chr6-5404596-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 1P and 1B. PP5BP4

The NM_001375259.1(FARS2):​c.-30C>T variant causes a 5 prime UTR premature start codon gain change. The variant allele was found at a frequency of 0.000156 in 1,610,822 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00015 ( 0 hom. )

Consequence

FARS2
NM_001375259.1 5_prime_UTR_premature_start_codon_gain

Scores

5
8
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:4

Conservation

PhyloP100: 3.61

Publications

7 publications found
Variant links:
Genes affected
FARS2 (HGNC:21062): (phenylalanyl-tRNA synthetase 2, mitochondrial) This gene encodes a protein that transfers phenylalanine to its cognate tRNA. This protein localizes to the mitochondrion and plays a role in mitochondrial protein translation. Mutations in this gene can cause combined oxidative phosphorylation deficiency 14 (Alpers encephalopathy). Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jan 2016]
FARS2 Gene-Disease associations (from GenCC):
  • metabolic disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: G2P
  • combined oxidative phosphorylation defect type 14
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • hereditary spastic paraplegia 77
    Inheritance: AR Classification: STRONG, SUPPORTIVE, LIMITED Submitted by: Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • Leigh syndrome
    Inheritance: AR Classification: MODERATE Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PP5
Variant 6-5404596-C-T is Pathogenic according to our data. Variant chr6-5404596-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 214330.
BP4
Computational evidence support a benign effect (MetaRNN=0.26804993). . Strength limited to SUPPORTING due to the PP5.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001375259.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FARS2
NM_006567.5
MANE Select
c.667C>Tp.Arg223Cys
missense
Exon 3 of 7NP_006558.1
FARS2
NM_001375259.1
c.-30C>T
5_prime_UTR_premature_start_codon_gain
Exon 2 of 6NP_001362188.1
FARS2
NM_001375260.1
c.-30C>T
5_prime_UTR_premature_start_codon_gain
Exon 3 of 7NP_001362189.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FARS2
ENST00000274680.9
TSL:1 MANE Select
c.667C>Tp.Arg223Cys
missense
Exon 3 of 7ENSP00000274680.4
FARS2
ENST00000324331.10
TSL:1
c.667C>Tp.Arg223Cys
missense
Exon 3 of 7ENSP00000316335.5
FARS2
ENST00000897566.1
c.667C>Tp.Arg223Cys
missense
Exon 4 of 8ENSP00000567625.1

Frequencies

GnomAD3 genomes
AF:
0.000256
AC:
39
AN:
152156
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
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:
0.00236
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000191
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000264
AC:
66
AN:
250050
AF XY:
0.000244
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000994
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00208
Gnomad NFE exome
AF:
0.0000970
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000145
AC:
212
AN:
1458666
Hom.:
0
Cov.:
30
AF XY:
0.000139
AC XY:
101
AN XY:
725502
show subpopulations
African (AFR)
AF:
0.0000299
AC:
1
AN:
33420
American (AMR)
AF:
0.00
AC:
0
AN:
44546
Ashkenazi Jewish (ASJ)
AF:
0.000767
AC:
20
AN:
26078
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39666
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85472
European-Finnish (FIN)
AF:
0.00165
AC:
88
AN:
53330
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5720
European-Non Finnish (NFE)
AF:
0.0000793
AC:
88
AN:
1110170
Other (OTH)
AF:
0.000249
AC:
15
AN:
60264
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
12
24
35
47
59
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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:
0.000256
AC:
39
AN:
152156
Hom.:
0
Cov.:
32
AF XY:
0.000404
AC XY:
30
AN XY:
74308
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41426
American (AMR)
AF:
0.00
AC:
0
AN:
15264
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5192
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00236
AC:
25
AN:
10612
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.000191
AC:
13
AN:
68044
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
Heterozygous variant carriers
0
2
4
6
8
10
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:
0.000400
Hom.:
35
Bravo
AF:
0.000110
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.000148
AC:
18

ClinVar

ClinVar submissions as Germline
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
3
-
not provided (3)
1
1
-
Combined oxidative phosphorylation defect type 14 (2)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.25
BayesDel_addAF
Benign
0.0026
T
BayesDel_noAF
Uncertain
0.070
CADD
Pathogenic
31
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.38
T
Eigen
Pathogenic
0.77
Eigen_PC
Pathogenic
0.71
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Uncertain
0.96
D
M_CAP
Benign
0.070
D
MetaRNN
Benign
0.27
T
MetaSVM
Uncertain
-0.076
T
MutationAssessor
Pathogenic
3.6
H
PhyloP100
3.6
PrimateAI
Uncertain
0.54
T
PROVEAN
Pathogenic
-4.9
D
REVEL
Uncertain
0.46
Sift
Uncertain
0.011
D
Sift4G
Uncertain
0.0030
D
Polyphen
1.0
D
Vest4
0.82
MVP
0.88
MPC
0.78
ClinPred
0.97
D
GERP RS
5.3
PromoterAI
-0.041
Neutral
Varity_R
0.56
gMVP
0.70
Mutation Taster
=50/50
disease causing (ClinVar)

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: rs202060864; hg19: chr6-5404829; COSMIC: COSV51178761; API