rs201982191

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 2P and 6B. PM2BP4_StrongBP6_Moderate

The NM_001122764.3(PPOX):​c.68G>A​(p.Arg23Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000644 in 1,613,714 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R23W) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00014 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000057 ( 0 hom. )

Consequence

PPOX
NM_001122764.3 missense

Scores

10
9

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 3.01
Variant links:
Genes affected
PPOX (HGNC:9280): (protoporphyrinogen oxidase) This gene encodes the penultimate enzyme of heme biosynthesis, which catalyzes the 6-electron oxidation of protoporphyrinogen IX to form protoporphyrin IX. Mutations in this gene cause variegate porphyria, an autosomal dominant disorder of heme metabolism resulting from a deficiency in protoporphyrinogen oxidase, an enzyme located on the inner mitochondrial membrane. Alternatively spliced transcript variants encoding the same protein have been identified. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.03250137).
BP6
Variant 1-161166915-G-A is Benign according to our data. Variant chr1-161166915-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 3716874.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PPOXNM_001122764.3 linkc.68G>A p.Arg23Gln missense_variant Exon 2 of 13 ENST00000367999.9 NP_001116236.1 P50336

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PPOXENST00000367999.9 linkc.68G>A p.Arg23Gln missense_variant Exon 2 of 13 1 NM_001122764.3 ENSP00000356978.4 P50336

Frequencies

GnomAD3 genomes
AF:
0.000138
AC:
21
AN:
152218
Hom.:
0
Cov.:
33
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:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00198
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000128
AC:
32
AN:
250290
Hom.:
0
AF XY:
0.000133
AC XY:
18
AN XY:
135534
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00131
Gnomad NFE exome
AF:
0.0000353
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000568
AC:
83
AN:
1461496
Hom.:
0
Cov.:
32
AF XY:
0.0000578
AC XY:
42
AN XY:
727068
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00113
Gnomad4 NFE exome
AF:
0.0000126
Gnomad4 OTH exome
AF:
0.000132
GnomAD4 genome
AF:
0.000138
AC:
21
AN:
152218
Hom.:
0
Cov.:
33
AF XY:
0.000256
AC XY:
19
AN XY:
74358
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00198
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000248
Hom.:
0
Bravo
AF:
0.0000151
ExAC
AF:
0.000132
AC:
16
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Mar 27, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.096
BayesDel_addAF
Uncertain
0.15
D
BayesDel_noAF
Uncertain
0.090
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.62
D;D;.;D;T;.
Eigen
Benign
-0.023
Eigen_PC
Benign
0.068
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Uncertain
0.86
.;D;D;D;D;D
M_CAP
Uncertain
0.13
D
MetaRNN
Benign
0.033
T;T;T;T;T;T
MetaSVM
Uncertain
0.064
D
MutationAssessor
Benign
1.4
L;L;.;.;.;.
PrimateAI
Uncertain
0.52
T
PROVEAN
Benign
-1.5
N;N;.;N;N;.
REVEL
Uncertain
0.52
Sift
Benign
0.12
T;T;.;T;D;.
Sift4G
Benign
0.22
T;T;.;T;T;.
Polyphen
1.0
D;D;.;B;.;.
Vest4
0.37
MutPred
0.63
Loss of methylation at R23 (P = 0.0536);Loss of methylation at R23 (P = 0.0536);Loss of methylation at R23 (P = 0.0536);Loss of methylation at R23 (P = 0.0536);Loss of methylation at R23 (P = 0.0536);Loss of methylation at R23 (P = 0.0536);
MVP
0.97
MPC
0.61
ClinPred
0.27
T
GERP RS
4.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.34
gMVP
0.55

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs201982191; hg19: chr1-161136705; API