rs11833399

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_002150.3(HPD):​c.338G>A​(p.Arg113Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0047 in 1,613,794 control chromosomes in the GnomAD database, including 195 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.021 ( 94 hom., cov: 32)
Exomes 𝑓: 0.0030 ( 101 hom. )

Consequence

HPD
NM_002150.3 missense

Scores

4
13

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 2.96

Publications

7 publications found
Variant links:
Genes affected
HPD (HGNC:5147): (4-hydroxyphenylpyruvate dioxygenase) The protein encoded by this gene is an enzyme in the catabolic pathway of tyrosine. The encoded protein catalyzes the conversion of 4-hydroxyphenylpyruvate to homogentisate. Defects in this gene are a cause of tyrosinemia type 3 (TYRO3) and hawkinsinuria (HAWK). Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jan 2010]
HPD Gene-Disease associations (from GenCC):
  • tyrosinemia type III
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, ClinGen, Labcorp Genetics (formerly Invitae), Orphanet
  • hawkinsinuria
    Inheritance: Unknown, AD Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.004478991).
BP6
Variant 12-121854779-C-T is Benign according to our data. Variant chr12-121854779-C-T is described in ClinVar as Benign. ClinVar VariationId is 307486.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0701 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
HPDNM_002150.3 linkc.338G>A p.Arg113Gln missense_variant Exon 7 of 14 ENST00000289004.8 NP_002141.2
HPDNM_001171993.2 linkc.221G>A p.Arg74Gln missense_variant Exon 9 of 16 NP_001165464.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
HPDENST00000289004.8 linkc.338G>A p.Arg113Gln missense_variant Exon 7 of 14 1 NM_002150.3 ENSP00000289004.4
HPDENST00000543163.5 linkc.221G>A p.Arg74Gln missense_variant Exon 8 of 15 5 ENSP00000441677.1
HPDENST00000542159.2 linkn.374G>A non_coding_transcript_exon_variant Exon 4 of 6 5

Frequencies

GnomAD3 genomes
AF:
0.0212
AC:
3228
AN:
152122
Hom.:
93
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00727
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.0126
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000353
Gnomad OTH
AF:
0.0153
GnomAD2 exomes
AF:
0.00712
AC:
1791
AN:
251492
AF XY:
0.00616
show subpopulations
Gnomad AFR exome
AF:
0.0789
Gnomad AMR exome
AF:
0.00304
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000217
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.000378
Gnomad OTH exome
AF:
0.00407
GnomAD4 exome
AF:
0.00297
AC:
4348
AN:
1461554
Hom.:
101
Cov.:
31
AF XY:
0.00299
AC XY:
2176
AN XY:
727116
show subpopulations
African (AFR)
AF:
0.0806
AC:
2697
AN:
33458
American (AMR)
AF:
0.00376
AC:
168
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26134
East Asian (EAS)
AF:
0.000202
AC:
8
AN:
39694
South Asian (SAS)
AF:
0.0101
AC:
868
AN:
86248
European-Finnish (FIN)
AF:
0.0000562
AC:
3
AN:
53410
Middle Eastern (MID)
AF:
0.00555
AC:
32
AN:
5768
European-Non Finnish (NFE)
AF:
0.000192
AC:
213
AN:
1111746
Other (OTH)
AF:
0.00593
AC:
358
AN:
60374
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.457
Heterozygous variant carriers
0
234
468
701
935
1169
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
98
196
294
392
490
<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:
0.0212
AC:
3231
AN:
152240
Hom.:
94
Cov.:
32
AF XY:
0.0202
AC XY:
1502
AN XY:
74438
show subpopulations
African (AFR)
AF:
0.0723
AC:
3001
AN:
41526
American (AMR)
AF:
0.00727
AC:
111
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5180
South Asian (SAS)
AF:
0.0126
AC:
61
AN:
4826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10612
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.000353
AC:
24
AN:
68032
Other (OTH)
AF:
0.0152
AC:
32
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
155
310
465
620
775
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
36
72
108
144
180
<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:
0.00826
Hom.:
116
Bravo
AF:
0.0246
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.0713
AC:
314
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.00860
AC:
1044
Asia WGS
AF:
0.0170
AC:
61
AN:
3478
EpiCase
AF:
0.000327
EpiControl
AF:
0.000533

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Jun 11, 2020
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Hawkinsinuria Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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.

Tyrosinemia type III Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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.

Tyrosinemia type III;C2931042:Hawkinsinuria Benign:1
Jan 27, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.51
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
17
DANN
Uncertain
1.0
DEOGEN2
Benign
0.068
T;.
Eigen
Benign
-0.38
Eigen_PC
Benign
-0.22
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Uncertain
0.91
D;D
MetaRNN
Benign
0.0045
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.0
.;.
PhyloP100
3.0
PrimateAI
Benign
0.28
T
PROVEAN
Uncertain
-2.5
D;D
REVEL
Benign
0.076
Sift
Benign
0.20
T;T
Sift4G
Benign
0.21
T;T
Vest4
0.23
ClinPred
0.047
T
GERP RS
3.6
gMVP
0.62
Mutation Taster
=92/8
polymorphism (auto)

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: rs11833399; hg19: chr12-122292685; COSMIC: COSV56642447; COSMIC: COSV56642447; API