rs121965017
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Variant summary
Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM1PM2PM4_SupportingPP5
The NM_000398.7(CYB5R3):c.766_768delGAG(p.Glu256del) variant causes a conservative inframe deletion change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000162 in 1,607,264 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars).
Frequency
Genomes: 𝑓 0.000020 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000016 ( 0 hom. )
Consequence
CYB5R3
NM_000398.7 conservative_inframe_deletion
NM_000398.7 conservative_inframe_deletion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 7.93
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]
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ACMG classification
Classification made for transcript
Verdict is Likely_pathogenic. Variant got 6 ACMG points.
PM1
In a chain NADH-cytochrome b5 reductase 3 (size 299) in uniprot entity NB5R3_HUMAN there are 51 pathogenic changes around while only 3 benign (94%) in NM_000398.7
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 22-42619910-TCTC-T is Pathogenic according to our data. Variant chr22-42619910-TCTC-T is described in ClinVar as [Pathogenic]. Clinvar id is 251.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr22-42619910-TCTC-T is described in Lovd as [Pathogenic].
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
CYB5R3 | ENST00000352397.10 | c.766_768delGAG | p.Glu256del | conservative_inframe_deletion | 9/9 | 1 | NM_000398.7 | ENSP00000338461.6 | ||
ENSG00000289517 | ENST00000617178.5 | n.301_303delGAG | non_coding_transcript_exon_variant | 4/14 | 1 | ENSP00000482500.2 |
Frequencies
GnomAD3 genomes AF: 0.0000197 AC: 3AN: 152018Hom.: 0 Cov.: 33
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GnomAD3 exomes AF: 0.0000169 AC: 4AN: 236696Hom.: 0 AF XY: 0.0000312 AC XY: 4AN XY: 128236
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GnomAD4 exome AF: 0.0000158 AC: 23AN: 1455246Hom.: 0 AF XY: 0.0000166 AC XY: 12AN XY: 723282
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GnomAD4 genome AF: 0.0000197 AC: 3AN: 152018Hom.: 0 Cov.: 33 AF XY: 0.0000404 AC XY: 3AN XY: 74244
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link
Submissions by phenotype
METHEMOGLOBINEMIA, TYPE I Pathogenic:1
Pathogenic, no assertion criteria provided | literature only | OMIM | May 01, 2008 | - - |
Computational scores
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Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at