rs148375080

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6

The NM_016335.6(PRODH):​c.650G>A​(p.Arg217His) variant causes a missense change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a benign outcome for this variant. 15/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R217S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.092 ( 11 hom., cov: 0)
Exomes 𝑓: 0.11 ( 1681 hom. )
Failed GnomAD Quality Control

Consequence

PRODH
NM_016335.6 missense

Scores

1
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:2

Conservation

PhyloP100: 0.0210

Publications

9 publications found
Variant links:
Genes affected
PRODH (HGNC:9453): (proline dehydrogenase 1) This gene encodes a mitochondrial protein that catalyzes the first step in proline degradation. Mutations in this gene are associated with hyperprolinemia type 1 and susceptibility to schizophrenia 4 (SCZD4). This gene is located on chromosome 22q11.21, a region which has also been associated with the contiguous gene deletion syndromes, DiGeorge and CATCH22. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Aug 2010]
PRODH Gene-Disease associations (from GenCC):
  • hyperprolinemia type 1
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Laboratory for Molecular Medicine, Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.011050582).
BP6
Variant 22-18925068-C-T is Benign according to our data. Variant chr22-18925068-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 547846.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PRODHNM_016335.6 linkc.650G>A p.Arg217His missense_variant Exon 4 of 14 ENST00000357068.11 NP_057419.5
PRODHNM_001195226.2 linkc.326G>A p.Arg109His missense_variant Exon 4 of 14 NP_001182155.2
PRODHNM_001368250.2 linkc.326G>A p.Arg109His missense_variant Exon 4 of 14 NP_001355179.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PRODHENST00000357068.11 linkc.650G>A p.Arg217His missense_variant Exon 4 of 14 1 NM_016335.6 ENSP00000349577.6
ENSG00000283809ENST00000638240.1 linkc.513+14040C>T intron_variant Intron 4 of 5 5 ENSP00000492446.1

Frequencies

GnomAD3 genomes
AF:
0.0922
AC:
26
AN:
282
Hom.:
11
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMR
AF:
0.0714
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.150
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.104
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00472
AC:
1185
AN:
251136
AF XY:
0.00462
show subpopulations
Gnomad AFR exome
AF:
0.00105
Gnomad AMR exome
AF:
0.000926
Gnomad ASJ exome
AF:
0.000794
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0137
Gnomad NFE exome
AF:
0.00659
Gnomad OTH exome
AF:
0.00392
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.112
AC:
3477
AN:
31000
Hom.:
1681
Cov.:
0
AF XY:
0.105
AC XY:
1793
AN XY:
16996
show subpopulations
African (AFR)
AF:
0.0359
AC:
12
AN:
334
American (AMR)
AF:
0.0203
AC:
34
AN:
1676
Ashkenazi Jewish (ASJ)
AF:
0.0417
AC:
18
AN:
432
East Asian (EAS)
AF:
0.00
AC:
0
AN:
1370
South Asian (SAS)
AF:
0.0438
AC:
247
AN:
5636
European-Finnish (FIN)
AF:
0.156
AC:
446
AN:
2850
Middle Eastern (MID)
AF:
0.125
AC:
17
AN:
136
European-Non Finnish (NFE)
AF:
0.150
AC:
2539
AN:
16892
Other (OTH)
AF:
0.0980
AC:
164
AN:
1674
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.512
Heterozygous variant carriers
0
6
11
17
22
28
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0922
AC:
26
AN:
282
Hom.:
11
Cov.:
0
AF XY:
0.0846
AC XY:
11
AN XY:
130
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
22
American (AMR)
AF:
0.0714
AC:
2
AN:
28
Ashkenazi Jewish (ASJ)
AC:
0
AN:
0
East Asian (EAS)
AF:
0.00
AC:
0
AN:
12
South Asian (SAS)
AF:
0.00
AC:
0
AN:
8
European-Finnish (FIN)
AF:
0.150
AC:
9
AN:
60
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4
European-Non Finnish (NFE)
AF:
0.104
AC:
15
AN:
144
Other (OTH)
AF:
0.00
AC:
0
AN:
4
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Hom
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:
0.00598
Hom.:
47
TwinsUK
AF:
0.00458
AC:
17
ALSPAC
AF:
0.00856
AC:
33
ESP6500AA
AF:
0.00113
AC:
5
ESP6500EA
AF:
0.00698
AC:
60
ExAC
AF:
0.00445
AC:
540
Asia WGS
AF:
0.00144
AC:
5
AN:
3478
EpiCase
AF:
0.00622
EpiControl
AF:
0.00593

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Proline dehydrogenase deficiency Uncertain:1Benign:1
Jan 20, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 02, 2016
Mayo Clinic Laboratories, Mayo Clinic
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
Oct 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PRODH: BP4, BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.060
BayesDel_addAF
Benign
-0.54
T
BayesDel_noAF
Benign
-0.55
CADD
Benign
12
DANN
Benign
0.96
DEOGEN2
Benign
0.024
T;.;.;T;T
Eigen
Benign
-0.87
Eigen_PC
Benign
-0.84
FATHMM_MKL
Benign
0.077
N
LIST_S2
Uncertain
0.88
D;.;T;.;T
MetaRNN
Benign
0.011
T;T;T;T;T
MetaSVM
Benign
-0.93
T
PhyloP100
0.021
PrimateAI
Benign
0.24
T
PROVEAN
Benign
-1.3
.;N;N;N;N
REVEL
Benign
0.13
Sift
Benign
0.12
.;T;T;T;T
Sift4G
Benign
0.24
T;T;T;T;T
Polyphen
0.0060
.;B;B;.;.
Vest4
0.052
MVP
0.14
MPC
0.34
ClinPred
0.010
T
GERP RS
-2.2
gMVP
0.29
Mutation Taster
=98/2
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: rs148375080; hg19: chr22-18912581; COSMIC: COSV105189098; COSMIC: COSV105189098; API