chr5-218360-C-T

Variant summary

Our verdict is Likely benign. The variant received -1 ACMG points: 0P and 1B. BP4

The NM_004168.4(SDHA):​c.5C>T​(p.Ser2Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000706 in 1,459,730 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S2P) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000033 ( 0 hom., cov: 34)
Exomes 𝑓: 0.000075 ( 0 hom. )

Consequence

SDHA
NM_004168.4 missense

Scores

1
4
13

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:7B:2

Conservation

PhyloP100: 3.04

Publications

0 publications found
Variant links:
Genes affected
SDHA (HGNC:10680): (succinate dehydrogenase complex flavoprotein subunit A) This gene encodes a major catalytic subunit of succinate-ubiquinone oxidoreductase, a complex of the mitochondrial respiratory chain. The complex is composed of four nuclear-encoded subunits and is localized in the mitochondrial inner membrane. Mutations in this gene have been associated with a form of mitochondrial respiratory chain deficiency known as Leigh Syndrome. A pseudogene has been identified on chromosome 3q29. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jun 2014]
CCDC127 (HGNC:30520): (coiled-coil domain containing 127) Predicted to be integral component of membrane. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -1 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.33178008).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004168.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SDHA
NM_004168.4
MANE Select
c.5C>Tp.Ser2Leu
missense
Exon 1 of 15NP_004159.2P31040-1
SDHA
NM_001294332.2
c.5C>Tp.Ser2Leu
missense
Exon 1 of 14NP_001281261.1P31040-2
SDHA
NM_001330758.2
c.5C>Tp.Ser2Leu
missense
Exon 1 of 13NP_001317687.1D6RFM5

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SDHA
ENST00000264932.11
TSL:1 MANE Select
c.5C>Tp.Ser2Leu
missense
Exon 1 of 15ENSP00000264932.6P31040-1
ENSG00000286001
ENST00000651543.1
n.5C>T
non_coding_transcript_exon
Exon 1 of 24ENSP00000499215.1A0A494C1T6
SDHA
ENST00000874235.1
c.5C>Tp.Ser2Leu
missense
Exon 1 of 16ENSP00000544294.1

Frequencies

GnomAD3 genomes
AF:
0.0000329
AC:
5
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:
0.0000735
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000353
AC:
4
AN:
113202
AF XY:
0.0000306
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000632
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000350
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000749
AC:
98
AN:
1307560
Hom.:
0
Cov.:
31
AF XY:
0.0000790
AC XY:
51
AN XY:
645524
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26874
American (AMR)
AF:
0.0000395
AC:
1
AN:
25292
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
20418
East Asian (EAS)
AF:
0.00
AC:
0
AN:
31024
South Asian (SAS)
AF:
0.0000151
AC:
1
AN:
66042
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
33888
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3698
European-Non Finnish (NFE)
AF:
0.0000898
AC:
94
AN:
1046826
Other (OTH)
AF:
0.0000374
AC:
2
AN:
53498
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.463
Heterozygous variant carriers
0
5
10
16
21
26
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
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
GnomAD4 genome
AF:
0.0000329
AC:
5
AN:
152170
Hom.:
0
Cov.:
34
AF XY:
0.0000269
AC XY:
2
AN XY:
74334
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41448
American (AMR)
AF:
0.00
AC:
0
AN:
15280
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5196
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10610
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.0000735
AC:
5
AN:
68016
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.535
Heterozygous variant carriers
0
1
1
2
2
3
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:
0.0000227
ExAC
AF:
0.0000267
AC:
3

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
1
Hereditary cancer-predisposing syndrome (2)
-
2
-
not provided (2)
-
1
-
Dilated cardiomyopathy 1GG (1)
-
-
1
Hereditary pheochromocytoma-paraganglioma (1)
-
1
-
Leigh syndrome (1)
-
1
-
Mitochondrial complex II deficiency, nuclear type 1 (1)
-
1
-
Pheochromocytoma/paraganglioma syndrome 5;C5700310:Mitochondrial complex II deficiency, nuclear type 1 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Benign
-0.50
CADD
Benign
21
DANN
Benign
0.91
DEOGEN2
Benign
0.26
T
Eigen
Benign
-0.43
Eigen_PC
Benign
-0.39
FATHMM_MKL
Uncertain
0.77
D
LIST_S2
Benign
0.51
T
M_CAP
Pathogenic
0.39
D
MetaRNN
Benign
0.33
T
MetaSVM
Benign
-0.82
T
MutationAssessor
Benign
0.55
N
PhyloP100
3.0
PrimateAI
Uncertain
0.79
T
PROVEAN
Benign
-0.55
N
REVEL
Benign
0.11
Sift
Uncertain
0.0050
D
Sift4G
Uncertain
0.0040
D
Polyphen
0.0060
B
Vest4
0.22
MutPred
0.32
Loss of phosphorylation at S2 (P = 0.0122)
MVP
0.63
MPC
0.43
ClinPred
0.26
T
GERP RS
2.8
PromoterAI
0.15
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.073
gMVP
0.57
Mutation Taster
=84/16
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: rs780064103; hg19: chr5-218475; API