rs6535454

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_001358921.2(COQ2):​c.744T>C​(p.Asp248Asp) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.719 in 1,598,806 control chromosomes in the GnomAD database, including 415,024 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.75 ( 42874 hom., cov: 32)
Exomes 𝑓: 0.72 ( 372150 hom. )

Consequence

COQ2
NM_001358921.2 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 1.24
Variant links:
Genes affected
COQ2 (HGNC:25223): (coenzyme Q2, polyprenyltransferase) This gene encodes an enzyme that functions in the final steps in the biosynthesis of CoQ (ubiquinone), a redox carrier in the mitochondrial respiratory chain and a lipid-soluble antioxidant. This enzyme, which is part of the coenzyme Q10 pathway, catalyzes the prenylation of parahydroxybenzoate with an all-trans polyprenyl group. Mutations in this gene cause coenzyme Q10 deficiency, a mitochondrial encephalomyopathy, and also COQ2 nephropathy, an inherited form of mitochondriopathy with primary renal involvement. [provided by RefSeq, Oct 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.53).
BP6
Variant 4-83269878-A-G is Benign according to our data. Variant chr4-83269878-A-G is described in ClinVar as [Benign]. Clinvar id is 128829.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr4-83269878-A-G is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=1.24 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.831 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COQ2NM_001358921.2 linkc.744T>C p.Asp248Asp synonymous_variant Exon 5 of 7 ENST00000647002.2 NP_001345850.1
COQ2NM_015697.9 linkc.894T>C p.Asp298Asp synonymous_variant Exon 5 of 7 NP_056512.5 Q96H96-4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COQ2ENST00000647002.2 linkc.744T>C p.Asp248Asp synonymous_variant Exon 5 of 7 NM_001358921.2 ENSP00000495761.2 Q96H96-1

Frequencies

GnomAD3 genomes
AF:
0.749
AC:
113854
AN:
152024
Hom.:
42844
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.805
Gnomad AMI
AF:
0.772
Gnomad AMR
AF:
0.717
Gnomad ASJ
AF:
0.684
Gnomad EAS
AF:
0.852
Gnomad SAS
AF:
0.742
Gnomad FIN
AF:
0.809
Gnomad MID
AF:
0.699
Gnomad NFE
AF:
0.709
Gnomad OTH
AF:
0.738
GnomAD3 exomes
AF:
0.735
AC:
177117
AN:
240834
Hom.:
65446
AF XY:
0.735
AC XY:
96265
AN XY:
131044
show subpopulations
Gnomad AFR exome
AF:
0.817
Gnomad AMR exome
AF:
0.700
Gnomad ASJ exome
AF:
0.680
Gnomad EAS exome
AF:
0.847
Gnomad SAS exome
AF:
0.743
Gnomad FIN exome
AF:
0.794
Gnomad NFE exome
AF:
0.710
Gnomad OTH exome
AF:
0.719
GnomAD4 exome
AF:
0.716
AC:
1035979
AN:
1446664
Hom.:
372150
Cov.:
32
AF XY:
0.718
AC XY:
516508
AN XY:
719836
show subpopulations
Gnomad4 AFR exome
AF:
0.814
Gnomad4 AMR exome
AF:
0.697
Gnomad4 ASJ exome
AF:
0.679
Gnomad4 EAS exome
AF:
0.840
Gnomad4 SAS exome
AF:
0.746
Gnomad4 FIN exome
AF:
0.793
Gnomad4 NFE exome
AF:
0.704
Gnomad4 OTH exome
AF:
0.724
GnomAD4 genome
AF:
0.749
AC:
113936
AN:
152142
Hom.:
42874
Cov.:
32
AF XY:
0.754
AC XY:
56071
AN XY:
74382
show subpopulations
Gnomad4 AFR
AF:
0.804
Gnomad4 AMR
AF:
0.717
Gnomad4 ASJ
AF:
0.684
Gnomad4 EAS
AF:
0.852
Gnomad4 SAS
AF:
0.741
Gnomad4 FIN
AF:
0.809
Gnomad4 NFE
AF:
0.709
Gnomad4 OTH
AF:
0.738
Alfa
AF:
0.718
Hom.:
24335
Bravo
AF:
0.744
Asia WGS
AF:
0.809
AC:
2817
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
-
Clinical Genetics, Academic Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Genetic Services Laboratory, University of Chicago
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -

Jul 15, 2024
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is classified as Benign based on local population frequency. This variant was detected in 95% of patients studied in a panel designed for Epileptic and Developmental Encephalopathy and Progressive Myoclonus Epilepsy. Number of patients: 88. Only high quality variants are reported. -

Jul 01, 2011
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: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Genome Diagnostics Laboratory, Amsterdam University Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

not provided Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Feb 11, 2016
Mayo Clinic Laboratories, Mayo Clinic
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

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

- -

Coenzyme Q10 deficiency, primary, 1 Benign:2
-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Jul 30, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.53
CADD
Benign
7.0
DANN
Benign
0.36

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs6535454; hg19: chr4-84191031; API