rs771740634

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BS2

The NM_000240.4(MAOA):​c.402G>A​(p.Met134Ile) variant causes a missense change. The variant allele was found at a frequency of 0.00000513 in 1,168,470 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. 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. M134V) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.0000038 ( 0 hom. 2 hem. )

Consequence

MAOA
NM_000240.4 missense

Scores

3
13
1

Clinical Significance

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

Conservation

PhyloP100: 4.87

Publications

0 publications found
Variant links:
Genes affected
MAOA (HGNC:6833): (monoamine oxidase A) This gene is one of two neighboring gene family members that encode mitochondrial enzymes which catalyze the oxidative deamination of amines, such as dopamine, norepinephrine, and serotonin. Mutation of this gene results in Brunner syndrome. This gene has also been associated with a variety of other psychiatric disorders, including antisocial behavior. Alternatively spliced transcript variants encoding multiple isoforms have been observed. [provided by RefSeq, Jul 2012]
MAOA Gene-Disease associations (from GenCC):
  • Brunner syndrome
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, ClinGen, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

BS2
High Hemizygotes in GnomAdExome4 at 2 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MAOANM_000240.4 linkc.402G>A p.Met134Ile missense_variant Exon 4 of 15 ENST00000338702.4 NP_000231.1 P21397-1Q53YE7Q49A63
MAOANM_001270458.2 linkc.3G>A p.Met1? start_lost Exon 5 of 16 NP_001257387.1 P21397-2Q49A63

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MAOAENST00000338702.4 linkc.402G>A p.Met134Ile missense_variant Exon 4 of 15 1 NM_000240.4 ENSP00000340684.3 P21397-1

Frequencies

GnomAD3 genomes
AF:
0.0000179
AC:
2
AN:
111573
Hom.:
0
Cov.:
23
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:
0.0000376
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000109
AC:
2
AN:
183090
AF XY:
0.0000148
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:
0.0000245
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000378
AC:
4
AN:
1056897
Hom.:
0
Cov.:
26
AF XY:
0.00000613
AC XY:
2
AN XY:
326109
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
25458
American (AMR)
AF:
0.00
AC:
0
AN:
35158
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19128
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30067
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53223
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40462
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4020
European-Non Finnish (NFE)
AF:
0.00000497
AC:
4
AN:
804627
Other (OTH)
AF:
0.00
AC:
0
AN:
44754
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
0
1
1
2
2
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:
0.0000179
AC:
2
AN:
111573
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
33757
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30645
American (AMR)
AF:
0.00
AC:
0
AN:
10434
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2637
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3579
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2643
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6068
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
239
European-Non Finnish (NFE)
AF:
0.0000376
AC:
2
AN:
53150
Other (OTH)
AF:
0.00
AC:
0
AN:
1497
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
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:
0.00
Hom.:
0
Bravo
AF:
0.0000189
ExAC
AF:
0.0000165
AC:
2
EpiCase
AF:
0.00
EpiControl
AF:
0.000119

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Aug 20, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.402G>A (p.M134I) alteration is located in exon 4 (coding exon 4) of the MAOA gene. This alteration results from a G to A substitution at nucleotide position 402, causing the methionine (M) at amino acid position 134 to be replaced by an isoleucine (I). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Brunner syndrome Uncertain:1
Jun 20, 2018
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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. Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be tolerated, but these predictions have not been confirmed by published functional studies and their clinical significance is uncertain. This variant has not been reported in the literature in individuals with MAOA-related disease. This variant is present in population databases (rs771740634, ExAC 0.004%). This sequence change replaces methionine with isoleucine at codon 134 of the MAOA protein (p.Met134Ile). The methionine residue is moderately conserved and there is a small physicochemical difference between methionine and isoleucine. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.55
BayesDel_addAF
Pathogenic
0.20
D
BayesDel_noAF
Uncertain
0.10
CADD
Uncertain
23
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.78
.;D
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.90
D;D
M_CAP
Pathogenic
0.29
D
MetaRNN
Uncertain
0.63
D;T
MetaSVM
Uncertain
0.49
D
MutationAssessor
Uncertain
2.2
.;M
PhyloP100
4.9
PrimateAI
Uncertain
0.56
T
PROVEAN
Uncertain
-2.7
D;D
REVEL
Uncertain
0.43
Sift
Uncertain
0.0080
D;D
Sift4G
Uncertain
0.018
D;D
Polyphen
0.60
.;P
Vest4
0.70
MutPred
0.64
.;Loss of disorder (P = 0.1186);
MVP
0.94
MPC
1.1
ClinPred
0.63
D
GERP RS
5.5
Varity_R
0.87
gMVP
0.86
Mutation Taster
=20/180
disease causing

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: rs771740634; hg19: chrX-43571214; API