rs34885143

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 1P and 10B. PP2BP4_StrongBP6BS1BS2_Supporting

The NM_001370658.1(BTD):​c.73G>A​(p.Gly25Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0136 in 1,614,134 control chromosomes in the GnomAD database, including 169 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.010 ( 13 hom., cov: 32)
Exomes 𝑓: 0.014 ( 156 hom. )

Consequence

BTD
NM_001370658.1 missense

Scores

1
1
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:10

Conservation

PhyloP100: -0.0140

Publications

11 publications found
Variant links:
Genes affected
BTD (HGNC:1122): (biotinidase) The protein encoded by this gene functions to recycle protein-bound biotin by cleaving biocytin (biotin-epsilon-lysine), a normal product of carboxylase degradation, resulting in regeneration of free biotin. The encoded protein has also been shown to have biotinyl transferase activity. Mutations in this gene are associated with biotinidase deficiency. Multiple transcript variants encoding different isoforms have been described. [provided by RefSeq, Aug 2013]
BTD Gene-Disease associations (from GenCC):
  • biotinidase deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Myriad Women’s Health, ClinGen, Orphanet, Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
  • Leigh syndrome
    Inheritance: AR Classification: MODERATE Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 88 curated pathogenic missense variants (we use a threshold of 10). The gene has 9 curated benign missense variants. Gene score misZ: -0.52516 (below the threshold of 3.09). Trascript score misZ: 0.15371 (below the threshold of 3.09). GenCC associations: The gene is linked to Leigh syndrome, biotinidase deficiency.
BP4
Computational evidence support a benign effect (MetaRNN=0.005297005).
BP6
Variant 3-15635512-G-A is Benign according to our data. Variant chr3-15635512-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 24973.
BS1
Variant frequency is greater than expected in population nfe. GnomAdExome4 allele frequency = 0.014 (20455/1461890) while in subpopulation NFE AF = 0.0161 (17863/1112008). AF 95% confidence interval is 0.0159. There are 156 homozygotes in GnomAdExome4. There are 9951 alleles in the male GnomAdExome4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 13 AR geneVariant has number of homozygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
BTDNM_001370658.1 linkc.73G>A p.Gly25Arg missense_variant Exon 2 of 4 ENST00000643237.3 NP_001357587.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
BTDENST00000643237.3 linkc.73G>A p.Gly25Arg missense_variant Exon 2 of 4 NM_001370658.1 ENSP00000495254.2 P43251-4

Frequencies

GnomAD3 genomes
AF:
0.0101
AC:
1534
AN:
152126
Hom.:
13
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00234
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.00439
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00310
Gnomad FIN
AF:
0.0274
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.0155
Gnomad OTH
AF:
0.00431
GnomAD2 exomes
AF:
0.0102
AC:
2560
AN:
251422
AF XY:
0.0101
show subpopulations
Gnomad AFR exome
AF:
0.00240
Gnomad AMR exome
AF:
0.00353
Gnomad ASJ exome
AF:
0.000496
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.0240
Gnomad NFE exome
AF:
0.0148
Gnomad OTH exome
AF:
0.0108
GnomAD4 exome
AF:
0.0140
AC:
20455
AN:
1461890
Hom.:
156
Cov.:
32
AF XY:
0.0137
AC XY:
9951
AN XY:
727244
show subpopulations
African (AFR)
AF:
0.00206
AC:
69
AN:
33480
American (AMR)
AF:
0.00373
AC:
167
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.000306
AC:
8
AN:
26136
East Asian (EAS)
AF:
0.0000756
AC:
3
AN:
39700
South Asian (SAS)
AF:
0.00435
AC:
375
AN:
86258
European-Finnish (FIN)
AF:
0.0246
AC:
1316
AN:
53420
Middle Eastern (MID)
AF:
0.00260
AC:
15
AN:
5768
European-Non Finnish (NFE)
AF:
0.0161
AC:
17863
AN:
1112008
Other (OTH)
AF:
0.0106
AC:
639
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.483
Heterozygous variant carriers
0
1314
2628
3943
5257
6571
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
664
1328
1992
2656
3320
<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:
0.0101
AC:
1535
AN:
152244
Hom.:
13
Cov.:
32
AF XY:
0.00997
AC XY:
742
AN XY:
74442
show subpopulations
African (AFR)
AF:
0.00233
AC:
97
AN:
41550
American (AMR)
AF:
0.00438
AC:
67
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.000387
AC:
2
AN:
5172
South Asian (SAS)
AF:
0.00311
AC:
15
AN:
4828
European-Finnish (FIN)
AF:
0.0274
AC:
291
AN:
10604
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.0155
AC:
1052
AN:
68008
Other (OTH)
AF:
0.00426
AC:
9
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
74
149
223
298
372
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:
0.0135
Hom.:
50
Bravo
AF:
0.00868
TwinsUK
AF:
0.0135
AC:
50
ALSPAC
AF:
0.0148
AC:
57
ESP6500AA
AF:
0.00182
AC:
8
ESP6500EA
AF:
0.0159
AC:
137
ExAC
AF:
0.00995
AC:
1208
Asia WGS
AF:
0.00260
AC:
9
AN:
3478
EpiCase
AF:
0.0134
EpiControl
AF:
0.0122

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:10
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Biotinidase deficiency Uncertain:1Benign:5
Jun 23, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Dec 01, 2022
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:research

- -

Apr 01, 2020
Elsea Laboratory, Baylor College of Medicine
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 04, 2023
Molecular Genetics, Royal Melbourne Hospital
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

European Non-Finnish population allele frequency is 1.469% (rs34885143, 1052/69016 alleles, 11 homozygotes in gnomAD v3.1). Based on the classification scheme RMH Modified ACMG/AMP Guidelines v1.4.0, this variant is classified as BENIGN. Following criteria are met: BA1 -

May 18, 2021
Genome-Nilou Lab
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Uncertain:1Benign:3
Apr 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

BTD: BP4, BS1, BS2 -

Nov 21, 2020
Quest Diagnostics Nichols Institute San Juan Capistrano
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 03, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 26361991, 12359137, 27329734, 25087612, 21228398, 10400129, 15060693, 15776412, 11668630, 26810761, 16150625, 26990548, 27657684, 31664448) -

May 04, 2017
Eurofins Ntd Llc (ga)
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Uncertain:1Benign:1
Feb 08, 2016
Genetic Services Laboratory, University of Chicago
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 18, 2022
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

BTD-related disorder Benign:1
Jan 03, 2024
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.076
BayesDel_addAF
Benign
-0.26
T
BayesDel_noAF
Benign
-0.13
CADD
Benign
1.6
DANN
Benign
0.81
DEOGEN2
Benign
0.26
.;.;T;.;.;.;.;T;.;.
Eigen
Benign
-1.3
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.60
.;T;T;.;T;.;T;T;T;T
MetaRNN
Benign
0.0053
T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.40
T
MutationAssessor
Benign
0.69
.;.;N;.;.;.;.;.;.;.
PhyloP100
-0.014
PrimateAI
Benign
0.22
T
PROVEAN
Pathogenic
-5.0
D;N;.;.;.;.;N;N;N;.
REVEL
Uncertain
0.43
Sift
Benign
0.11
T;T;.;.;.;.;T;T;T;.
Sift4G
Benign
0.43
T;T;.;.;.;.;T;T;T;.
Polyphen
0.0010
.;.;B;.;.;.;.;.;.;.
Vest4
0.15, 0.15, 0.16
MutPred
0.74
.;.;Gain of phosphorylation at S48 (P = 0.0901);.;Gain of phosphorylation at S48 (P = 0.0901);.;.;.;.;.;
MPC
0.084
ClinPred
0.013
T
GERP RS
-0.69
PromoterAI
0.015
Neutral
Varity_R
0.032
gMVP
0.36
Mutation Taster
=81/19
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: rs34885143; hg19: chr3-15677019; COSMIC: COSV108147139; COSMIC: COSV108147139; API