rs761508577

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_004168.4(SDHA):​c.26G>A​(p.Arg9Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R9W) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 34)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

SDHA
NM_004168.4 missense

Scores

1
1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.58

Publications

2 publications found
Variant links:
Genes affected
SDHA (HGNC:10680): (succinate dehydrogenase complex flavoprotein subunit A) This gene encodes a major catalytic subunit of succinate-ubiquinone oxidoreductase, a complex of the mitochondrial respiratory chain. The complex is composed of four nuclear-encoded subunits and is localized in the mitochondrial inner membrane. Mutations in this gene have been associated with a form of mitochondrial respiratory chain deficiency known as Leigh Syndrome. A pseudogene has been identified on chromosome 3q29. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jun 2014]
CCDC127 (HGNC:30520): (coiled-coil domain containing 127) Predicted to be integral component of membrane. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.24356306).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004168.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SDHA
NM_004168.4
MANE Select
c.26G>Ap.Arg9Gln
missense
Exon 1 of 15NP_004159.2
SDHA
NM_001294332.2
c.26G>Ap.Arg9Gln
missense
Exon 1 of 14NP_001281261.1
SDHA
NM_001330758.2
c.26G>Ap.Arg9Gln
missense
Exon 1 of 13NP_001317687.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SDHA
ENST00000264932.11
TSL:1 MANE Select
c.26G>Ap.Arg9Gln
missense
Exon 1 of 15ENSP00000264932.6
ENSG00000286001
ENST00000651543.1
n.26G>A
non_coding_transcript_exon
Exon 1 of 24ENSP00000499215.1
SDHA
ENST00000510361.5
TSL:2
c.26G>Ap.Arg9Gln
missense
Exon 1 of 14ENSP00000427703.1

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1303480
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
643704
African (AFR)
AF:
0.00
AC:
0
AN:
26830
American (AMR)
AF:
0.00
AC:
0
AN:
24980
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
20254
East Asian (EAS)
AF:
0.00
AC:
0
AN:
31022
South Asian (SAS)
AF:
0.00
AC:
0
AN:
64986
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
33668
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3668
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1044734
Other (OTH)
AF:
0.00
AC:
0
AN:
53338
GnomAD4 genome
Cov.:
34

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Pheochromocytoma/paraganglioma syndrome 5;C5700310:Mitochondrial complex II deficiency, nuclear type 1 Uncertain:1
Oct 22, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 9 of the SDHA protein (p.Arg9Gln). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with SDHA-related conditions. ClinVar contains an entry for this variant (Variation ID: 570779). 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 SDHA protein function. 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 v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.22
BayesDel_addAF
Benign
-0.072
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
16
DANN
Benign
0.91
DEOGEN2
Benign
0.25
T
Eigen
Benign
-0.81
Eigen_PC
Benign
-0.86
FATHMM_MKL
Benign
0.059
N
LIST_S2
Benign
0.78
T
M_CAP
Pathogenic
0.52
D
MetaRNN
Benign
0.24
T
MetaSVM
Benign
-0.90
T
MutationAssessor
Benign
0.55
N
PhyloP100
1.6
PrimateAI
Uncertain
0.67
T
PROVEAN
Benign
-0.27
N
REVEL
Benign
0.066
Sift
Benign
0.034
D
Sift4G
Benign
0.17
T
Polyphen
0.020
B
Vest4
0.35
MutPred
0.60
Loss of methylation at R9 (P = 0.0231)
MVP
0.56
MPC
1.1
ClinPred
0.32
T
GERP RS
2.8
PromoterAI
-0.067
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.2
Varity_R
0.089
gMVP
0.79
Mutation Taster
=91/9
polymorphism

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: rs761508577; hg19: chr5-218496; API