rs776679653

Variant summary

Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM2PP2PP3_ModeratePP5

The NM_030940.4(ISCA1):​c.259G>A​(p.Glu87Lys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000995 in 1,607,686 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000010 ( 0 hom. )

Consequence

ISCA1
NM_030940.4 missense

Scores

5
8
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:3U:1O:1

Conservation

PhyloP100: 7.57

Publications

13 publications found
Variant links:
Genes affected
ISCA1 (HGNC:28660): (iron-sulfur cluster assembly 1) ISCA1 is a mitochondrial protein involved in the biogenesis and assembly of iron-sulfur clusters, which play a role in electron-transfer reactions (Cozar-Castellano et al., 2004 [PubMed 15262227]).[supplied by OMIM, Mar 2008]
ISCA1 Gene-Disease associations (from GenCC):
  • multiple mitochondrial dysfunctions syndrome 5
    Inheritance: AR Classification: STRONG, LIMITED Submitted by: Ambry Genetics, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 1 curated pathogenic missense variants (we use a threshold of 10). The gene has 0 curated benign missense variants. Gene score misZ: 0.78379 (below the threshold of 3.09). Trascript score misZ: 0.56687 (below the threshold of 3.09). GenCC associations: The gene is linked to multiple mitochondrial dysfunctions syndrome 5.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.844
PP5
Variant 9-86266174-C-T is Pathogenic according to our data. Variant chr9-86266174-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 375415.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_030940.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ISCA1
NM_030940.4
MANE Select
c.259G>Ap.Glu87Lys
missense
Exon 4 of 4NP_112202.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ISCA1
ENST00000375991.9
TSL:1 MANE Select
c.259G>Ap.Glu87Lys
missense
Exon 4 of 4ENSP00000365159.4Q9BUE6-1
ISCA1
ENST00000637705.1
TSL:5
c.196G>Ap.Glu66Lys
missense
Exon 4 of 4ENSP00000489740.1A0A1B0GTK6
ISCA1
ENST00000311534.6
TSL:2
c.-36G>A
5_prime_UTR
Exon 4 of 4ENSP00000339003.4Q5TBE2

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152170
Hom.:
0
Cov.:
32
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:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000416
AC:
1
AN:
240416
AF XY:
0.00000770
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000103
AC:
15
AN:
1455516
Hom.:
0
Cov.:
31
AF XY:
0.0000152
AC XY:
11
AN XY:
723626
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33068
American (AMR)
AF:
0.00
AC:
0
AN:
43300
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25832
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39658
South Asian (SAS)
AF:
0.0000236
AC:
2
AN:
84690
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53350
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5722
European-Non Finnish (NFE)
AF:
0.0000108
AC:
12
AN:
1109798
Other (OTH)
AF:
0.0000166
AC:
1
AN:
60098
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.442
Heterozygous variant carriers
0
1
3
4
6
7
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:
0.00000657
AC:
1
AN:
152170
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74344
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41438
American (AMR)
AF:
0.00
AC:
0
AN:
15284
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5198
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10604
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68036
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

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:
0.00
Hom.:
0
ExAC
AF:
0.00000824
AC:
1

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
2
1
-
Multiple mitochondrial dysfunctions syndrome 5 (4)
1
-
-
Fatal multiple mitochondrial dysfunctions syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.93
BayesDel_addAF
Pathogenic
0.17
D
BayesDel_noAF
Uncertain
0.12
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.57
D
Eigen
Uncertain
0.44
Eigen_PC
Uncertain
0.56
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Uncertain
0.90
D
M_CAP
Benign
0.0089
T
MetaRNN
Pathogenic
0.84
D
MetaSVM
Benign
-0.74
T
MutationAssessor
Benign
1.5
L
PhyloP100
7.6
PrimateAI
Pathogenic
0.87
D
PROVEAN
Uncertain
-3.0
D
REVEL
Uncertain
0.34
Sift
Benign
0.033
D
Sift4G
Benign
0.080
T
Polyphen
0.62
P
Vest4
0.61
MutPred
0.76
Gain of MoRF binding (P = 0.0235)
MVP
0.30
MPC
0.92
ClinPred
0.92
D
GERP RS
5.7
Varity_R
0.56
gMVP
0.87
Mutation Taster
=160/140
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.17
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: rs776679653; hg19: chr9-88881089; API