rs36033115

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_000374.5(UROD):​c.758T>A​(p.Leu253Gln) variant causes a missense change. The variant allele was found at a frequency of 0.00576 in 1,614,198 control chromosomes in the GnomAD database, including 36 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0052 ( 5 hom., cov: 33)
Exomes 𝑓: 0.0058 ( 31 hom. )

Consequence

UROD
NM_000374.5 missense

Scores

7
11

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:2

Conservation

PhyloP100: 3.89
Variant links:
Genes affected
UROD (HGNC:12591): (uroporphyrinogen decarboxylase) This gene encodes an enzyme in the heme biosynthetic pathway. This enzyme is responsible for catalyzing the conversion of uroporphyrinogen to coproporphyrinogen through the removal of four carboxymethyl side chains. Mutations and deficiency in this enzyme are known to cause familial porphyria cutanea tarda and hepatoerythropoetic porphyria.[provided by RefSeq, Aug 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0076975226).
BP6
Variant 1-45014560-T-A is Benign according to our data. Variant chr1-45014560-T-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 297463.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1, Benign=1}. Variant chr1-45014560-T-A is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00519 (790/152328) while in subpopulation NFE AF= 0.00623 (424/68028). AF 95% confidence interval is 0.00574. There are 5 homozygotes in gnomad4. There are 449 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 5 SD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
URODNM_000374.5 linkuse as main transcriptc.758T>A p.Leu253Gln missense_variant 7/10 ENST00000246337.9 NP_000365.3 P06132

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
URODENST00000246337.9 linkuse as main transcriptc.758T>A p.Leu253Gln missense_variant 7/101 NM_000374.5 ENSP00000246337.4 P06132

Frequencies

GnomAD3 genomes
AF:
0.00519
AC:
790
AN:
152210
Hom.:
5
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00111
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000785
Gnomad ASJ
AF:
0.00231
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00124
Gnomad FIN
AF:
0.0268
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00623
Gnomad OTH
AF:
0.00430
GnomAD3 exomes
AF:
0.00580
AC:
1458
AN:
251286
Hom.:
3
AF XY:
0.00573
AC XY:
778
AN XY:
135816
show subpopulations
Gnomad AFR exome
AF:
0.000616
Gnomad AMR exome
AF:
0.00119
Gnomad ASJ exome
AF:
0.00357
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000653
Gnomad FIN exome
AF:
0.0239
Gnomad NFE exome
AF:
0.00709
Gnomad OTH exome
AF:
0.00472
GnomAD4 exome
AF:
0.00582
AC:
8502
AN:
1461870
Hom.:
31
Cov.:
34
AF XY:
0.00571
AC XY:
4149
AN XY:
727234
show subpopulations
Gnomad4 AFR exome
AF:
0.000657
Gnomad4 AMR exome
AF:
0.00134
Gnomad4 ASJ exome
AF:
0.00386
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000962
Gnomad4 FIN exome
AF:
0.0230
Gnomad4 NFE exome
AF:
0.00603
Gnomad4 OTH exome
AF:
0.00482
GnomAD4 genome
AF:
0.00519
AC:
790
AN:
152328
Hom.:
5
Cov.:
33
AF XY:
0.00603
AC XY:
449
AN XY:
74498
show subpopulations
Gnomad4 AFR
AF:
0.00111
Gnomad4 AMR
AF:
0.000784
Gnomad4 ASJ
AF:
0.00231
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00124
Gnomad4 FIN
AF:
0.0268
Gnomad4 NFE
AF:
0.00623
Gnomad4 OTH
AF:
0.00426
Alfa
AF:
0.00544
Hom.:
1
Bravo
AF:
0.00325
TwinsUK
AF:
0.00539
AC:
20
ALSPAC
AF:
0.00493
AC:
19
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00814
AC:
70
ExAC
AF:
0.00583
AC:
708
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00578
EpiControl
AF:
0.00634

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Familial porphyria cutanea tarda Uncertain:1Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaMar 06, 2018This 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 likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -
Uncertain significance, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 25, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Uncertain
-0.020
CADD
Uncertain
25
DANN
Benign
0.94
DEOGEN2
Uncertain
0.75
D;T
Eigen
Benign
-0.048
Eigen_PC
Benign
0.13
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Uncertain
0.94
D;D
MetaRNN
Benign
0.0077
T;T
MetaSVM
Uncertain
0.10
D
MutationAssessor
Uncertain
2.3
M;.
PrimateAI
Benign
0.46
T
PROVEAN
Benign
-1.7
N;.
REVEL
Uncertain
0.51
Sift
Benign
0.056
T;.
Sift4G
Benign
0.51
T;.
Polyphen
0.057
B;.
Vest4
0.72
MVP
0.96
MPC
0.44
ClinPred
0.016
T
GERP RS
5.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.46
gMVP
0.79

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs36033115; hg19: chr1-45480232; COSMIC: COSV99870567; COSMIC: COSV99870567; API