rs146408017

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS1

The NM_152783.5(D2HGDH):​c.517G>A​(p.Val173Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000191 in 1,613,866 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00018 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00019 ( 0 hom. )

Consequence

D2HGDH
NM_152783.5 missense

Scores

1
1
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:3

Conservation

PhyloP100: -0.191

Publications

1 publications found
Variant links:
Genes affected
D2HGDH (HGNC:28358): (D-2-hydroxyglutarate dehydrogenase) This gene encodes D-2hydroxyglutarate dehydrogenase, a mitochondrial enzyme belonging to the FAD-binding oxidoreductase/transferase type 4 family. This enzyme, which is most active in liver and kidney but also active in heart and brain, converts D-2-hydroxyglutarate to 2-ketoglutarate. Mutations in this gene are present in D-2-hydroxyglutaric aciduria, a rare recessive neurometabolic disorder causing developmental delay, epilepsy, hypotonia, and dysmorphic features. [provided by RefSeq, Jul 2008]
D2HGDH Gene-Disease associations (from GenCC):
  • mitochondrial disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • D-2-hydroxyglutaric aciduria 1
    Inheritance: AR Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • D-2-hydroxyglutaric aciduria
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.025124699).
BP6
Variant 2-241743648-G-A is Benign according to our data. Variant chr2-241743648-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 432634.
BS1
Variant frequency is greater than expected in population eas. GnomAd4 allele frequency = 0.000177 (27/152308) while in subpopulation EAS AF = 0.00463 (24/5182). AF 95% confidence interval is 0.00319. There are 1 homozygotes in GnomAd4. There are 12 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_152783.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
D2HGDH
NM_152783.5
MANE Select
c.517G>Ap.Val173Ile
missense
Exon 5 of 10NP_689996.4
D2HGDH
NM_001287249.2
c.115G>Ap.Val39Ile
missense
Exon 4 of 9NP_001274178.1B5MCV2
D2HGDH
NM_001352824.2
c.-45G>A
5_prime_UTR
Exon 5 of 10NP_001339753.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
D2HGDH
ENST00000321264.9
TSL:1 MANE Select
c.517G>Ap.Val173Ile
missense
Exon 5 of 10ENSP00000315351.4Q8N465-1
D2HGDH
ENST00000436747.5
TSL:1
n.500G>A
non_coding_transcript_exon
Exon 5 of 12ENSP00000400212.1F8WCF9
D2HGDH
ENST00000951632.1
c.664G>Ap.Val222Ile
missense
Exon 6 of 12ENSP00000621691.1

Frequencies

GnomAD3 genomes
AF:
0.000177
AC:
27
AN:
152190
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00462
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000453
AC:
113
AN:
249712
AF XY:
0.000392
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00129
Gnomad EAS exome
AF:
0.00506
Gnomad FIN exome
AF:
0.0000473
Gnomad NFE exome
AF:
0.0000266
Gnomad OTH exome
AF:
0.000327
GnomAD4 exome
AF:
0.000193
AC:
282
AN:
1461558
Hom.:
0
Cov.:
32
AF XY:
0.000182
AC XY:
132
AN XY:
727056
show subpopulations
African (AFR)
AF:
0.0000299
AC:
1
AN:
33476
American (AMR)
AF:
0.00
AC:
0
AN:
44714
Ashkenazi Jewish (ASJ)
AF:
0.00168
AC:
44
AN:
26132
East Asian (EAS)
AF:
0.00481
AC:
191
AN:
39700
South Asian (SAS)
AF:
0.0000696
AC:
6
AN:
86192
European-Finnish (FIN)
AF:
0.0000375
AC:
2
AN:
53354
Middle Eastern (MID)
AF:
0.000354
AC:
2
AN:
5656
European-Non Finnish (NFE)
AF:
0.0000189
AC:
21
AN:
1111958
Other (OTH)
AF:
0.000248
AC:
15
AN:
60376
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
19
38
57
76
95
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<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:
0.000177
AC:
27
AN:
152308
Hom.:
1
Cov.:
32
AF XY:
0.000161
AC XY:
12
AN XY:
74486
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41576
American (AMR)
AF:
0.00
AC:
0
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.000288
AC:
1
AN:
3472
East Asian (EAS)
AF:
0.00463
AC:
24
AN:
5182
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
68020
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.527
Heterozygous variant carriers
0
2
4
6
8
10
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.000137
Hom.:
0
Bravo
AF:
0.000189
ExAC
AF:
0.000379
AC:
46
Asia WGS
AF:
0.00202
AC:
7
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.000119

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
2
D-2-hydroxyglutaric aciduria 1 (3)
-
-
1
D2HGDH-related disorder (1)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.065
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.26
CADD
Benign
0.16
DANN
Benign
0.46
DEOGEN2
Benign
0.17
T
Eigen
Benign
-1.8
Eigen_PC
Benign
-1.8
FATHMM_MKL
Benign
0.052
N
LIST_S2
Benign
0.83
T
M_CAP
Pathogenic
0.67
D
MetaRNN
Benign
0.025
T
MetaSVM
Benign
-0.50
T
MutationAssessor
Benign
-0.55
N
PhyloP100
-0.19
PrimateAI
Benign
0.28
T
PROVEAN
Benign
-0.060
N
REVEL
Uncertain
0.34
Sift
Benign
1.0
T
Sift4G
Benign
1.0
T
Polyphen
0.0090
B
Vest4
0.088
MVP
0.38
MPC
0.32
ClinPred
0.0076
T
GERP RS
-5.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.014
gMVP
0.36
Mutation Taster
=92/8
polymorphism

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: rs146408017; hg19: chr2-242683063; API