rs1033556330

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_004255.4(COX5A):​c.37G>A​(p.Ala13Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000162 in 1,232,616 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000018 ( 0 hom. )

Consequence

COX5A
NM_004255.4 missense

Scores

3
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.577

Publications

0 publications found
Variant links:
Genes affected
COX5A (HGNC:2267): (cytochrome c oxidase subunit 5A) Cytochrome c oxidase (COX) is the terminal enzyme of the mitochondrial respiratory chain. It is a multi-subunit enzyme complex that couples the transfer of electrons from cytochrome c to molecular oxygen and contributes to a proton electrochemical gradient across the inner mitochondrial membrane. The complex consists of 13 mitochondrial- and nuclear-encoded subunits. The mitochondrially-encoded subunits perform the electron transfer of proton pumping activities. The functions of the nuclear-encoded subunits are unknown but they may play a role in the regulation and assembly of the complex. This gene encodes the nuclear-encoded subunit Va of the human mitochondrial respiratory chain enzyme. A pseudogene COX5AP1 has been found in chromosome 14q22. [provided by RefSeq, Jul 2008]
COX5A Gene-Disease associations (from GenCC):
  • cytochrome-c oxidase deficiency disease
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • mitochondrial complex IV deficiency, nuclear type 20
    Inheritance: Unknown, AR Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.08090919).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004255.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
COX5A
NM_004255.4
MANE Select
c.37G>Ap.Ala13Thr
missense
Exon 1 of 5NP_004246.2P20674

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
COX5A
ENST00000322347.11
TSL:1 MANE Select
c.37G>Ap.Ala13Thr
missense
Exon 1 of 5ENSP00000317780.6P20674
COX5A
ENST00000564811.1
TSL:1
c.37G>Ap.Ala13Thr
missense
Exon 1 of 4ENSP00000456386.1P20674
COX5A
ENST00000568783.5
TSL:3
c.37G>Ap.Ala13Thr
missense
Exon 1 of 4ENSP00000455053.1H3BNX8

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152148
Hom.:
0
Cov.:
32
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
2170
AF XY:
0.00
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:
0.0000176
AC:
19
AN:
1080468
Hom.:
0
Cov.:
30
AF XY:
0.0000274
AC XY:
14
AN XY:
510778
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
22872
American (AMR)
AF:
0.00
AC:
0
AN:
8362
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
14292
East Asian (EAS)
AF:
0.00
AC:
0
AN:
26524
South Asian (SAS)
AF:
0.00
AC:
0
AN:
19550
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
22088
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3064
European-Non Finnish (NFE)
AF:
0.0000185
AC:
17
AN:
920140
Other (OTH)
AF:
0.0000459
AC:
2
AN:
43576
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.451
Heterozygous variant carriers
0
1
3
4
6
7
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:
0.00000657
AC:
1
AN:
152148
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74334
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41440
American (AMR)
AF:
0.00
AC:
0
AN:
15282
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
68006
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000151

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.053
T
BayesDel_noAF
Benign
-0.31
CADD
Benign
17
DANN
Uncertain
0.99
DEOGEN2
Benign
0.27
T
Eigen
Benign
-0.90
Eigen_PC
Benign
-0.91
FATHMM_MKL
Benign
0.083
N
LIST_S2
Benign
0.69
T
M_CAP
Benign
0.0059
T
MetaRNN
Benign
0.081
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.90
L
PhyloP100
0.58
PrimateAI
Uncertain
0.77
T
PROVEAN
Benign
-0.40
N
REVEL
Benign
0.11
Sift
Uncertain
0.015
D
Sift4G
Benign
0.13
T
Polyphen
0.48
P
Vest4
0.17
MutPred
0.19
Loss of helix (P = 0.028)
MVP
0.27
MPC
0.18
ClinPred
0.22
T
GERP RS
3.4
PromoterAI
-0.050
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.3
Varity_R
0.084
gMVP
0.22
Mutation Taster
=92/8
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: rs1033556330; hg19: chr15-75230319; API