rs150243147

Variant summary

Our verdict is Benign. The variant received -7 ACMG points: 2P and 9B. PM1BP4_StrongBP6BS1

The NM_020247.5(COQ8A):​c.989A>G​(p.Tyr330Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00022 in 1,610,946 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 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 0.0011 ( 0 hom., cov: 34)
Exomes 𝑓: 0.00012 ( 0 hom. )

Consequence

COQ8A
NM_020247.5 missense

Scores

5
13

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:5

Conservation

PhyloP100: 0.00300

Publications

3 publications found
Variant links:
Genes affected
COQ8A (HGNC:16812): (coenzyme Q8A) This gene encodes a mitochondrial protein similar to yeast ABC1, which functions in an electron-transferring membrane protein complex in the respiratory chain. It is not related to the family of ABC transporter proteins. Expression of this gene is induced by the tumor suppressor p53 and in response to DNA damage, and inhibiting its expression partially suppresses p53-induced apoptosis. Alternatively spliced transcript variants have been found; however, their full-length nature has not been determined. [provided by RefSeq, Jul 2008]
COQ8A Gene-Disease associations (from GenCC):
  • autosomal recessive ataxia due to ubiquinone deficiency
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, G2P
  • coenzyme Q10 deficiency
    Inheritance: AR Classification: DEFINITIVE Submitted by: Illumina

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -7 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 9 uncertain in NM_020247.5
BP4
Computational evidence support a benign effect (MetaRNN=0.018922746).
BP6
Variant 1-226982943-A-G is Benign according to our data. Variant chr1-226982943-A-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 235765.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00115 (175/152354) while in subpopulation AFR AF = 0.00406 (169/41588). AF 95% confidence interval is 0.00356. There are 0 homozygotes in GnomAd4. There are 83 alleles in the male GnomAd4 subpopulation. Median coverage is 34. This position passed quality control check.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COQ8ANM_020247.5 linkc.989A>G p.Tyr330Cys missense_variant Exon 8 of 15 ENST00000366777.4 NP_064632.2 Q8NI60-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COQ8AENST00000366777.4 linkc.989A>G p.Tyr330Cys missense_variant Exon 8 of 15 1 NM_020247.5 ENSP00000355739.3 Q8NI60-1
ENSG00000288674ENST00000366779.6 linkn.*5716A>G non_coding_transcript_exon_variant Exon 25 of 32 2 ENSP00000355741.2
ENSG00000288674ENST00000366779.6 linkn.*5716A>G 3_prime_UTR_variant Exon 25 of 32 2 ENSP00000355741.2

Frequencies

GnomAD3 genomes
AF:
0.00115
AC:
175
AN:
152236
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.00408
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000327
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.000275
AC:
67
AN:
243722
AF XY:
0.000233
show subpopulations
Gnomad AFR exome
AF:
0.00370
Gnomad AMR exome
AF:
0.000234
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000123
AC:
179
AN:
1458592
Hom.:
0
Cov.:
34
AF XY:
0.000110
AC XY:
80
AN XY:
725536
show subpopulations
African (AFR)
AF:
0.00440
AC:
147
AN:
33416
American (AMR)
AF:
0.000224
AC:
10
AN:
44568
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26098
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39558
South Asian (SAS)
AF:
0.0000349
AC:
3
AN:
86032
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51890
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5736
European-Non Finnish (NFE)
AF:
0.00000450
AC:
5
AN:
1111038
Other (OTH)
AF:
0.000232
AC:
14
AN:
60256
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
14
29
43
58
72
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:
0.00115
AC:
175
AN:
152354
Hom.:
0
Cov.:
34
AF XY:
0.00111
AC XY:
83
AN XY:
74508
show subpopulations
African (AFR)
AF:
0.00406
AC:
169
AN:
41588
American (AMR)
AF:
0.000327
AC:
5
AN:
15312
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5174
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68030
Other (OTH)
AF:
0.000473
AC:
1
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
12
23
35
46
58
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.000648
Hom.:
1
Bravo
AF:
0.00151
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00477
AC:
21
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000339
AC:
41
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:5
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:2Benign:3
Jan 15, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

COQ8A: BS1 -

Nov 23, 2015
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 08, 2021
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

In silico analysis supports that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -

Oct 04, 2023
Mayo Clinic Laboratories, Mayo Clinic
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

BP4 -

not specified Benign:1
Nov 18, 2024
Athena Diagnostics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

COQ8A-related disorder Benign:1
Sep 13, 2021
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.39
T
BayesDel_noAF
Benign
-0.33
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.45
T;.;T
Eigen
Benign
-0.30
Eigen_PC
Benign
-0.23
FATHMM_MKL
Benign
0.31
N
LIST_S2
Uncertain
0.90
.;D;D
M_CAP
Benign
0.043
D
MetaRNN
Benign
0.019
T;T;T
MetaSVM
Benign
-0.87
T
PhyloP100
0.0030
PrimateAI
Uncertain
0.53
T
PROVEAN
Uncertain
-2.4
N;N;N
REVEL
Benign
0.21
Sift
Benign
0.16
T;T;T
Sift4G
Benign
0.18
T;T;T
Polyphen
0.013
B;.;B
Vest4
0.63
MVP
0.60
MPC
0.055
ClinPred
0.024
T
GERP RS
4.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8
Varity_R
0.46
gMVP
0.58
Mutation Taster
=57/43
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: rs150243147; hg19: chr1-227170644; COSMIC: COSV107470462; COSMIC: COSV107470462; API