rs11552695

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_000687.4(AHCY):​c.274A>G​(p.Ile92Val) variant causes a missense change. The variant allele was found at a frequency of 0.00456 in 1,613,648 control chromosomes in the GnomAD database, including 25 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0032 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0047 ( 25 hom. )

Consequence

AHCY
NM_000687.4 missense

Scores

1
5
12

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:7

Conservation

PhyloP100: 4.86

Publications

11 publications found
Variant links:
Genes affected
AHCY (HGNC:343): (adenosylhomocysteinase) S-adenosylhomocysteine hydrolase belongs to the adenosylhomocysteinase family. It catalyzes the reversible hydrolysis of S-adenosylhomocysteine (AdoHcy) to adenosine (Ado) and L-homocysteine (Hcy). Thus, it regulates the intracellular S-adenosylhomocysteine (SAH) concentration thought to be important for transmethylation reactions. Deficiency in this protein is one of the different causes of hypermethioninemia. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jun 2009]
AHCY Gene-Disease associations (from GenCC):
  • hypermethioninemia with deficiency of S-adenosylhomocysteine hydrolase
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.011397272).
BP6
Variant 20-34294102-T-C is Benign according to our data. Variant chr20-34294102-T-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 235584.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00322 (491/152332) while in subpopulation NFE AF = 0.00438 (298/68028). AF 95% confidence interval is 0.00397. There are 0 homozygotes in GnomAd4. There are 259 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 25 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
AHCYNM_000687.4 linkc.274A>G p.Ile92Val missense_variant Exon 3 of 10 ENST00000217426.7 NP_000678.1 P23526-1A0A384MTQ3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
AHCYENST00000217426.7 linkc.274A>G p.Ile92Val missense_variant Exon 3 of 10 1 NM_000687.4 ENSP00000217426.2 P23526-1

Frequencies

GnomAD3 genomes
AF:
0.00323
AC:
491
AN:
152214
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000675
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.00164
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00207
Gnomad FIN
AF:
0.0117
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00438
Gnomad OTH
AF:
0.00191
GnomAD2 exomes
AF:
0.00336
AC:
838
AN:
249194
AF XY:
0.00332
show subpopulations
Gnomad AFR exome
AF:
0.000509
Gnomad AMR exome
AF:
0.000609
Gnomad ASJ exome
AF:
0.000200
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0100
Gnomad NFE exome
AF:
0.00474
Gnomad OTH exome
AF:
0.00445
GnomAD4 exome
AF:
0.00470
AC:
6863
AN:
1461316
Hom.:
25
Cov.:
30
AF XY:
0.00453
AC XY:
3295
AN XY:
726950
show subpopulations
African (AFR)
AF:
0.000687
AC:
23
AN:
33472
American (AMR)
AF:
0.000604
AC:
27
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.000115
AC:
3
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39698
South Asian (SAS)
AF:
0.00130
AC:
112
AN:
86246
European-Finnish (FIN)
AF:
0.0111
AC:
589
AN:
53072
Middle Eastern (MID)
AF:
0.00123
AC:
7
AN:
5700
European-Non Finnish (NFE)
AF:
0.00532
AC:
5920
AN:
1111952
Other (OTH)
AF:
0.00302
AC:
182
AN:
60320
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.473
Heterozygous variant carriers
0
381
762
1143
1524
1905
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
236
472
708
944
1180
<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:
0.00322
AC:
491
AN:
152332
Hom.:
0
Cov.:
32
AF XY:
0.00348
AC XY:
259
AN XY:
74494
show subpopulations
African (AFR)
AF:
0.000673
AC:
28
AN:
41574
American (AMR)
AF:
0.00163
AC:
25
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5186
South Asian (SAS)
AF:
0.00207
AC:
10
AN:
4824
European-Finnish (FIN)
AF:
0.0117
AC:
124
AN:
10628
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00438
AC:
298
AN:
68028
Other (OTH)
AF:
0.00189
AC:
4
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
28
57
85
114
142
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
10
20
30
40
50
<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:
0.00343
Hom.:
5
Bravo
AF:
0.00227
TwinsUK
AF:
0.00378
AC:
14
ALSPAC
AF:
0.00363
AC:
14
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.00453
AC:
39
ExAC
AF:
0.00369
AC:
447
Asia WGS
AF:
0.00202
AC:
7
AN:
3478
EpiCase
AF:
0.00354
EpiControl
AF:
0.00397

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:7
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:3
Apr 29, 2016
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Hypermethioninemia with deficiency of S-adenosylhomocysteine hydrolase Benign:3
Oct 18, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -

Jan 23, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Benign:1
Jul 04, 2022
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely 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
AlphaMissense
Benign
0.063
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.47
T;.
Eigen
Benign
-0.046
Eigen_PC
Benign
0.11
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.95
D;D
MetaRNN
Benign
0.011
T;T
MetaSVM
Benign
-0.56
T
MutationAssessor
Uncertain
2.2
M;.
PhyloP100
4.9
PrimateAI
Uncertain
0.70
T
PROVEAN
Benign
-0.65
N;N
REVEL
Benign
0.28
Sift
Benign
0.095
T;T
Sift4G
Benign
0.14
T;T
Polyphen
0.0
B;.
Vest4
0.40
MVP
0.64
MPC
0.40
ClinPred
0.020
T
GERP RS
4.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8
Varity_R
0.25
gMVP
0.61
Mutation Taster
=86/14
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: rs11552695; hg19: chr20-32881908; COSMIC: COSV99028095; COSMIC: COSV99028095; API