rs35719359

Variant summary

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

The NM_000282.4(PCCA):​c.1423A>G​(p.Ile475Val) variant causes a missense change. The variant allele was found at a frequency of 0.047 in 1,609,050 control chromosomes in the GnomAD database, including 2,159 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.040 ( 192 hom., cov: 32)
Exomes 𝑓: 0.048 ( 1967 hom. )

Consequence

PCCA
NM_000282.4 missense

Scores

8
10

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: 5.09
Variant links:
Genes affected
PCCA (HGNC:8653): (propionyl-CoA carboxylase subunit alpha) The protein encoded by this gene is the alpha subunit of the heterodimeric mitochondrial enzyme Propionyl-CoA carboxylase. PCCA encodes the biotin-binding region of this enzyme. Mutations in either PCCA or PCCB (encoding the beta subunit) lead to an enzyme deficiency resulting in propionic acidemia. Multiple transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, May 2010]

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=0.015204549).
BP6
Variant 13-100309902-A-G is Benign according to our data. Variant chr13-100309902-A-G is described in ClinVar as [Likely_benign]. Clinvar id is 92761.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr13-100309902-A-G is described in Lovd as [Likely_benign]. Variant chr13-100309902-A-G is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.0547 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PCCANM_000282.4 linkc.1423A>G p.Ile475Val missense_variant Exon 16 of 24 ENST00000376285.6 NP_000273.2 P05165-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PCCAENST00000376285.6 linkc.1423A>G p.Ile475Val missense_variant Exon 16 of 24 1 NM_000282.4 ENSP00000365462.1 P05165-1

Frequencies

GnomAD3 genomes
AF:
0.0396
AC:
6025
AN:
152118
Hom.:
192
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0101
Gnomad AMI
AF:
0.0559
Gnomad AMR
AF:
0.0234
Gnomad ASJ
AF:
0.0332
Gnomad EAS
AF:
0.000385
Gnomad SAS
AF:
0.0116
Gnomad FIN
AF:
0.106
Gnomad MID
AF:
0.0190
Gnomad NFE
AF:
0.0561
Gnomad OTH
AF:
0.0349
GnomAD3 exomes
AF:
0.0422
AC:
10605
AN:
251340
Hom.:
343
AF XY:
0.0428
AC XY:
5820
AN XY:
135852
show subpopulations
Gnomad AFR exome
AF:
0.00917
Gnomad AMR exome
AF:
0.0180
Gnomad ASJ exome
AF:
0.0373
Gnomad EAS exome
AF:
0.000381
Gnomad SAS exome
AF:
0.0109
Gnomad FIN exome
AF:
0.103
Gnomad NFE exome
AF:
0.0581
Gnomad OTH exome
AF:
0.0471
GnomAD4 exome
AF:
0.0478
AC:
69625
AN:
1456814
Hom.:
1967
Cov.:
28
AF XY:
0.0468
AC XY:
33936
AN XY:
725130
show subpopulations
Gnomad4 AFR exome
AF:
0.00853
Gnomad4 AMR exome
AF:
0.0193
Gnomad4 ASJ exome
AF:
0.0382
Gnomad4 EAS exome
AF:
0.000202
Gnomad4 SAS exome
AF:
0.0111
Gnomad4 FIN exome
AF:
0.0979
Gnomad4 NFE exome
AF:
0.0530
Gnomad4 OTH exome
AF:
0.0423
GnomAD4 genome
AF:
0.0396
AC:
6023
AN:
152236
Hom.:
192
Cov.:
32
AF XY:
0.0412
AC XY:
3068
AN XY:
74434
show subpopulations
Gnomad4 AFR
AF:
0.0101
Gnomad4 AMR
AF:
0.0233
Gnomad4 ASJ
AF:
0.0332
Gnomad4 EAS
AF:
0.000386
Gnomad4 SAS
AF:
0.0116
Gnomad4 FIN
AF:
0.106
Gnomad4 NFE
AF:
0.0561
Gnomad4 OTH
AF:
0.0346
Alfa
AF:
0.0496
Hom.:
368
Bravo
AF:
0.0329
TwinsUK
AF:
0.0604
AC:
224
ALSPAC
AF:
0.0475
AC:
183
ESP6500AA
AF:
0.00999
AC:
44
ESP6500EA
AF:
0.0506
AC:
435
ExAC
AF:
0.0425
AC:
5159
Asia WGS
AF:
0.0150
AC:
52
AN:
3478
EpiCase
AF:
0.0503
EpiControl
AF:
0.0491

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:12
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Propionic acidemia Benign:6
-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

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. -

Oct 26, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

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

- -

Oct 09, 2014
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Likely 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

- -

not specified Benign:4
Mar 29, 2018
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant summary: PCCA c.1423A>G (p.Ile475Val) results in a conservative amino acid change located in the Biotin carboxylase, C-terminal domain of the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 0.043 in 277082 control chromosomes in the gnomAD database and literature, including 391 homozygotes. The observed variant frequency is approximately 12.53 fold of the estimated maximal expected allele frequency for a pathogenic variant in PCCA causing Propionic Acidemia phenotype (0.0034), strongly suggesting that the variant is benign. This variant has been reported in the literature in homozygous individuals affected with Propionic Acidemia but was also found in controls in the same study (Richard_1999). This report does not provide unequivocal conclusions about an association of the variant with Propionic Acidemia. Three clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation and classified the variant as benign (x2) and likely benign (x1). Based on the evidence outlined above, the variant was classified as benign. -

Sep 14, 2012
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Dec 01, 2015
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: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:2
-
Clinical Genetics, Academic Medical Center
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

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

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.32
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.58
.;.;D
Eigen
Uncertain
0.20
Eigen_PC
Uncertain
0.29
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.96
D;D;D
MetaRNN
Benign
0.015
T;T;T
MetaSVM
Benign
-0.56
T
MutationAssessor
Benign
0.98
.;L;L
PrimateAI
Uncertain
0.57
T
PROVEAN
Benign
-0.86
N;N;N
REVEL
Uncertain
0.40
Sift
Benign
0.33
T;T;T
Sift4G
Benign
0.36
T;T;T
Polyphen
0.66
P;.;P
Vest4
0.21
MPC
0.22
ClinPred
0.017
T
GERP RS
4.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.13
gMVP
0.70

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs35719359; hg19: chr13-100962156; COSMIC: COSV66192387; API