chr2-25161572-C-G

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_000939.4(POMC):​c.313G>C​(p.Glu105Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000499 in 1,403,886 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E105G) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000050 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

POMC
NM_000939.4 missense

Scores

4
14

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.67

Publications

4 publications found
Variant links:
Genes affected
POMC (HGNC:9201): (proopiomelanocortin) This gene encodes a preproprotein that undergoes extensive, tissue-specific, post-translational processing via cleavage by subtilisin-like enzymes known as prohormone convertases. There are eight potential cleavage sites within the preproprotein and, depending on tissue type and the available convertases, processing may yield as many as ten biologically active peptides involved in diverse cellular functions. The encoded protein is synthesized mainly in corticotroph cells of the anterior pituitary where four cleavage sites are used; adrenocorticotrophin, essential for normal steroidogenesis and the maintenance of normal adrenal weight, and lipotropin beta are the major end products. In other tissues, including the hypothalamus, placenta, and epithelium, all cleavage sites may be used, giving rise to peptides with roles in pain and energy homeostasis, melanocyte stimulation, and immune modulation. These include several distinct melanotropins, lipotropins, and endorphins that are contained within the adrenocorticotrophin and beta-lipotropin peptides. The antimicrobial melanotropin alpha peptide exhibits antibacterial and antifungal activity. Mutations in this gene have been associated with early onset obesity, adrenal insufficiency, and red hair pigmentation. Alternatively spliced transcript variants encoding the same protein have been described. [provided by RefSeq, Jan 2016]
POMC Gene-Disease associations (from GenCC):
  • obesity due to pro-opiomelanocortin deficiency
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
  • inherited obesity
    Inheritance: SD, AD Classification: STRONG, LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.24158433).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000939.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POMC
NM_000939.4
MANE Select
c.313G>Cp.Glu105Gln
missense
Exon 3 of 3NP_000930.1P01189
POMC
NM_001035256.3
c.313G>Cp.Glu105Gln
missense
Exon 4 of 4NP_001030333.1P01189
POMC
NM_001319204.2
c.313G>Cp.Glu105Gln
missense
Exon 4 of 4NP_001306133.1P01189

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POMC
ENST00000395826.7
TSL:2 MANE Select
c.313G>Cp.Glu105Gln
missense
Exon 3 of 3ENSP00000379170.2P01189
POMC
ENST00000405623.5
TSL:1
c.313G>Cp.Glu105Gln
missense
Exon 3 of 3ENSP00000384092.1P01189
POMC
ENST00000264708.7
TSL:2
c.313G>Cp.Glu105Gln
missense
Exon 4 of 4ENSP00000264708.3P01189

Frequencies

GnomAD3 genomes
AF:
0.00
AC:
0
AN:
151354
Hom.:
0
Cov.:
32
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000625
AC:
1
AN:
160034
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:
0.0000830
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000499
AC:
7
AN:
1403886
Hom.:
0
Cov.:
32
AF XY:
0.00000577
AC XY:
4
AN XY:
693326
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30656
American (AMR)
AF:
0.00
AC:
0
AN:
37036
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24758
East Asian (EAS)
AF:
0.000190
AC:
7
AN:
36842
South Asian (SAS)
AF:
0.00
AC:
0
AN:
80044
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
48228
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5586
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1082794
Other (OTH)
AF:
0.00
AC:
0
AN:
57942
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.489
Heterozygous variant carriers
0
1
2
2
3
4
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
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
151354
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
73936
African (AFR)
AF:
0.00
AC:
0
AN:
40842
American (AMR)
AF:
0.00
AC:
0
AN:
15264
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3464
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4814
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10596
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67904
Other (OTH)
AF:
0.00
AC:
0
AN:
2076
Alfa
AF:
0.00
Hom.:
0

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.42
T
Eigen
Benign
-0.097
Eigen_PC
Benign
-0.12
FATHMM_MKL
Benign
0.54
D
LIST_S2
Benign
0.69
T
M_CAP
Benign
0.061
D
MetaRNN
Benign
0.24
T
MetaSVM
Benign
-0.30
T
MutationAssessor
Uncertain
2.4
M
PhyloP100
1.7
PrimateAI
Uncertain
0.73
T
PROVEAN
Benign
-1.5
N
REVEL
Uncertain
0.31
Sift
Benign
0.033
D
Sift4G
Benign
0.068
T
Polyphen
0.64
P
Vest4
0.063
MutPred
0.20
Gain of MoRF binding (P = 0.0509)
MVP
0.90
MPC
0.83
ClinPred
0.55
D
GERP RS
2.9
Varity_R
0.15
gMVP
0.31
Mutation Taster
=87/13
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: rs121918111; hg19: chr2-25384441; COSMIC: COSV53035080; COSMIC: COSV53035080; API