rs138350727
Variant summary
Our verdict is Uncertain significance. The variant received 0 ACMG points: 0P and 0B.
The NM_130837.3(OPA1):c.740G>A(p.Arg247His) variant causes a missense change. The variant allele was found at a frequency of 0.000018 in 1,613,968 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R247C) has been classified as Uncertain significance.
Frequency
Consequence
NM_130837.3 missense
Scores
Clinical Significance
Conservation
Publications
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ACMG classification
Our verdict: Uncertain_significance. The variant received 0 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000197 AC: 3AN: 152136Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.0000318 AC: 8AN: 251412 AF XY: 0.0000294 show subpopulations
GnomAD4 exome AF: 0.0000178 AC: 26AN: 1461832Hom.: 0 Cov.: 31 AF XY: 0.0000151 AC XY: 11AN XY: 727230 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000197 AC: 3AN: 152136Hom.: 0 Cov.: 32 AF XY: 0.0000135 AC XY: 1AN XY: 74312 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Uncertain:2
The R247H variant in the OPA1 gene has been reported previously in an individual with optic neuropathy. Studies in fibroblasts from this affected individual demonstrated increased susceptibility to apoptosis, abnormal mitochondrial network filamentation, and altered OPA1 protein profile; however, the significance of these findings is unknown (Cornille et al., 2008). The R247H variant is observed in 9/277,158 (0.0032%) alleles in large population cohorts (Lek et al., 2016). The R247H variant is a conservative amino acid substitution, which is not likely to impact secondary protein structure as these residues share similar properties. In-silico analyses, including protein predictors and evolutionary conservation, support that this variant does not alter protein structure/function. We interpret R247H as a variant of uncertain significance. -
The OPA1 gene has multiple clinically relevant transcripts. This variant occurs in alternate transcript NM_130837.2, and corresponds to NM_015560.2:c.625-5459G>A in the primary transcript. This sequence change replaces arginine, which is basic and polar, with histidine, which is basic and polar, at codon 247 of the OPA1 protein (p.Arg247His). This variant is present in population databases (rs138350727, gnomAD 0.01%). This missense change has been observed in individual(s) with OPA1-related conditions (PMID: 18360822). ClinVar contains an entry for this variant (Variation ID: 65755). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant is not likely to affect RNA splicing. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Autosomal dominant optic atrophy classic form Other:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at