rs727504010

Variant summary

Our verdict is Pathogenic. The variant received 16 ACMG points: 16P and 0B. PVS1PP5_Very_Strong

The NM_022132.5(MCCC2):​c.994C>T​(p.Arg332*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000236 in 1,613,586 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000025 ( 0 hom. )

Consequence

MCCC2
NM_022132.5 stop_gained

Scores

3
3
1

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:7

Conservation

PhyloP100: 2.81

Publications

3 publications found
Variant links:
Genes affected
MCCC2 (HGNC:6937): (methylcrotonyl-CoA carboxylase subunit 2) This gene encodes the small subunit of 3-methylcrotonyl-CoA carboxylase. This enzyme functions as a heterodimer and catalyzes the carboxylation of 3-methylcrotonyl-CoA to form 3-methylglutaconyl-CoA. Mutations in this gene are associated with 3-Methylcrotonylglycinuria, an autosomal recessive disorder of leucine catabolism. Alternative splicing results in multiple transcript variants encoding distinct isoforms. [provided by RefSeq, May 2018]
MCCC2 Gene-Disease associations (from GenCC):
  • 3-methylcrotonyl-CoA carboxylase 2 deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics
  • 3-methylcrotonyl-CoA carboxylase deficiency
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 16 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PP5
Variant 5-71635241-C-T is Pathogenic according to our data. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-71635241-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 167279.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MCCC2NM_022132.5 linkc.994C>T p.Arg332* stop_gained Exon 10 of 17 ENST00000340941.11 NP_071415.1 Q9HCC0-1A0A140VK29

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MCCC2ENST00000340941.11 linkc.994C>T p.Arg332* stop_gained Exon 10 of 17 1 NM_022132.5 ENSP00000343657.6 Q9HCC0-1

Frequencies

GnomAD3 genomes
AF:
0.00000658
AC:
1
AN:
152072
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000517
AC:
13
AN:
251452
AF XY:
0.0000736
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000264
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000253
AC:
37
AN:
1461514
Hom.:
0
Cov.:
32
AF XY:
0.0000316
AC XY:
23
AN XY:
727064
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33468
American (AMR)
AF:
0.00
AC:
0
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26130
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39684
South Asian (SAS)
AF:
0.000278
AC:
24
AN:
86242
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53414
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5766
European-Non Finnish (NFE)
AF:
0.0000108
AC:
12
AN:
1111708
Other (OTH)
AF:
0.0000166
AC:
1
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.464
Heterozygous variant carriers
0
2
4
7
9
11
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00000658
AC:
1
AN:
152072
Hom.:
0
Cov.:
33
AF XY:
0.0000135
AC XY:
1
AN XY:
74276
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41416
American (AMR)
AF:
0.00
AC:
0
AN:
15256
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5194
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4816
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10592
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
68012
Other (OTH)
AF:
0.00
AC:
0
AN:
2088
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.625
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00000465
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.0000741
AC:
9
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

3-methylcrotonyl-CoA carboxylase 2 deficiency Pathogenic:6
May 13, 2020
Natera, Inc.
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jan 24, 2023
Neuberg Centre For Genomic Medicine, NCGM
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Dysmorphism: Short stature, triangular facies, blue sclera, hypospadias, ambiguous genitalia Clinical suspicion: Noonan syndrome/Atypical RS Genes of interest: DPH1/TMEM94 -

Jun 20, 2022
Revvity Omics, Revvity
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 03, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change creates a premature translational stop signal (p.Arg332*) in the MCCC2 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in MCCC2 are known to be pathogenic (PMID: 11181649, 22642865). This variant is present in population databases (rs727504010, gnomAD 0.03%). This premature translational stop signal has been observed in individual(s) with 3MCC deficiency (PMID: 16010683). ClinVar contains an entry for this variant (Variation ID: 167279). For these reasons, this variant has been classified as Pathogenic. -

Mar 26, 2024
Baylor Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 31, 2024
Fulgent Genetics, Fulgent Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Pathogenic:1
Jan 21, 2014
Eurofins Ntd Llc (ga)
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.41
D
BayesDel_noAF
Pathogenic
0.62
CADD
Pathogenic
41
DANN
Uncertain
1.0
Eigen
Pathogenic
0.75
Eigen_PC
Uncertain
0.62
FATHMM_MKL
Uncertain
0.89
D
PhyloP100
2.8
Vest4
0.38
GERP RS
5.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Mutation Taster
=0/200
disease causing (ClinVar)

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

Other links and lift over

dbSNP: rs727504010; hg19: chr5-70931068; API