chr5-230978-G-A

Variant summary

Our verdict is Benign. The variant received -17 ACMG points: 0P and 17B. BP4_StrongBP6_Very_StrongBP7BS1

The NM_004168.4(SDHA):​c.873G>A​(p.Glu291Glu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000638 in 1,613,970 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000068 ( 0 hom. )

Consequence

SDHA
NM_004168.4 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 0.312

Publications

1 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]
SDHA Gene-Disease associations (from GenCC):
  • hereditary pheochromocytoma-paraganglioma
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
  • pheochromocytoma/paraganglioma syndrome 5
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Illumina, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • mitochondrial complex II deficiency, nuclear type 1
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics
  • neurodegeneration with ataxia and late-onset optic atrophy
    Inheritance: AD Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • Leigh syndrome
    Inheritance: AR Classification: MODERATE Submitted by: Ambry Genetics, ClinGen
  • familial isolated dilated cardiomyopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • gastrointestinal stromal tumor
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Leigh syndrome with leukodystrophy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • mitochondrial complex II deficiency
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • dilated cardiomyopathy 1GG
    Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -17 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.63).
BP6
Variant 5-230978-G-A is Benign according to our data. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-230978-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 417261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.312 with no splicing effect.
BS1
Variant frequency is greater than expected in population sas. GnomAdExome4 allele frequency = 0.0000684 (100/1461618) while in subpopulation SAS AF = 0.00115 (99/86248). AF 95% confidence interval is 0.000964. There are 0 homozygotes in GnomAdExome4. There are 77 alleles in the male GnomAdExome4 subpopulation. Median coverage is 57. This position passed quality control check.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SDHANM_004168.4 linkc.873G>A p.Glu291Glu synonymous_variant Exon 7 of 15 ENST00000264932.11 NP_004159.2 P31040-1A0A024QZ30

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SDHAENST00000264932.11 linkc.873G>A p.Glu291Glu synonymous_variant Exon 7 of 15 1 NM_004168.4 ENSP00000264932.6 P31040-1
ENSG00000286001ENST00000651543.1 linkn.873G>A non_coding_transcript_exon_variant Exon 7 of 24 ENSP00000499215.1 A0A494C1T6

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152234
Hom.:
0
Cov.:
33
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:
0.000621
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000116
AC:
29
AN:
251038
AF XY:
0.000155
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:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000684
AC:
100
AN:
1461618
Hom.:
0
Cov.:
57
AF XY:
0.000106
AC XY:
77
AN XY:
727120
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33472
American (AMR)
AF:
0.00
AC:
0
AN:
44714
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26132
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.00115
AC:
99
AN:
86248
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53386
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5762
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1111826
Other (OTH)
AF:
0.0000166
AC:
1
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.473
Heterozygous variant carriers
0
11
21
32
42
53
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:
0.0000197
AC:
3
AN:
152352
Hom.:
0
Cov.:
33
AF XY:
0.0000268
AC XY:
2
AN XY:
74498
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41590
American (AMR)
AF:
0.00
AC:
0
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.000621
AC:
3
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68036
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.542
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:
0.0000508
Hom.:
0
Bravo
AF:
0.00000756

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
May 08, 2025
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Pheochromocytoma/paraganglioma syndrome 5 Benign:1
Mar 03, 2025
Myriad Genetics, Inc.
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered benign. This variant is a silent/synonymous amino acid change and it is not expected to impact splicing. -

Pheochromocytoma/paraganglioma syndrome 5;C5700310:Mitochondrial complex II deficiency, nuclear type 1 Benign:1
Dec 23, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Hereditary cancer-predisposing syndrome Benign:1
Aug 21, 2019
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.63
CADD
Benign
3.6
DANN
Benign
0.30
PhyloP100
0.31
Mutation Taster
=99/1
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: rs570393010; hg19: chr5-231093; API