chr5-69229208-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_033281.6(KGD4):​c.295C>T​(p.Arg99Cys) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.0000336 in 1,609,500 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000033 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000034 ( 0 hom. )

Consequence

KGD4
NM_033281.6 missense, splice_region

Scores

4
8
6
Splicing: ADA: 0.9752
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.50
Variant links:
Genes affected
KGD4 (HGNC:16631): (alpha-ketoglutarate dehydrogenase subunit 4) Mammalian mitochondrial ribosomal proteins are encoded by nuclear genes and help in protein synthesis within the mitochondrion. The mitochondrial ribosome (mitoribosome) consists of a small 28S subunit and a large 39S subunit. They have an estimated 75% protein to rRNA composition compared to prokaryotic ribosomes, where this ratio is reversed. Another difference between mammalian mitoribosomes and prokaryotic ribosomes is that the latter contain a 5S rRNA. Among different species, the proteins comprising the mitoribosome differ greatly in sequence, and sometimes in biochemical properties, which prevents easy recognition by sequence homology. This gene encodes a 28S subunit protein. Pseudogenes corresponding to this gene are found on chromosomes 3p, 4q, 8p, 11q, 12q, and 20p. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KGD4NM_033281.6 linkuse as main transcriptc.295C>T p.Arg99Cys missense_variant, splice_region_variant 4/4 ENST00000256441.5 NP_150597.1 P82909

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MRPS36ENST00000256441.5 linkuse as main transcriptc.295C>T p.Arg99Cys missense_variant, splice_region_variant 4/41 NM_033281.6 ENSP00000256441.4 P82909
MRPS36ENST00000512880.5 linkuse as main transcriptc.100C>T p.Arg34Cys missense_variant, splice_region_variant 4/45 ENSP00000423659.1 D6R941
MRPS36ENST00000602380.1 linkuse as main transcriptc.100C>T p.Arg34Cys missense_variant, splice_region_variant 4/42 ENSP00000473310.1 D6R941
MRPS36ENST00000507022.1 linkuse as main transcriptn.275C>T splice_region_variant, non_coding_transcript_exon_variant 3/33

Frequencies

GnomAD3 genomes
AF:
0.0000329
AC:
5
AN:
151804
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000968
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
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
GnomAD3 exomes
AF:
0.0000280
AC:
7
AN:
249682
Hom.:
0
AF XY:
0.0000148
AC XY:
2
AN XY:
135002
show subpopulations
Gnomad AFR exome
AF:
0.000124
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000165
Gnomad SAS exome
AF:
0.0000330
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000164
GnomAD4 exome
AF:
0.0000336
AC:
49
AN:
1457696
Hom.:
0
Cov.:
30
AF XY:
0.0000234
AC XY:
17
AN XY:
725234
show subpopulations
Gnomad4 AFR exome
AF:
0.0000599
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000101
Gnomad4 SAS exome
AF:
0.0000350
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000991
Gnomad4 OTH exome
AF:
0.000482
GnomAD4 genome
AF:
0.0000329
AC:
5
AN:
151804
Hom.:
0
Cov.:
32
AF XY:
0.0000675
AC XY:
5
AN XY:
74118
show subpopulations
Gnomad4 AFR
AF:
0.0000968
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000192
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000659
Hom.:
0
Bravo
AF:
0.0000642
ExAC
AF:
0.0000247
AC:
3
Asia WGS
AF:
0.00578
AC:
20
AN:
3476

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMar 06, 2023The c.295C>T (p.R99C) alteration is located in exon 4 (coding exon 4) of the MRPS36 gene. This alteration results from a C to T substitution at nucleotide position 295, causing the arginine (R) at amino acid position 99 to be replaced by a cysteine (C). 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
Uncertain
0.53
BayesDel_addAF
Uncertain
0.078
D
BayesDel_noAF
Pathogenic
0.17
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Benign
0.23
T;.;.
Eigen
Uncertain
0.62
Eigen_PC
Uncertain
0.62
FATHMM_MKL
Pathogenic
0.98
D
M_CAP
Benign
0.014
T
MetaRNN
Benign
0.24
T;T;T
MetaSVM
Benign
-0.62
T
MutationAssessor
Benign
1.6
L;.;.
PrimateAI
Uncertain
0.65
T
PROVEAN
Pathogenic
-6.8
D;D;.
REVEL
Uncertain
0.46
Sift
Uncertain
0.021
D;D;.
Sift4G
Pathogenic
0.0
D;D;D
Polyphen
1.0
D;.;.
Vest4
0.61
MutPred
0.37
Loss of solvent accessibility (P = 0.0352);.;.;
MVP
0.35
MPC
0.30
ClinPred
0.47
T
GERP RS
5.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.34
gMVP
0.46

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.98
dbscSNV1_RF
Pathogenic
0.83
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: rs376039866; hg19: chr5-68525035; API