rs11079804

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BA1

The NM_018129.4(PNPO):​c.165C>T​(p.Ser55=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.172 in 1,612,706 control chromosomes in the GnomAD database, including 25,431 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.15 ( 2007 hom., cov: 32)
Exomes 𝑓: 0.17 ( 23424 hom. )

Consequence

PNPO
NM_018129.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: -0.0500
Variant links:
Genes affected
PNPO (HGNC:30260): (pyridoxamine 5'-phosphate oxidase) The enzyme encoded by this gene catalyzes the terminal, rate-limiting step in the synthesis of pyridoxal 5'-phosphate, also known as vitamin B6. Vitamin B6 is a required co-factor for enzymes involved in both homocysteine metabolism and synthesis of neurotransmitters such as catecholamine. Mutations in this gene result in pyridoxamine 5'-phosphate oxidase (PNPO) deficiency, a form of neonatal epileptic encephalopathy. [provided by RefSeq, Oct 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.36).
BP6
Variant 17-47943332-C-T is Benign according to our data. Variant chr17-47943332-C-T is described in ClinVar as [Benign]. Clinvar id is 129980.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-47943332-C-T is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-0.05 with no splicing effect.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.24 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PNPONM_018129.4 linkuse as main transcriptc.165C>T p.Ser55= synonymous_variant 2/7 ENST00000642017.2 NP_060599.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PNPOENST00000642017.2 linkuse as main transcriptc.165C>T p.Ser55= synonymous_variant 2/7 NM_018129.4 ENSP00000493302 P1Q9NVS9-1

Frequencies

GnomAD3 genomes
AF:
0.151
AC:
22912
AN:
152048
Hom.:
2010
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0690
Gnomad AMI
AF:
0.150
Gnomad AMR
AF:
0.244
Gnomad ASJ
AF:
0.209
Gnomad EAS
AF:
0.181
Gnomad SAS
AF:
0.253
Gnomad FIN
AF:
0.126
Gnomad MID
AF:
0.203
Gnomad NFE
AF:
0.171
Gnomad OTH
AF:
0.149
GnomAD3 exomes
AF:
0.188
AC:
47190
AN:
251398
Hom.:
5053
AF XY:
0.189
AC XY:
25621
AN XY:
135876
show subpopulations
Gnomad AFR exome
AF:
0.0692
Gnomad AMR exome
AF:
0.298
Gnomad ASJ exome
AF:
0.203
Gnomad EAS exome
AF:
0.186
Gnomad SAS exome
AF:
0.245
Gnomad FIN exome
AF:
0.126
Gnomad NFE exome
AF:
0.167
Gnomad OTH exome
AF:
0.183
GnomAD4 exome
AF:
0.174
AC:
254491
AN:
1460538
Hom.:
23424
Cov.:
32
AF XY:
0.176
AC XY:
127826
AN XY:
726630
show subpopulations
Gnomad4 AFR exome
AF:
0.0674
Gnomad4 AMR exome
AF:
0.290
Gnomad4 ASJ exome
AF:
0.206
Gnomad4 EAS exome
AF:
0.182
Gnomad4 SAS exome
AF:
0.243
Gnomad4 FIN exome
AF:
0.130
Gnomad4 NFE exome
AF:
0.169
Gnomad4 OTH exome
AF:
0.173
GnomAD4 genome
AF:
0.150
AC:
22899
AN:
152168
Hom.:
2007
Cov.:
32
AF XY:
0.155
AC XY:
11499
AN XY:
74384
show subpopulations
Gnomad4 AFR
AF:
0.0688
Gnomad4 AMR
AF:
0.244
Gnomad4 ASJ
AF:
0.209
Gnomad4 EAS
AF:
0.182
Gnomad4 SAS
AF:
0.252
Gnomad4 FIN
AF:
0.126
Gnomad4 NFE
AF:
0.171
Gnomad4 OTH
AF:
0.147
Alfa
AF:
0.168
Hom.:
4698
Bravo
AF:
0.156
Asia WGS
AF:
0.227
AC:
787
AN:
3478
EpiCase
AF:
0.174
EpiControl
AF:
0.174

ClinVar

Significance: Benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Likely benign, no assertion criteria providedclinical testingGenetic Services Laboratory, University of Chicago-Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -
Benign, criteria provided, single submitterclinical testingUnidad de Genómica Garrahan, Hospital de Pediatría GarrahanJul 15, 2024This variant is classified as Benign based on local population frequency. This variant was detected in 35% of patients studied in a panel designed for Epileptic and Developmental Encephalopathy and Progressive Myoclonus Epilepsy. Number of patients: 33. Only high quality variants are reported. -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
not provided Benign:3
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsApr 20, 2017- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Pyridoxal phosphate-responsive seizures Benign:3
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 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- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabOct 25, 2021- -
Inborn genetic diseases Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsJan 08, 2016This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.36
CADD
Benign
7.6
DANN
Benign
0.60
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs11079804; hg19: chr17-46020698; COSMIC: COSV56666459; COSMIC: COSV56666459; API