rs72558474

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_000531.6(OTC):​c.959G>A​(p.Arg320Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000183 in 1,095,032 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: not found (cov: 23)
Exomes 𝑓: 0.0000018 ( 0 hom. 0 hem. )

Consequence

OTC
NM_000531.6 missense

Scores

1
7
9

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 0.583
Variant links:
Genes affected
OTC (HGNC:8512): (ornithine transcarbamylase) This nuclear gene encodes a mitochondrial matrix enzyme. The encoded protein is involved in the urea cycle which functions to detoxify ammonia into urea for excretion. Mutations in this enzyme lead to ornithine transcarbamylase deficiency, which causes hyperammonemia. [provided by RefSeq, May 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
OTCNM_000531.6 linkuse as main transcriptc.959G>A p.Arg320Gln missense_variant 9/10 ENST00000039007.5 NP_000522.3
OTCNM_001407092.1 linkuse as main transcriptc.959G>A p.Arg320Gln missense_variant 11/12 NP_001394021.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
OTCENST00000039007.5 linkuse as main transcriptc.959G>A p.Arg320Gln missense_variant 9/101 NM_000531.6 ENSP00000039007 P1
OTCENST00000643344.1 linkuse as main transcriptc.*709G>A 3_prime_UTR_variant, NMD_transcript_variant 10/11 ENSP00000496606

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD4 exome
AF:
0.00000183
AC:
2
AN:
1095032
Hom.:
0
Cov.:
29
AF XY:
0.00
AC XY:
0
AN XY:
360460
show subpopulations
Gnomad4 AFR exome
AF:
0.0000380
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000119
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23
Bravo
AF:
0.00000378

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpApr 15, 2024- -
Ornithine carbamoyltransferase deficiency Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 19, 2022This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 320 of the OTC protein (p.Arg320Gln). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with OTC-related conditions. Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt OTC protein function. This variant disrupts the p.Arg320 amino acid residue in OTC. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 1671317, 10946359). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.094
BayesDel_addAF
Uncertain
0.15
D
BayesDel_noAF
Uncertain
-0.020
CADD
Benign
9.3
DANN
Benign
0.94
DEOGEN2
Pathogenic
0.85
D
FATHMM_MKL
Benign
0.093
N
LIST_S2
Uncertain
0.93
D
M_CAP
Uncertain
0.14
D
MetaRNN
Uncertain
0.45
T
MetaSVM
Uncertain
0.10
D
MutationAssessor
Benign
0.52
N
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.26
T
PROVEAN
Benign
-1.9
N
REVEL
Uncertain
0.55
Sift
Benign
0.10
T
Sift4G
Benign
0.28
T
Polyphen
0.21
B
Vest4
0.35
MutPred
0.66
Loss of phosphorylation at S318 (P = 0.0856);
MVP
0.97
MPC
0.43
ClinPred
0.27
T
GERP RS
0.28
Varity_R
0.24
gMVP
0.85

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.12
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: rs72558474; hg19: chrX-38271206; COSMIC: COSV50000167; API