rs284654

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000709.4(BCKDHA):​c.995+49G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.605 in 1,609,446 control chromosomes in the GnomAD database, including 296,993 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.63 ( 30481 hom., cov: 31)
Exomes 𝑓: 0.60 ( 266512 hom. )

Consequence

BCKDHA
NM_000709.4 intron

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: -1.91
Variant links:
Genes affected
BCKDHA (HGNC:986): (branched chain keto acid dehydrogenase E1 subunit alpha) The branched-chain alpha-keto acid (BCAA) dehydrogenase (BCKD) complex is an innter mitochondrial enzyme complex that catalyzes the second major step in the catabolism of the branched-chain amino acids leucine, isoleucine, and valine. The BCKD complex consists of three catalytic components: a heterotetrameric (alpha2-beta2) branched-chain alpha-keto acid decarboxylase (E1), a dihydrolipoyl transacylase (E2), and a dihydrolipoamide dehydrogenase (E3). This gene encodes the alpha subunit of the decarboxylase (E1) component. Mutations in this gene result in maple syrup urine disease, type IA. Multiple transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Sep 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.84).
BP6
Variant 19-41422819-G-A is Benign according to our data. Variant chr19-41422819-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 93387.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.717 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
BCKDHANM_000709.4 linkuse as main transcriptc.995+49G>A intron_variant ENST00000269980.7 NP_000700.1
BCKDHANM_001164783.2 linkuse as main transcriptc.992+49G>A intron_variant NP_001158255.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
BCKDHAENST00000269980.7 linkuse as main transcriptc.995+49G>A intron_variant 1 NM_000709.4 ENSP00000269980 P1P12694-1
BCKDHAENST00000457836.6 linkuse as main transcriptc.929+49G>A intron_variant 2 ENSP00000416000 P12694-2
BCKDHAENST00000542943.5 linkuse as main transcriptc.908+49G>A intron_variant 5 ENSP00000440345

Frequencies

GnomAD3 genomes
AF:
0.628
AC:
95303
AN:
151664
Hom.:
30457
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.724
Gnomad AMI
AF:
0.771
Gnomad AMR
AF:
0.549
Gnomad ASJ
AF:
0.623
Gnomad EAS
AF:
0.432
Gnomad SAS
AF:
0.586
Gnomad FIN
AF:
0.659
Gnomad MID
AF:
0.636
Gnomad NFE
AF:
0.600
Gnomad OTH
AF:
0.617
GnomAD3 exomes
AF:
0.583
AC:
144063
AN:
247068
Hom.:
42722
AF XY:
0.584
AC XY:
78241
AN XY:
133878
show subpopulations
Gnomad AFR exome
AF:
0.725
Gnomad AMR exome
AF:
0.471
Gnomad ASJ exome
AF:
0.625
Gnomad EAS exome
AF:
0.428
Gnomad SAS exome
AF:
0.587
Gnomad FIN exome
AF:
0.657
Gnomad NFE exome
AF:
0.603
Gnomad OTH exome
AF:
0.603
GnomAD4 exome
AF:
0.603
AC:
878385
AN:
1457664
Hom.:
266512
Cov.:
53
AF XY:
0.602
AC XY:
436531
AN XY:
725144
show subpopulations
Gnomad4 AFR exome
AF:
0.731
Gnomad4 AMR exome
AF:
0.478
Gnomad4 ASJ exome
AF:
0.622
Gnomad4 EAS exome
AF:
0.459
Gnomad4 SAS exome
AF:
0.582
Gnomad4 FIN exome
AF:
0.656
Gnomad4 NFE exome
AF:
0.607
Gnomad4 OTH exome
AF:
0.606
GnomAD4 genome
AF:
0.628
AC:
95373
AN:
151782
Hom.:
30481
Cov.:
31
AF XY:
0.627
AC XY:
46467
AN XY:
74118
show subpopulations
Gnomad4 AFR
AF:
0.724
Gnomad4 AMR
AF:
0.549
Gnomad4 ASJ
AF:
0.623
Gnomad4 EAS
AF:
0.433
Gnomad4 SAS
AF:
0.585
Gnomad4 FIN
AF:
0.659
Gnomad4 NFE
AF:
0.600
Gnomad4 OTH
AF:
0.616
Alfa
AF:
0.576
Hom.:
5415
Bravo
AF:
0.624
Asia WGS
AF:
0.531
AC:
1845
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jan 12, 2016- -
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
not provided Benign:2
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -
Maple syrup urine disease Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJun 10, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.84
CADD
Benign
0.073
DANN
Benign
0.53

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: rs284654; hg19: chr19-41928724; API