rs1057868

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001395413.1(POR):​c.1499C>T​(p.Ala500Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.291 in 1,591,240 control chromosomes in the GnomAD database, including 69,459 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/17 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.27 ( 6048 hom., cov: 36)
Exomes 𝑓: 0.29 ( 63411 hom. )

Consequence

POR
NM_001395413.1 missense

Scores

1
14

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 1.46
Variant links:
Genes affected
POR (HGNC:9208): (cytochrome p450 oxidoreductase) This gene encodes an endoplasmic reticulum membrane oxidoreductase that is essential for multiple metabolic processes, including reactions catalyzed by cytochrome P450 proteins for metabolism of steroid hormones, drugs and xenobiotics. The encoded protein has a flavin adenine dinucleotide (FAD)-binding domain and a flavodoxin-like domain which bind two cofactors, FAD and FMN, that allow it to donate electrons directly from NADPH to all microsomal P450 enzymes. Mutations in this gene cause a complex set of disorders, including apparent combined P450C17 and P450C21 deficiency, amenorrhea and disordered steroidogenesis, congenital adrenal hyperplasia and Antley-Bixler syndrome, that resemble those caused by defects in steroid metabolizing enzymes such as aromatase, 21-hydroxylase, and 17 alpha-hydroxylase. [provided by RefSeq, Aug 2020]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0018226206).
BP6
Variant 7-75985688-C-T is Benign according to our data. Variant chr7-75985688-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 256840.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-75985688-C-T is described in Lovd as [Pathogenic]. Variant chr7-75985688-C-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.368 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PORNM_001395413.1 linkuse as main transcriptc.1499C>T p.Ala500Val missense_variant 13/16 ENST00000461988.6 NP_001382342.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PORENST00000461988.6 linkuse as main transcriptc.1499C>T p.Ala500Val missense_variant 13/161 NM_001395413.1 ENSP00000419970 P4

Frequencies

GnomAD3 genomes
AF:
0.273
AC:
41467
AN:
152154
Hom.:
6037
Cov.:
36
show subpopulations
Gnomad AFR
AF:
0.183
Gnomad AMI
AF:
0.344
Gnomad AMR
AF:
0.293
Gnomad ASJ
AF:
0.257
Gnomad EAS
AF:
0.382
Gnomad SAS
AF:
0.358
Gnomad FIN
AF:
0.414
Gnomad MID
AF:
0.215
Gnomad NFE
AF:
0.286
Gnomad OTH
AF:
0.275
GnomAD3 exomes
AF:
0.305
AC:
64499
AN:
211366
Hom.:
9927
AF XY:
0.309
AC XY:
35621
AN XY:
115164
show subpopulations
Gnomad AFR exome
AF:
0.184
Gnomad AMR exome
AF:
0.282
Gnomad ASJ exome
AF:
0.261
Gnomad EAS exome
AF:
0.374
Gnomad SAS exome
AF:
0.354
Gnomad FIN exome
AF:
0.409
Gnomad NFE exome
AF:
0.287
Gnomad OTH exome
AF:
0.304
GnomAD4 exome
AF:
0.293
AC:
421897
AN:
1438968
Hom.:
63411
Cov.:
86
AF XY:
0.296
AC XY:
210981
AN XY:
713612
show subpopulations
Gnomad4 AFR exome
AF:
0.176
Gnomad4 AMR exome
AF:
0.284
Gnomad4 ASJ exome
AF:
0.262
Gnomad4 EAS exome
AF:
0.401
Gnomad4 SAS exome
AF:
0.353
Gnomad4 FIN exome
AF:
0.405
Gnomad4 NFE exome
AF:
0.285
Gnomad4 OTH exome
AF:
0.285
GnomAD4 genome
AF:
0.273
AC:
41507
AN:
152272
Hom.:
6048
Cov.:
36
AF XY:
0.282
AC XY:
21029
AN XY:
74454
show subpopulations
Gnomad4 AFR
AF:
0.184
Gnomad4 AMR
AF:
0.293
Gnomad4 ASJ
AF:
0.257
Gnomad4 EAS
AF:
0.382
Gnomad4 SAS
AF:
0.357
Gnomad4 FIN
AF:
0.414
Gnomad4 NFE
AF:
0.286
Gnomad4 OTH
AF:
0.276
Alfa
AF:
0.286
Hom.:
5563
Bravo
AF:
0.256
TwinsUK
AF:
0.281
AC:
1043
ALSPAC
AF:
0.279
AC:
1077
ESP6500AA
AF:
0.168
AC:
698
ESP6500EA
AF:
0.271
AC:
2247
ExAC
AF:
0.276
AC:
32305
Asia WGS
AF:
0.336
AC:
1170
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015This variant is associated with the following publications: (PMID: 26227094, 26123203, 16467261, 18230729, 24113216, 19801957, 22547083, 20940534, 20697309, 18551037, 17635179, 20732302) -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 29, 2023- -
not specified Benign:2
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Likely benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpDec 03, 2021- -
Congenital adrenal hyperplasia due to cytochrome P450 oxidoreductase deficiency Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaMar 06, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency Benign:1
Benign, criteria provided, single submittercase-controlPecori Giraldi Lab, University of Milan-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.33
CADD
Benign
15
DANN
Uncertain
0.98
Eigen
Benign
-0.86
Eigen_PC
Benign
-0.83
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.67
.;.;T
MetaRNN
Benign
0.0018
T;T;T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
1.0
P;P;P;P;P;P
PrimateAI
Benign
0.37
T
PROVEAN
Benign
-0.67
N;N;N
REVEL
Benign
0.13
Sift
Benign
0.22
T;T;T
Sift4G
Benign
0.29
T;T;T
Vest4
0.077
MPC
0.11
ClinPred
0.0031
T
GERP RS
3.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
gMVP
0.26

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: rs1057868; hg19: chr7-75615006; COSMIC: COSV58693460; COSMIC: COSV58693460; API