rs35462421

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 1P and 20B. PP3BP4_StrongBP6_Very_StrongBS1BS2

The NM_004544.4(NDUFA10):​c.712G>A​(p.Glu238Lys) variant causes a missense change. The variant allele was found at a frequency of 0.00635 in 1,613,638 control chromosomes in the GnomAD database, including 48 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0057 ( 3 hom., cov: 32)
Exomes 𝑓: 0.0064 ( 45 hom. )

Consequence

NDUFA10
NM_004544.4 missense

Scores

10
5
2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: 6.52
Variant links:
Genes affected
NDUFA10 (HGNC:7684): (NADH:ubiquinone oxidoreductase subunit A10) The protein encoded by this gene is a component of 42 kDa complex I, the first enzyme complex in the electron transport chain of mitochondria. This protein has NADH dehydrogenase activity and oxidoreductase activity. It transfers electrons from NADH to the respiratory chain. A mutation in this gene was found in an individual with Leigh syndrome. [provided by RefSeq, Apr 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

PP3
Multiple lines of computational evidence support a deleterious effect 8: AlphaMissense, BayesDel_addAF, BayesDel_noAF, Cadd, Dann, Eigen, MutationAssessor, REVEL [when max_spliceai, FATHMM_MKL, MetaRNN, MutationTaster was below the threshold]
BP4
Computational evidence support a benign effect (MetaRNN=0.016113639).
BP6
Variant 2-240011654-C-T is Benign according to our data. Variant chr2-240011654-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 138437.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.0057 (868/152294) while in subpopulation AMR AF= 0.00941 (144/15300). AF 95% confidence interval is 0.00838. There are 3 homozygotes in gnomad4. There are 397 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 3 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NDUFA10NM_004544.4 linkuse as main transcriptc.712G>A p.Glu238Lys missense_variant 6/10 ENST00000252711.7 NP_004535.1 O95299-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NDUFA10ENST00000252711.7 linkuse as main transcriptc.712G>A p.Glu238Lys missense_variant 6/101 NM_004544.4 ENSP00000252711.2 O95299-1

Frequencies

GnomAD3 genomes
AF:
0.00570
AC:
868
AN:
152176
Hom.:
3
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00128
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00942
Gnomad ASJ
AF:
0.00461
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00455
Gnomad FIN
AF:
0.000283
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.00895
Gnomad OTH
AF:
0.00861
GnomAD3 exomes
AF:
0.00579
AC:
1456
AN:
251482
Hom.:
7
AF XY:
0.00601
AC XY:
817
AN XY:
135908
show subpopulations
Gnomad AFR exome
AF:
0.000738
Gnomad AMR exome
AF:
0.00893
Gnomad ASJ exome
AF:
0.00526
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.00402
Gnomad FIN exome
AF:
0.000878
Gnomad NFE exome
AF:
0.00777
Gnomad OTH exome
AF:
0.00896
GnomAD4 exome
AF:
0.00642
AC:
9384
AN:
1461344
Hom.:
45
Cov.:
30
AF XY:
0.00644
AC XY:
4684
AN XY:
727014
show subpopulations
Gnomad4 AFR exome
AF:
0.000687
Gnomad4 AMR exome
AF:
0.00890
Gnomad4 ASJ exome
AF:
0.00490
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00422
Gnomad4 FIN exome
AF:
0.00125
Gnomad4 NFE exome
AF:
0.00711
Gnomad4 OTH exome
AF:
0.00750
GnomAD4 genome
AF:
0.00570
AC:
868
AN:
152294
Hom.:
3
Cov.:
32
AF XY:
0.00533
AC XY:
397
AN XY:
74462
show subpopulations
Gnomad4 AFR
AF:
0.00127
Gnomad4 AMR
AF:
0.00941
Gnomad4 ASJ
AF:
0.00461
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00456
Gnomad4 FIN
AF:
0.000283
Gnomad4 NFE
AF:
0.00897
Gnomad4 OTH
AF:
0.00852
Alfa
AF:
0.00783
Hom.:
6
Bravo
AF:
0.00639
TwinsUK
AF:
0.00674
AC:
25
ALSPAC
AF:
0.00752
AC:
29
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00802
AC:
69
ExAC
AF:
0.00535
AC:
650
Asia WGS
AF:
0.00231
AC:
8
AN:
3478
EpiCase
AF:
0.0104
EpiControl
AF:
0.00936

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenNov 01, 2024NDUFA10: BS2 -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Likely benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsMay 11, 2017- -
Leigh syndrome Benign:3
Benign, no assertion criteria providedclinical testingDepartment of Pathology and Laboratory Medicine, Sinai Health System-The NDUFA10 p.E238K variant was not identified in the literature but was identified in dbSNP (ID: rs35462421) and ClinVar (classified as likely benign by Invitae and three other laboratories; and as benign by GeneDx and Illumina). The variant was identified in control databases in 1601 of 282886 chromosomes (7 homozygous) at a frequency of 0.005660, and was observed at the highest frequency in the European (non-Finnish) population in 1009 of 129192 chromosomes (5 homozygous) (freq: 0.007810) (Genome Aggregation Database March 6, 2019, v2.1.1). The p.E238 residue is conserved in mammals and computational analyses (MUT Assesor, PolyPhen-2, SIFT, MutationTaster, Revel, FATHMM, MetaLR, DANN) suggest that the variant may impact the protein; however this is not predictive enough to assume pathogenicity. The variant occurs outside of the splicing consensus sequence and in silico or computational prediction software programs (Splice AI exome) do not predict a difference in splicing. In summary, based on the above information this variant meets our laboratory's criteria to be classified as benign. -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -
Likely benign, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxApr 07, 2014This 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. -
Mitochondrial complex 1 deficiency, nuclear type 22 Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsFeb 07, 2022- -
Mitochondrial complex I deficiency, nuclear type 1 Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.66
BayesDel_addAF
Pathogenic
0.20
D
BayesDel_noAF
Pathogenic
0.52
CADD
Pathogenic
28
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.64
.;D;.;.;.;.
Eigen
Pathogenic
0.78
Eigen_PC
Pathogenic
0.69
FATHMM_MKL
Uncertain
0.96
D
MetaRNN
Benign
0.015
T;T;T;T;T;T
MetaSVM
Pathogenic
0.91
D
MutationAssessor
Pathogenic
3.3
.;M;.;.;.;.
PrimateAI
Uncertain
0.50
T
PROVEAN
Uncertain
-3.4
D;D;D;.;D;D
REVEL
Pathogenic
0.94
Sift
Uncertain
0.0040
D;D;D;.;D;D
Sift4G
Pathogenic
0.0
D;D;D;D;D;D
Polyphen
1.0
.;D;.;.;.;.
Vest4
0.85, 0.84, 0.85, 0.81
MVP
1.0
MPC
0.68
ClinPred
0.032
T
GERP RS
4.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.85
gMVP
0.69

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: rs35462421; hg19: chr2-240951071; API