rs59866108

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_001713.3(BHMT):​c.595G>A​(p.Gly199Ser) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00749 in 1,614,174 control chromosomes in the GnomAD database, including 67 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0055 ( 4 hom., cov: 31)
Exomes 𝑓: 0.0077 ( 63 hom. )

Consequence

BHMT
NM_001713.3 missense

Scores

1
8
10

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 9.60

Publications

12 publications found
Variant links:
Genes affected
BHMT (HGNC:1047): (betaine--homocysteine S-methyltransferase) This gene encodes a cytosolic enzyme that catalyzes the conversion of betaine and homocysteine to dimethylglycine and methionine, respectively. Defects in this gene could lead to hyperhomocyst(e)inemia, but such a defect has not yet been observed. [provided by RefSeq, Jul 2008]
DMGDH (HGNC:24475): (dimethylglycine dehydrogenase) This gene encodes an enzyme involved in the catabolism of choline, catalyzing the oxidative demethylation of dimethylglycine to form sarcosine. The enzyme is found as a monomer in the mitochondrial matrix, and uses flavin adenine dinucleotide and folate as cofactors. Mutation in this gene causes dimethylglycine dehydrogenase deficiency, characterized by a fishlike body odor, chronic muscle fatigue, and elevated levels of the muscle form of creatine kinase in serum. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2013]
DMGDH Gene-Disease associations (from GenCC):
  • dimethylglycine dehydrogenase deficiency
    Inheritance: AR Classification: SUPPORTIVE, LIMITED Submitted by: ClinGen, Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.01422286).
BP6
Variant 5-79121335-G-A is Benign according to our data. Variant chr5-79121335-G-A is described in ClinVar as Benign. ClinVar VariationId is 774306.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAd4 at 4 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
BHMTNM_001713.3 linkc.595G>A p.Gly199Ser missense_variant Exon 5 of 8 ENST00000274353.10 NP_001704.2 Q93088V9HWA4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
BHMTENST00000274353.10 linkc.595G>A p.Gly199Ser missense_variant Exon 5 of 8 1 NM_001713.3 ENSP00000274353.5 Q93088

Frequencies

GnomAD3 genomes
AF:
0.00551
AC:
838
AN:
152214
Hom.:
4
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00147
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00628
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00207
Gnomad FIN
AF:
0.00575
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00879
Gnomad OTH
AF:
0.00478
GnomAD2 exomes
AF:
0.00476
AC:
1196
AN:
251424
AF XY:
0.00460
show subpopulations
Gnomad AFR exome
AF:
0.00203
Gnomad AMR exome
AF:
0.00220
Gnomad ASJ exome
AF:
0.000298
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00531
Gnomad NFE exome
AF:
0.00788
Gnomad OTH exome
AF:
0.00358
GnomAD4 exome
AF:
0.00770
AC:
11258
AN:
1461842
Hom.:
63
Cov.:
33
AF XY:
0.00756
AC XY:
5497
AN XY:
727224
show subpopulations
African (AFR)
AF:
0.00179
AC:
60
AN:
33478
American (AMR)
AF:
0.00217
AC:
97
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.000191
AC:
5
AN:
26134
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39700
South Asian (SAS)
AF:
0.00177
AC:
153
AN:
86254
European-Finnish (FIN)
AF:
0.00580
AC:
310
AN:
53418
Middle Eastern (MID)
AF:
0.00347
AC:
20
AN:
5768
European-Non Finnish (NFE)
AF:
0.00923
AC:
10265
AN:
1111972
Other (OTH)
AF:
0.00575
AC:
347
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.453
Heterozygous variant carriers
0
652
1304
1957
2609
3261
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
362
724
1086
1448
1810
<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:
0.00551
AC:
839
AN:
152332
Hom.:
4
Cov.:
31
AF XY:
0.00530
AC XY:
395
AN XY:
74494
show subpopulations
African (AFR)
AF:
0.00147
AC:
61
AN:
41580
American (AMR)
AF:
0.00627
AC:
96
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.000288
AC:
1
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.00207
AC:
10
AN:
4828
European-Finnish (FIN)
AF:
0.00575
AC:
61
AN:
10616
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.00881
AC:
599
AN:
68026
Other (OTH)
AF:
0.00473
AC:
10
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
Heterozygous variant carriers
0
41
82
123
164
205
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00704
Hom.:
25
Bravo
AF:
0.00503
TwinsUK
AF:
0.00701
AC:
26
ALSPAC
AF:
0.0104
AC:
40
ESP6500AA
AF:
0.00136
AC:
6
ESP6500EA
AF:
0.00756
AC:
65
ExAC
AF:
0.00440
AC:
534
Asia WGS
AF:
0.00115
AC:
4
AN:
3478
EpiCase
AF:
0.00796
EpiControl
AF:
0.00812

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Jun 16, 2018
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.15
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.24
T
Eigen
Uncertain
0.59
Eigen_PC
Uncertain
0.57
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.95
D
M_CAP
Benign
0.021
T
MetaRNN
Benign
0.014
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Uncertain
2.0
M
PhyloP100
9.6
PrimateAI
Uncertain
0.57
T
PROVEAN
Uncertain
-3.1
D
REVEL
Benign
0.29
Sift
Benign
0.050
D
Sift4G
Uncertain
0.058
T
Polyphen
0.98
D
Vest4
0.81
MVP
0.48
MPC
0.16
ClinPred
0.064
T
GERP RS
5.3
Varity_R
0.71
gMVP
0.81
Mutation Taster
=30/70
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.14
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: rs59866108; hg19: chr5-78417158; API