Mar 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.06957981).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_020312.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
COQ9
NM_020312.4
MANE Select
c.14C>Tp.Ala5Val
missense
Exon 1 of 9NP_064708.1O75208-1
CIAPIN1
NM_020313.4
MANE Select
c.-233G>A
upstream_gene
N/ANP_064709.2Q6FI81-1
CIAPIN1
NM_001308347.2
c.-233G>A
upstream_gene
N/ANP_001295276.1Q6FI81-3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
COQ9
ENST00000262507.11
TSL:1 MANE Select
c.14C>Tp.Ala5Val
missense
Exon 1 of 9ENSP00000262507.5O75208-1
COQ9
ENST00000895095.1
c.14C>Tp.Ala5Val
missense
Exon 1 of 10ENSP00000565154.1
COQ9
ENST00000895096.1
c.14C>Tp.Ala5Val
missense
Exon 1 of 9ENSP00000565155.1

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152170
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000588
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000667
AC:
3
AN:
44978
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000254
Gnomad NFE exome
AF:
0.0000470
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000416
AC:
48
AN:
1153136
Hom.:
0
Cov.:
32
AF XY:
0.0000432
AC XY:
24
AN XY:
555994
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
23784
American (AMR)
AF:
0.00
AC:
0
AN:
13444
Ashkenazi Jewish (ASJ)
AF:
0.0000618
AC:
1
AN:
16174
East Asian (EAS)
AF:
0.00
AC:
0
AN:
27302
South Asian (SAS)
AF:
0.00
AC:
0
AN:
35130
European-Finnish (FIN)
AF:
0.000117
AC:
4
AN:
34102
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4164
European-Non Finnish (NFE)
AF:
0.0000430
AC:
41
AN:
953084
Other (OTH)
AF:
0.0000435
AC:
2
AN:
45952
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.0000000000000333067), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.377
Heterozygous variant carriers
0
3
5
8
10
13
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000263
AC:
4
AN:
152170
Hom.:
0
Cov.:
34
AF XY:
0.0000269
AC XY:
2
AN XY:
74336
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41466
American (AMR)
AF:
0.00
AC:
0
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5168
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000588
AC:
4
AN:
68012
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.550
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00
Hom.:
0
Bravo
AF:
0.0000378

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Inborn genetic diseases (1)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.26
BayesDel_addAF
Benign
-0.087
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
17
DANN
Uncertain
0.99
DEOGEN2
Benign
0.0075
T
Eigen
Benign
-0.86
Eigen_PC
Benign
-0.95
FATHMM_MKL
Benign
0.0033
N
LIST_S2
Benign
0.81
T
M_CAP
Benign
0.057
D
MetaRNN
Benign
0.070
T
MetaSVM
Benign
-0.97
T
MutationAssessor
Uncertain
2.2
M
PhyloP100
-0.37
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-0.34
N
REVEL
Benign
0.058
Sift
Benign
0.088
T
Sift4G
Benign
0.26
T
Polyphen
0.0020
B
Vest4
0.24
MVP
0.092
MPC
0.16
ClinPred
0.11
T
GERP RS
0.74
PromoterAI
0.0044
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.2
Varity_R
0.032
gMVP
0.54
Mutation Taster
=94/6
polymorphism

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

Other links and lift over

dbSNP: rs866898130; hg19: chr16-57481431; COSMIC: COSV52645643; COSMIC: COSV52645643; API