rs201513102

Variant summary

Our verdict is Benign. The variant received -7 ACMG points: 0P and 7B. BP4_ModerateBP6BS2

The NM_001395413.1(POR):​c.562G>A​(p.Val188Met) variant causes a missense change. The variant allele was found at a frequency of 0.000125 in 1,569,850 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts 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. V188L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00011 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00013 ( 2 hom. )

Consequence

POR
NM_001395413.1 missense

Scores

1
8
6

Clinical Significance

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

Conservation

PhyloP100: 6.53

Publications

7 publications found
Variant links:
Genes affected
POR (HGNC:9208): (cytochrome p450 oxidoreductase) This gene encodes an endoplasmic reticulum membrane oxidoreductase that is essential for multiple metabolic processes, including reactions catalyzed by cytochrome P450 proteins for metabolism of steroid hormones, drugs and xenobiotics. The encoded protein has a flavin adenine dinucleotide (FAD)-binding domain and a flavodoxin-like domain which bind two cofactors, FAD and FMN, that allow it to donate electrons directly from NADPH to all microsomal P450 enzymes. Mutations in this gene cause a complex set of disorders, including apparent combined P450C17 and P450C21 deficiency, amenorrhea and disordered steroidogenesis, congenital adrenal hyperplasia and Antley-Bixler syndrome, that resemble those caused by defects in steroid metabolizing enzymes such as aromatase, 21-hydroxylase, and 17 alpha-hydroxylase. [provided by RefSeq, Aug 2020]
POR Gene-Disease associations (from GenCC):
  • Antley-Bixler syndrome with genital anomalies and disordered steroidogenesis
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: ClinGen, PanelApp Australia, Ambry Genetics
  • congenital adrenal hyperplasia due to cytochrome P450 oxidoreductase deficiency
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet
  • Antley-Bixler syndrome
    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 -7 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.17786774).
BP6
Variant 7-75981102-G-A is Benign according to our data. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384. Variant chr7-75981102-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 436384.
BS2
High Homozygotes in GnomAdExome4 at 2 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PORNM_001395413.1 linkc.562G>A p.Val188Met missense_variant Exon 6 of 16 ENST00000461988.6 NP_001382342.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PORENST00000461988.6 linkc.562G>A p.Val188Met missense_variant Exon 6 of 16 1 NM_001395413.1 ENSP00000419970.2 P16435

Frequencies

GnomAD3 genomes
AF:
0.000105
AC:
16
AN:
152264
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00317
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000588
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.000226
AC:
41
AN:
181594
AF XY:
0.000246
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00361
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000391
Gnomad OTH exome
AF:
0.000207
GnomAD4 exome
AF:
0.000128
AC:
181
AN:
1417586
Hom.:
2
Cov.:
31
AF XY:
0.000147
AC XY:
103
AN XY:
701064
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32326
American (AMR)
AF:
0.00
AC:
0
AN:
38392
Ashkenazi Jewish (ASJ)
AF:
0.00449
AC:
114
AN:
25400
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37054
South Asian (SAS)
AF:
0.000174
AC:
14
AN:
80410
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49512
Middle Eastern (MID)
AF:
0.000186
AC:
1
AN:
5388
European-Non Finnish (NFE)
AF:
0.0000321
AC:
35
AN:
1090348
Other (OTH)
AF:
0.000289
AC:
17
AN:
58756
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
9
17
26
34
43
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:
0.000105
AC:
16
AN:
152264
Hom.:
0
Cov.:
32
AF XY:
0.0000941
AC XY:
7
AN XY:
74378
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41478
American (AMR)
AF:
0.00
AC:
0
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.00317
AC:
11
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5192
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4838
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10630
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000588
AC:
4
AN:
68044
Other (OTH)
AF:
0.000478
AC:
1
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.459
Heterozygous variant carriers
0
1
2
4
5
6
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:
0.000431
Hom.:
0
Bravo
AF:
0.000121
ExAC
AF:
0.0000679
AC:
8

ClinVar

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

Submissions by phenotype

Congenital adrenal hyperplasia due to cytochrome P450 oxidoreductase deficiency Uncertain:1Benign:1
Jan 23, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases did not allow this variant to be ruled in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -

not specified Uncertain:1
Jul 22, 2016
Genetic Services Laboratory, University of Chicago
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.14
T
BayesDel_noAF
Benign
-0.16
CADD
Pathogenic
34
DANN
Uncertain
1.0
Eigen
Uncertain
0.62
Eigen_PC
Uncertain
0.61
FATHMM_MKL
Uncertain
0.90
D
M_CAP
Uncertain
0.086
D
MetaRNN
Benign
0.18
T;T
MetaSVM
Uncertain
0.050
D
PhyloP100
6.5
PrimateAI
Pathogenic
0.88
D
PROVEAN
Benign
-2.1
N;N
REVEL
Uncertain
0.48
Sift
Benign
0.12
T;T
Sift4G
Uncertain
0.058
T;T
Vest4
0.78
MVP
0.89
MPC
0.40
ClinPred
0.16
T
GERP RS
4.8
RBP_binding_hub_radar
0.92
RBP_regulation_power_radar
2.7
gMVP
0.70
Mutation Taster
=72/28
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: rs201513102; hg19: chr7-75610420; COSMIC: COSV101203481; COSMIC: COSV101203481; API