rs121965012

Variant summary

Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PM2PM4_SupportingPP5

The NM_000398.7(CYB5R3):​c.895_897delTTC​(p.Phe299del) variant causes a conservative inframe deletion change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000699 in 1,430,300 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 7.0e-7 ( 0 hom. )

Consequence

CYB5R3
NM_000398.7 conservative_inframe_deletion

Scores

Not classified

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 9.03

Publications

4 publications found
Variant links:
Genes affected
CYB5R3 (HGNC:2873): (cytochrome b5 reductase 3) This gene encodes cytochrome b5 reductase, which includes a membrane-bound form in somatic cells (anchored in the endoplasmic reticulum, mitochondrial and other membranes) and a soluble form in erythrocytes. The membrane-bound form exists mainly on the cytoplasmic side of the endoplasmic reticulum and functions in desaturation and elongation of fatty acids, in cholesterol biosynthesis, and in drug metabolism. The erythrocyte form is located in a soluble fraction of circulating erythrocytes and is involved in methemoglobin reduction. The membrane-bound form has both membrane-binding and catalytic domains, while the soluble form has only the catalytic domain. Alternate splicing results in multiple transcript variants. Mutations in this gene cause methemoglobinemias. [provided by RefSeq, Jan 2010]
CYB5R3 Gene-Disease associations (from GenCC):
  • methemoglobinemia
    Inheritance: AR Classification: DEFINITIVE Submitted by: Illumina
  • methemoglobinemia due to deficiency of methemoglobin reductase
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, ClinGen, Labcorp Genetics (formerly Invitae)
  • hereditary methemoglobinemia
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM4
Nonframeshift variant in NON repetitive region in NM_000398.7. Strenght limited to Supporting due to length of the change: 1aa.
PP5
Variant 22-42619781-CGAA-C is Pathogenic according to our data. Variant chr22-42619781-CGAA-C is described in ClinVar as Pathogenic. ClinVar VariationId is 243.Status of the report is no_assertion_criteria_provided, 0 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000398.7. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CYB5R3
NM_000398.7
MANE Select
c.895_897delTTCp.Phe299del
conservative_inframe_deletion
Exon 9 of 9NP_000389.1P00387-1
CYB5R3
NM_001171660.2
c.994_996delTTCp.Phe332del
conservative_inframe_deletion
Exon 9 of 9NP_001165131.1P00387-3
CYB5R3
NM_001129819.2
c.826_828delTTCp.Phe276del
conservative_inframe_deletion
Exon 9 of 9NP_001123291.1P00387-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CYB5R3
ENST00000352397.10
TSL:1 MANE Select
c.895_897delTTCp.Phe299del
conservative_inframe_deletion
Exon 9 of 9ENSP00000338461.6P00387-1
CYB5R3
ENST00000407332.6
TSL:1
c.913_915delTTCp.Phe305del
conservative_inframe_deletion
Exon 9 of 9ENSP00000384457.2A0A8J8Z3C6
CYB5R3
ENST00000470741.1
TSL:1
n.3029_3031delTTC
non_coding_transcript_exon
Exon 6 of 6

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
6.99e-7
AC:
1
AN:
1430300
Hom.:
0
AF XY:
0.00000141
AC XY:
1
AN XY:
708650
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33212
American (AMR)
AF:
0.00
AC:
0
AN:
39526
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25448
East Asian (EAS)
AF:
0.0000259
AC:
1
AN:
38656
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82352
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
46710
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5722
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1099282
Other (OTH)
AF:
0.00
AC:
0
AN:
59392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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
Cov.:
33

ClinVar

ClinVar submissions as Germline
Significance:Pathogenic
Revision:no assertion criteria provided
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
-
-
METHEMOGLOBINEMIA, TYPE II (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
9.0
Mutation Taster
=53/47
disease causing (ClinVar)

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: rs121965012; hg19: chr22-43015787; API