rs28938169

Variant summary

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

The NM_006214.4(PHYH):​c.85C>T​(p.Pro29Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.165 in 1,593,910 control chromosomes in the GnomAD database, including 23,738 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.15 ( 1806 hom., cov: 31)
Exomes 𝑓: 0.17 ( 21932 hom. )

Consequence

PHYH
NM_006214.4 missense

Scores

6
12

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:14

Conservation

PhyloP100: 2.37
Variant links:
Genes affected
PHYH (HGNC:8940): (phytanoyl-CoA 2-hydroxylase) This gene is a member of the PhyH family and encodes a peroxisomal protein that is involved in the alpha-oxidation of 3-methyl branched fatty acids. Specifically, this protein converts phytanoyl-CoA to 2-hydroxyphytanoyl-CoA. Mutations in this gene have been associated with Refsum disease (RD) and deficient protein activity has been associated with Zellweger syndrome and rhizomelic chondrodysplasia punctata. Alternate transcriptional splice variants, encoding different isoforms, have been characterized. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0017195046).
BP6
Variant 10-13298236-G-A is Benign according to our data. Variant chr10-13298236-G-A is described in ClinVar as [Benign]. Clinvar id is 7582.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-13298236-G-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.176 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PHYHNM_006214.4 linkc.85C>T p.Pro29Ser missense_variant Exon 2 of 9 ENST00000263038.9 NP_006205.1 O14832-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PHYHENST00000263038.9 linkc.85C>T p.Pro29Ser missense_variant Exon 2 of 9 1 NM_006214.4 ENSP00000263038.4 O14832-1

Frequencies

GnomAD3 genomes
AF:
0.147
AC:
22292
AN:
152020
Hom.:
1803
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.118
Gnomad AMI
AF:
0.0769
Gnomad AMR
AF:
0.100
Gnomad ASJ
AF:
0.144
Gnomad EAS
AF:
0.0193
Gnomad SAS
AF:
0.0923
Gnomad FIN
AF:
0.220
Gnomad MID
AF:
0.127
Gnomad NFE
AF:
0.178
Gnomad OTH
AF:
0.133
GnomAD3 exomes
AF:
0.148
AC:
37080
AN:
251292
Hom.:
3229
AF XY:
0.148
AC XY:
20038
AN XY:
135838
show subpopulations
Gnomad AFR exome
AF:
0.116
Gnomad AMR exome
AF:
0.114
Gnomad ASJ exome
AF:
0.149
Gnomad EAS exome
AF:
0.0147
Gnomad SAS exome
AF:
0.0998
Gnomad FIN exome
AF:
0.229
Gnomad NFE exome
AF:
0.181
Gnomad OTH exome
AF:
0.150
GnomAD4 exome
AF:
0.167
AC:
241357
AN:
1441772
Hom.:
21932
Cov.:
26
AF XY:
0.166
AC XY:
119198
AN XY:
718518
show subpopulations
Gnomad4 AFR exome
AF:
0.115
Gnomad4 AMR exome
AF:
0.112
Gnomad4 ASJ exome
AF:
0.149
Gnomad4 EAS exome
AF:
0.0147
Gnomad4 SAS exome
AF:
0.102
Gnomad4 FIN exome
AF:
0.230
Gnomad4 NFE exome
AF:
0.181
Gnomad4 OTH exome
AF:
0.153
GnomAD4 genome
AF:
0.147
AC:
22322
AN:
152138
Hom.:
1806
Cov.:
31
AF XY:
0.146
AC XY:
10856
AN XY:
74356
show subpopulations
Gnomad4 AFR
AF:
0.118
Gnomad4 AMR
AF:
0.100
Gnomad4 ASJ
AF:
0.144
Gnomad4 EAS
AF:
0.0193
Gnomad4 SAS
AF:
0.0932
Gnomad4 FIN
AF:
0.220
Gnomad4 NFE
AF:
0.178
Gnomad4 OTH
AF:
0.133
Alfa
AF:
0.165
Hom.:
3442
Bravo
AF:
0.137
TwinsUK
AF:
0.194
AC:
721
ALSPAC
AF:
0.172
AC:
664
ESP6500AA
AF:
0.122
AC:
539
ESP6500EA
AF:
0.177
AC:
1524
ExAC
AF:
0.149
AC:
18138
Asia WGS
AF:
0.0740
AC:
257
AN:
3478
EpiCase
AF:
0.174
EpiControl
AF:
0.168

ClinVar

Significance: Benign
Submissions summary: Benign:14
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Phytanic acid storage disease Benign:5
Sep 05, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

May 28, 2019
Mendelics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

May 31, 2018
SIB Swiss Institute of Bioinformatics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: curation

This variant is interpreted as a Benign - Stand Alone, for Refsum disease, in Autosomal Recessive manner. The following ACMG Tag(s) were applied: BA1 => Allele frequency is >5% in Exome Sequencing Project, 1000 Genomes Project, or Exome Aggregation Consortium. BS1 => Allele frequency is greater than expected for disorder. BS2 => Observed in a healthy adult individual for a recessive (homozygous), dominant (heterozygous), or X-linked (hemizygous) disorder, with full penetrance expected at an early age. -

Mar 06, 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. -

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

- -

not provided Benign:5
Sep 26, 2018
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 10767344, 25525159, 20220177, 20981092, 11555634) -

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

- -

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

- -

Oct 26, 2015
Mayo Clinic Laboratories, Mayo Clinic
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

May 01, 2000
OMIM
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: literature only

- -

not specified Benign:4
-
Genetic Services Laboratory, University of Chicago
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -

May 09, 2014
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

- -

-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.075
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.13
CADD
Benign
14
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.43
T;.;.
Eigen
Benign
-0.52
Eigen_PC
Benign
-0.50
FATHMM_MKL
Uncertain
0.88
D
LIST_S2
Benign
0.63
T;T;T
MetaRNN
Benign
0.0017
T;T;T
MetaSVM
Benign
-0.88
T
MutationAssessor
Uncertain
2.1
M;.;.
PrimateAI
Benign
0.38
T
PROVEAN
Uncertain
-2.8
D;D;D
REVEL
Uncertain
0.38
Sift
Benign
0.28
T;T;T
Sift4G
Benign
0.25
T;T;.
Polyphen
0.047
B;B;.
Vest4
0.12
MPC
0.15
ClinPred
0.012
T
GERP RS
3.3
Varity_R
0.048
gMVP
0.50

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.10
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: rs28938169; hg19: chr10-13340236; COSMIC: COSV53815382; COSMIC: COSV53815382; API