rs118204044

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_ModeratePP5_Moderate

The NM_015702.3(MMADHC):ā€‹c.776T>Cā€‹(p.Leu259Pro) variant causes a missense change. The variant allele was found at a frequency of 0.0000205 in 1,461,536 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 12/21 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (ā˜…).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 0.000021 ( 0 hom. )

Consequence

MMADHC
NM_015702.3 missense

Scores

14
4
1

Clinical Significance

Likely pathogenic criteria provided, single submitter P:2

Conservation

PhyloP100: 5.00
Variant links:
Genes affected
MMADHC (HGNC:25221): (metabolism of cobalamin associated D) This gene encodes a mitochondrial protein that is involved in an early step of vitamin B12 metabolism. Vitamin B12 (cobalamin) is essential for normal development and survival in humans. Mutations in this gene cause methylmalonic aciduria and homocystinuria type cblD (MMADHC), a disorder of cobalamin metabolism that is characterized by decreased levels of the coenzymes adenosylcobalamin and methylcobalamin. Pseudogenes have been identified on chromosomes 11 and X.[provided by RefSeq, Nov 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.919
PP5
Variant 2-149570089-A-G is Pathogenic according to our data. Variant chr2-149570089-A-G is described in ClinVar as [Likely_pathogenic]. Clinvar id is 761.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MMADHCNM_015702.3 linkuse as main transcriptc.776T>C p.Leu259Pro missense_variant 8/8 ENST00000303319.10 NP_056517.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MMADHCENST00000303319.10 linkuse as main transcriptc.776T>C p.Leu259Pro missense_variant 8/81 NM_015702.3 ENSP00000301920 P1
MMADHCENST00000422782.2 linkuse as main transcriptc.878T>C p.Leu293Pro missense_variant 9/95 ENSP00000408331
MMADHCENST00000428879.5 linkuse as main transcriptc.776T>C p.Leu259Pro missense_variant 7/72 ENSP00000389060 P1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.0000239
AC:
6
AN:
251350
Hom.:
0
AF XY:
0.0000368
AC XY:
5
AN XY:
135856
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000440
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000205
AC:
30
AN:
1461536
Hom.:
0
Cov.:
31
AF XY:
0.0000193
AC XY:
14
AN XY:
727072
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000261
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Alfa
AF:
0.0000648
Hom.:
0
Bravo
AF:
0.0000113
ExAC
AF:
0.0000165
AC:
2
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Methylmalonic aciduria and homocystinuria type cblD Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingBaylor GeneticsMar 20, 2024- -
HOMOCYSTINURIA-MEGALOBLASTIC ANEMIA, cblD TYPE Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMApr 03, 2008- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.31
D
BayesDel_noAF
Pathogenic
0.39
CADD
Pathogenic
27
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.81
D;D;D
Eigen
Pathogenic
0.75
Eigen_PC
Pathogenic
0.69
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Uncertain
0.95
.;D;D
M_CAP
Pathogenic
0.42
D
MetaRNN
Pathogenic
0.92
D;D;D
MetaSVM
Pathogenic
0.88
D
MutationAssessor
Pathogenic
3.1
M;M;.
MutationTaster
Benign
1.0
A;A;A
PrimateAI
Pathogenic
0.82
D
PROVEAN
Pathogenic
-5.3
D;D;D
REVEL
Pathogenic
0.88
Sift
Uncertain
0.0070
D;D;D
Sift4G
Uncertain
0.0060
D;D;D
Polyphen
1.0
D;D;D
Vest4
0.83
MVP
0.85
MPC
0.30
ClinPred
0.94
D
GERP RS
5.0
Varity_R
0.93
gMVP
0.82

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: rs118204044; hg19: chr2-150426603; API