chr5-80649393-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3PP5

The NM_000791.4(DHFR):​c.238C>T​(p.Leu80Phe) variant causes a missense change. The variant allele was found at a frequency of 0.00000138 in 1,447,852 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

DHFR
NM_000791.4 missense

Scores

1
15
3

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 4.40
Variant links:
Genes affected
DHFR (HGNC:2861): (dihydrofolate reductase) Dihydrofolate reductase converts dihydrofolate into tetrahydrofolate, a methyl group shuttle required for the de novo synthesis of purines, thymidylic acid, and certain amino acids. While the functional dihydrofolate reductase gene has been mapped to chromosome 5, multiple intronless processed pseudogenes or dihydrofolate reductase-like genes have been identified on separate chromosomes. Dihydrofolate reductase deficiency has been linked to megaloblastic anemia. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.767
PP5
Variant 5-80649393-G-A is Pathogenic according to our data. Variant chr5-80649393-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 29673.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DHFRNM_000791.4 linkuse as main transcriptc.238C>T p.Leu80Phe missense_variant 3/6 ENST00000439211.7
DHFRNM_001290354.2 linkuse as main transcriptc.82C>T p.Leu28Phe missense_variant 2/5
DHFRNM_001290357.2 linkuse as main transcriptc.238C>T p.Leu80Phe missense_variant 3/5
DHFRNR_110936.2 linkuse as main transcriptn.682C>T non_coding_transcript_exon_variant 2/4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DHFRENST00000439211.7 linkuse as main transcriptc.238C>T p.Leu80Phe missense_variant 3/61 NM_000791.4 P1P00374-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000407
AC:
1
AN:
245614
Hom.:
0
AF XY:
0.00000751
AC XY:
1
AN XY:
133162
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:
0.0000342
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000138
AC:
2
AN:
1447852
Hom.:
0
Cov.:
28
AF XY:
0.00000139
AC XY:
1
AN XY:
720152
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:
0.0000237
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.00210
Hom.:
0
ExAC
AF:
0.00000825
AC:
1

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Constitutional megaloblastic anemia with severe neurologic disease Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMFeb 11, 2011- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.30
BayesDel_addAF
Uncertain
0.076
D
BayesDel_noAF
Uncertain
-0.030
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.66
D;D;.;.
Eigen
Uncertain
0.65
Eigen_PC
Uncertain
0.62
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Uncertain
0.90
.;D;D;D
M_CAP
Uncertain
0.16
D
MetaRNN
Pathogenic
0.77
D;D;D;D
MetaSVM
Uncertain
0.0037
D
MutationAssessor
Uncertain
2.0
M;M;.;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Benign
0.45
T
PROVEAN
Uncertain
-3.6
D;D;D;D
REVEL
Uncertain
0.52
Sift
Uncertain
0.0050
D;D;D;D
Sift4G
Uncertain
0.016
D;D;T;D
Polyphen
0.99
D;D;D;.
Vest4
0.78
MutPred
0.43
Gain of methylation at K81 (P = 0.0377);Gain of methylation at K81 (P = 0.0377);Gain of methylation at K81 (P = 0.0377);.;
MVP
0.89
MPC
1.4
ClinPred
0.90
D
GERP RS
5.4
Varity_R
0.89
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: rs387906619; hg19: chr5-79945212; API