rs201644903

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_StrongBP6_Moderate

The NM_148923.4(CYB5A):​c.25G>T​(p.Val9Leu) variant causes a missense change. The variant allele was found at a frequency of 0.0000725 in 1,613,434 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.00012 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000068 ( 0 hom. )

Consequence

CYB5A
NM_148923.4 missense

Scores

1
3
14

Clinical Significance

Likely benign criteria provided, single submitter B:2

Conservation

PhyloP100: 5.70

Publications

2 publications found
Variant links:
Genes affected
CYB5A (HGNC:2570): (cytochrome b5 type A) The protein encoded by this gene is a membrane-bound cytochrome that reduces ferric hemoglobin (methemoglobin) to ferrous hemoglobin, which is required for stearyl-CoA-desaturase activity. Defects in this gene are a cause of type IV hereditary methemoglobinemia. Three transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jun 2010]
CYB5A Gene-Disease associations (from GenCC):
  • methemoglobinemia type 4
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), ClinGen
  • 46,XY disorder of sex development due to isolated 17,20-lyase deficiency
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.010828614).
BP6
Variant 18-74291851-C-A is Benign according to our data. Variant chr18-74291851-C-A is described in ClinVar as Likely_benign. ClinVar VariationId is 727030.Status of the report is criteria_provided_single_submitter, 1 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_148923.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CYB5A
NM_148923.4
MANE Select
c.25G>Tp.Val9Leu
missense
Exon 1 of 5NP_683725.1P00167-1
CYB5A
NM_001190807.3
c.25G>Tp.Val9Leu
missense
Exon 1 of 4NP_001177736.1P00167-3
CYB5A
NM_001914.4
c.25G>Tp.Val9Leu
missense
Exon 1 of 6NP_001905.1P00167-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CYB5A
ENST00000340533.9
TSL:1 MANE Select
c.25G>Tp.Val9Leu
missense
Exon 1 of 5ENSP00000341625.4P00167-1
CYB5A
ENST00000494131.6
TSL:1
c.25G>Tp.Val9Leu
missense
Exon 1 of 6ENSP00000436461.2P00167-2
CYB5A
ENST00000886099.1
c.25G>Tp.Val9Leu
missense
Exon 1 of 6ENSP00000556158.1

Frequencies

GnomAD3 genomes
AF:
0.000118
AC:
18
AN:
152170
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00328
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000342
AC:
86
AN:
251204
AF XY:
0.000280
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00429
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000678
AC:
99
AN:
1461146
Hom.:
0
Cov.:
32
AF XY:
0.0000702
AC XY:
51
AN XY:
726946
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33464
American (AMR)
AF:
0.00
AC:
0
AN:
44714
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26124
East Asian (EAS)
AF:
0.00179
AC:
71
AN:
39692
South Asian (SAS)
AF:
0.000151
AC:
13
AN:
86248
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52920
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5762
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1111858
Other (OTH)
AF:
0.000248
AC:
15
AN:
60364
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.491
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
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
GnomAD4 genome
AF:
0.000118
AC:
18
AN:
152288
Hom.:
0
Cov.:
32
AF XY:
0.0000806
AC XY:
6
AN XY:
74462
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41564
American (AMR)
AF:
0.00
AC:
0
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00329
AC:
17
AN:
5170
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68018
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.519
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:
0.00
Hom.:
0
Bravo
AF:
0.000159
ExAC
AF:
0.000329
AC:
40

ClinVar

ClinVar submissions
Significance:Likely benign
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
CYB5A-related disorder (1)
-
-
1
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.20
CADD
Uncertain
26
DANN
Uncertain
0.99
DEOGEN2
Benign
0.23
T
Eigen
Benign
-0.36
Eigen_PC
Benign
-0.18
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Benign
0.76
T
M_CAP
Benign
0.020
T
MetaRNN
Benign
0.011
T
MetaSVM
Benign
-0.89
T
MutationAssessor
Benign
-0.29
N
PhyloP100
5.7
PrimateAI
Uncertain
0.63
T
PROVEAN
Benign
-1.7
N
REVEL
Benign
0.16
Sift
Uncertain
0.0030
D
Sift4G
Benign
0.19
T
Polyphen
0.0
B
Vest4
0.56
MutPred
0.30
Loss of methylation at K10 (P = 0.0448)
MVP
0.76
MPC
0.081
ClinPred
0.15
T
GERP RS
4.5
PromoterAI
0.026
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.37
gMVP
0.38
Mutation Taster
=84/16
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: rs201644903; hg19: chr18-71959086; API