rs774459114

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_StrongBP6_Moderate

The NM_002693.3(POLG):​c.29C>T​(p.Ala10Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000117 in 1,535,982 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★). Synonymous variant affecting the same amino acid position (i.e. A10A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00032 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000095 ( 0 hom. )

Consequence

POLG
NM_002693.3 missense

Scores

2
4
13

Clinical Significance

Likely benign criteria provided, single submitter B:2

Conservation

PhyloP100: 0.223

Publications

5 publications found
Variant links:
Genes affected
POLG (HGNC:9179): (DNA polymerase gamma, catalytic subunit) Mitochondrial DNA polymerase is heterotrimeric, consisting of a homodimer of accessory subunits plus a catalytic subunit. The protein encoded by this gene is the catalytic subunit of mitochondrial DNA polymerase. The encoded protein contains a polyglutamine tract near its N-terminus that may be polymorphic. Defects in this gene are a cause of progressive external ophthalmoplegia with mitochondrial DNA deletions 1 (PEOA1), sensory ataxic neuropathy dysarthria and ophthalmoparesis (SANDO), Alpers-Huttenlocher syndrome (AHS), and mitochondrial neurogastrointestinal encephalopathy syndrome (MNGIE). Two transcript variants encoding the same protein have been found for this gene. [provided by RefSeq, Jul 2008]
POLGARF (HGNC:56246): (POLG alternative reading frame) This gene uses the same transcript as the POLG gene but has a CUG start codon and an alternate reading frame that makes a 260 aa protein. This protein is distinct from POLG isoforms and may interact with P32 (also known as C1QBP), a mitochondrial matrix protein thought to be involved in the expression of mitochondrial genome-encoded proteins. POLGARF protein may bind P32 and sequester it in the nucleolus. Interestingly, some disease-causing mutations thought to be in POLG may instead be associated with POLGARF. [provided by RefSeq, May 2022]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.046337098).
BP6
Variant 15-89333726-G-A is Benign according to our data. Variant chr15-89333726-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 458708.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
POLGNM_002693.3 linkc.29C>T p.Ala10Val missense_variant Exon 2 of 23 ENST00000268124.11 NP_002684.1
POLGARFNM_001430120.1 linkc.84C>T p.Gly28Gly synonymous_variant Exon 1 of 2 ENST00000706918.1 NP_001417049.1
POLGNM_001126131.2 linkc.29C>T p.Ala10Val missense_variant Exon 2 of 23 NP_001119603.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
POLGENST00000268124.11 linkc.29C>T p.Ala10Val missense_variant Exon 2 of 23 1 NM_002693.3 ENSP00000268124.5
POLGARFENST00000706918.1 linkc.84C>T p.Gly28Gly synonymous_variant Exon 1 of 2 NM_001430120.1 ENSP00000516626.1

Frequencies

GnomAD3 genomes
AF:
0.000315
AC:
48
AN:
152222
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:
0.00358
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000107
AC:
14
AN:
130834
AF XY:
0.0000838
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:
0.00235
Gnomad NFE exome
AF:
0.0000202
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000954
AC:
132
AN:
1383644
Hom.:
0
Cov.:
32
AF XY:
0.000111
AC XY:
76
AN XY:
682914
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31606
American (AMR)
AF:
0.00
AC:
0
AN:
35728
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25144
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35750
South Asian (SAS)
AF:
0.00
AC:
0
AN:
79422
European-Finnish (FIN)
AF:
0.00264
AC:
89
AN:
33740
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5644
European-Non Finnish (NFE)
AF:
0.0000371
AC:
40
AN:
1078754
Other (OTH)
AF:
0.0000519
AC:
3
AN:
57856
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
10
20
31
41
51
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:
0.000315
AC:
48
AN:
152338
Hom.:
0
Cov.:
33
AF XY:
0.000403
AC XY:
30
AN XY:
74486
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41586
American (AMR)
AF:
0.00
AC:
0
AN:
15310
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5178
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00358
AC:
38
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000147
AC:
10
AN:
68020
Other (OTH)
AF:
0.00
AC:
0
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
3
5
8
10
13
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.000218
Hom.:
0
Bravo
AF:
0.0000189
ExAC
AF:
0.000158
AC:
12

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

POLG-related disorder Benign:1
Sep 11, 2024
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Progressive sclerosing poliodystrophy Benign:1
Dec 16, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.20
CADD
Benign
21
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.26
T;T
Eigen
Benign
0.031
Eigen_PC
Benign
0.087
FATHMM_MKL
Benign
0.48
N
LIST_S2
Benign
0.82
.;T
M_CAP
Uncertain
0.21
D
MetaRNN
Benign
0.046
T;T
MetaSVM
Uncertain
-0.17
T
MutationAssessor
Benign
0.97
L;L
PhyloP100
0.22
PrimateAI
Uncertain
0.63
T
PROVEAN
Benign
-0.12
N;N
REVEL
Benign
0.27
Sift
Pathogenic
0.0
D;D
Sift4G
Uncertain
0.042
D;D
Polyphen
0.76
P;P
Vest4
0.27
MutPred
0.19
Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);
MVP
0.83
MPC
0.35
ClinPred
0.18
T
GERP RS
4.8
PromoterAI
0.020
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.35
gMVP
0.34
Mutation Taster
=98/2
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: rs774459114; hg19: chr15-89876957; API