rs34702224

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_172250.3(MMAA):​c.138T>C​(p.Ser46Ser) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00251 in 1,614,202 control chromosomes in the GnomAD database, including 71 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.011 ( 29 hom., cov: 33)
Exomes 𝑓: 0.0016 ( 42 hom. )

Consequence

MMAA
NM_172250.3 synonymous

Scores

2

Clinical Significance

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

Conservation

PhyloP100: 0.00300
Variant links:
Genes affected
MMAA (HGNC:18871): (metabolism of cobalamin associated A) The protein encoded by this gene is involved in the translocation of cobalamin into the mitochondrion, where it is used in the final steps of adenosylcobalamin synthesis. Adenosylcobalamin is a coenzyme required for the activity of methylmalonyl-CoA mutase. Defects in this gene are a cause of methylmalonic aciduria. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.85).
BP6
Variant 4-145639277-T-C is Benign according to our data. Variant chr4-145639277-T-C is described in ClinVar as [Benign]. Clinvar id is 262806.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.003 with no splicing effect.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0113 (1716/152322) while in subpopulation AFR AF= 0.0381 (1585/41574). AF 95% confidence interval is 0.0366. There are 29 homozygotes in gnomad4. There are 778 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 29 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MMAANM_172250.3 linkc.138T>C p.Ser46Ser synonymous_variant Exon 2 of 7 ENST00000649156.2 NP_758454.1 Q8IVH4
MMAANM_001375644.1 linkc.138T>C p.Ser46Ser synonymous_variant Exon 2 of 7 NP_001362573.1
MMAAXM_011531684.4 linkc.138T>C p.Ser46Ser synonymous_variant Exon 2 of 7 XP_011529986.1 Q8IVH4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MMAAENST00000649156.2 linkc.138T>C p.Ser46Ser synonymous_variant Exon 2 of 7 NM_172250.3 ENSP00000497008.1 Q8IVH4

Frequencies

GnomAD3 genomes
AF:
0.0113
AC:
1715
AN:
152204
Hom.:
29
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0382
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00373
Gnomad ASJ
AF:
0.00692
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0190
Gnomad NFE
AF:
0.000353
Gnomad OTH
AF:
0.00957
GnomAD3 exomes
AF:
0.00318
AC:
800
AN:
251452
Hom.:
9
AF XY:
0.00249
AC XY:
339
AN XY:
135898
show subpopulations
Gnomad AFR exome
AF:
0.0354
Gnomad AMR exome
AF:
0.00231
Gnomad ASJ exome
AF:
0.00853
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000163
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000352
Gnomad OTH exome
AF:
0.00228
GnomAD4 exome
AF:
0.00159
AC:
2330
AN:
1461880
Hom.:
42
Cov.:
32
AF XY:
0.00150
AC XY:
1090
AN XY:
727240
show subpopulations
Gnomad4 AFR exome
AF:
0.0440
Gnomad4 AMR exome
AF:
0.00275
Gnomad4 ASJ exome
AF:
0.00758
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.000151
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000263
Gnomad4 OTH exome
AF:
0.00339
GnomAD4 genome
AF:
0.0113
AC:
1716
AN:
152322
Hom.:
29
Cov.:
33
AF XY:
0.0104
AC XY:
778
AN XY:
74500
show subpopulations
Gnomad4 AFR
AF:
0.0381
Gnomad4 AMR
AF:
0.00373
Gnomad4 ASJ
AF:
0.00692
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000353
Gnomad4 OTH
AF:
0.00947
Alfa
AF:
0.00607
Hom.:
14
Bravo
AF:
0.0125
Asia WGS
AF:
0.00173
AC:
6
AN:
3478
EpiCase
AF:
0.000491
EpiControl
AF:
0.000474

ClinVar

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

Submissions by phenotype

Methylmalonic aciduria, cblA type Benign:3
Jan 21, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Sep 16, 2020
Natera, Inc.
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

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. -

not specified Benign:2
Mar 30, 2016
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
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
-0.85
CADD
Benign
4.8
DANN
Benign
0.63

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: rs34702224; hg19: chr4-146560429; API