rs2518608

Variant summary

Our verdict is Benign. The variant received -18 ACMG points: 0P and 18B. BP4BP6_Very_StrongBP7BS1BS2

The NM_000320.3(QDPR):​c.96C>T​(p.Ala32Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0118 in 1,610,798 control chromosomes in the GnomAD database, including 156 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0080 ( 5 hom., cov: 32)
Exomes 𝑓: 0.012 ( 151 hom. )

Consequence

QDPR
NM_000320.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 1.78

Publications

2 publications found
Variant links:
Genes affected
QDPR (HGNC:9752): (quinoid dihydropteridine reductase) This gene encodes the enzyme dihydropteridine reductase, which catalyzes the NADH-mediated reduction of quinonoid dihydrobiopterin. This enzyme is an essential component of the pterin-dependent aromatic amino acid hydroxylating systems. Mutations in this gene resulting in QDPR deficiency include aberrant splicing, amino acid substitutions, insertions, or premature terminations. Dihydropteridine reductase deficiency presents as atypical phenylketonuria due to insufficient production of biopterin, a cofactor for phenylalanine hydroxylase. [provided by RefSeq, Jul 2008]
QDPR Gene-Disease associations (from GenCC):
  • dihydropteridine reductase deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, G2P, Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -18 ACMG points.

BP4
Computational evidence support a benign effect (REVEL=0.258).
BP6
Variant 4-17511959-G-A is Benign according to our data. Variant chr4-17511959-G-A is described in ClinVar as Benign. ClinVar VariationId is 286391.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=1.78 with no splicing effect.
BS1
Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.00805 (1224/152060) while in subpopulation SAS AF = 0.0133 (64/4818). AF 95% confidence interval is 0.0124. There are 5 homozygotes in GnomAd4. There are 571 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 5 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
QDPRNM_000320.3 linkc.96C>T p.Ala32Ala synonymous_variant Exon 1 of 7 ENST00000281243.10 NP_000311.2 P09417-1A0A140VKA9
QDPRNM_001306140.2 linkc.96C>T p.Ala32Ala synonymous_variant Exon 1 of 6 NP_001293069.1 P09417-2
QDPRNR_156494.2 linkn.132C>T non_coding_transcript_exon_variant Exon 1 of 6

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
QDPRENST00000281243.10 linkc.96C>T p.Ala32Ala synonymous_variant Exon 1 of 7 1 NM_000320.3 ENSP00000281243.5 P09417-1

Frequencies

GnomAD3 genomes
AF:
0.00808
AC:
1228
AN:
151946
Hom.:
6
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00181
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.00406
Gnomad ASJ
AF:
0.0164
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.0137
Gnomad FIN
AF:
0.00463
Gnomad MID
AF:
0.0159
Gnomad NFE
AF:
0.0132
Gnomad OTH
AF:
0.00865
GnomAD2 exomes
AF:
0.0109
AC:
2582
AN:
236828
AF XY:
0.0119
show subpopulations
Gnomad AFR exome
AF:
0.00181
Gnomad AMR exome
AF:
0.00346
Gnomad ASJ exome
AF:
0.0159
Gnomad EAS exome
AF:
0.0000562
Gnomad FIN exome
AF:
0.00601
Gnomad NFE exome
AF:
0.0150
Gnomad OTH exome
AF:
0.0117
GnomAD4 exome
AF:
0.0122
AC:
17730
AN:
1458738
Hom.:
151
Cov.:
32
AF XY:
0.0125
AC XY:
9054
AN XY:
725738
show subpopulations
African (AFR)
AF:
0.00165
AC:
55
AN:
33402
American (AMR)
AF:
0.00320
AC:
143
AN:
44650
Ashkenazi Jewish (ASJ)
AF:
0.0150
AC:
391
AN:
26068
East Asian (EAS)
AF:
0.0000505
AC:
2
AN:
39638
South Asian (SAS)
AF:
0.0184
AC:
1583
AN:
86184
European-Finnish (FIN)
AF:
0.00658
AC:
340
AN:
51706
Middle Eastern (MID)
AF:
0.0248
AC:
143
AN:
5760
European-Non Finnish (NFE)
AF:
0.0130
AC:
14399
AN:
1111132
Other (OTH)
AF:
0.0112
AC:
674
AN:
60198
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
851
1702
2553
3404
4255
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
506
1012
1518
2024
2530
<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:
0.00805
AC:
1224
AN:
152060
Hom.:
5
Cov.:
32
AF XY:
0.00768
AC XY:
571
AN XY:
74356
show subpopulations
African (AFR)
AF:
0.00181
AC:
75
AN:
41494
American (AMR)
AF:
0.00405
AC:
62
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.0164
AC:
57
AN:
3466
East Asian (EAS)
AF:
0.000194
AC:
1
AN:
5162
South Asian (SAS)
AF:
0.0133
AC:
64
AN:
4818
European-Finnish (FIN)
AF:
0.00463
AC:
49
AN:
10592
Middle Eastern (MID)
AF:
0.0137
AC:
4
AN:
292
European-Non Finnish (NFE)
AF:
0.0131
AC:
893
AN:
67926
Other (OTH)
AF:
0.00856
AC:
18
AN:
2102
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
56
112
167
223
279
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.0129
Hom.:
9
Bravo
AF:
0.00737
Asia WGS
AF:
0.00462
AC:
16
AN:
3478
EpiCase
AF:
0.0148
EpiControl
AF:
0.0153

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Dihydropteridine reductase deficiency Benign:3
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not specified Benign:2
Feb 29, 2016
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.31
CADD
Benign
14
DANN
Benign
0.97
PhyloP100
1.8
PromoterAI
-0.21
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Mutation Taster
=99/1
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: rs2518608; hg19: chr4-17513582; API