chr3-165773414-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_000055.4(BCHE):ā€‹c.1777A>Gā€‹(p.Thr593Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000343 in 1,458,738 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 0.0000034 ( 0 hom. )

Consequence

BCHE
NM_000055.4 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.31
Variant links:
Genes affected
BCHE (HGNC:983): (butyrylcholinesterase) This gene encodes a cholinesterase enzyme and member of the type-B carboxylesterase/lipase family of proteins. The encoded enzyme exhibits broad substrate specificity and is involved in the detoxification of poisons including organophosphate nerve agents and pesticides, and the metabolism of drugs including cocaine, heroin and aspirin. Humans homozygous for certain mutations in this gene exhibit prolonged apnea after administration of the muscle relaxant succinylcholine. [provided by RefSeq, Jul 2016]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.32431358).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
BCHENM_000055.4 linkuse as main transcriptc.1777A>G p.Thr593Ala missense_variant 4/4 ENST00000264381.8 NP_000046.1 P06276
BCHENR_137635.2 linkuse as main transcriptn.370A>G non_coding_transcript_exon_variant 3/3
BCHENR_137636.2 linkuse as main transcriptn.1974A>G non_coding_transcript_exon_variant 5/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
BCHEENST00000264381.8 linkuse as main transcriptc.1777A>G p.Thr593Ala missense_variant 4/41 NM_000055.4 ENSP00000264381.3 P06276

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000401
AC:
1
AN:
249302
Hom.:
0
AF XY:
0.00000742
AC XY:
1
AN XY:
134776
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 SAS exome
AF:
0.0000328
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000343
AC:
5
AN:
1458738
Hom.:
0
Cov.:
30
AF XY:
0.00000413
AC XY:
3
AN XY:
725738
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:
0.0000581
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Asia WGS
AF:
0.000578
AC:
2
AN:
3474

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJun 16, 2024The c.1777A>G (p.T593A) alteration is located in exon 4 (coding exon 3) of the BCHE gene. This alteration results from a A to G substitution at nucleotide position 1777, causing the threonine (T) at amino acid position 593 to be replaced by an alanine (A). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.069
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Benign
-0.29
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.26
T;T
Eigen
Benign
-0.21
Eigen_PC
Benign
-0.063
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.48
T;T
M_CAP
Benign
0.041
D
MetaRNN
Benign
0.32
T;T
MetaSVM
Benign
-0.73
T
MutationAssessor
Uncertain
2.5
M;.
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-0.12
N;N
REVEL
Benign
0.16
Sift
Benign
0.045
D;T
Sift4G
Uncertain
0.040
D;D
Polyphen
0.31
B;.
Vest4
0.15
MutPred
0.40
Gain of glycosylation at Y592 (P = 0.0507);.;
MVP
0.81
MPC
0.016
ClinPred
0.21
T
GERP RS
4.0
Varity_R
0.15
gMVP
0.51

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: rs1038856259; hg19: chr3-165491202; API