rs77940364

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_152783.5(D2HGDH):​c.164G>A​(p.Arg55Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.298 in 1,589,620 control chromosomes in the GnomAD database, including 72,410 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R55P) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.27 ( 6006 hom., cov: 35)
Exomes 𝑓: 0.30 ( 66404 hom. )

Consequence

D2HGDH
NM_152783.5 missense

Scores

1
16

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -0.906

Publications

25 publications found
Variant links:
Genes affected
D2HGDH (HGNC:28358): (D-2-hydroxyglutarate dehydrogenase) This gene encodes D-2hydroxyglutarate dehydrogenase, a mitochondrial enzyme belonging to the FAD-binding oxidoreductase/transferase type 4 family. This enzyme, which is most active in liver and kidney but also active in heart and brain, converts D-2-hydroxyglutarate to 2-ketoglutarate. Mutations in this gene are present in D-2-hydroxyglutaric aciduria, a rare recessive neurometabolic disorder causing developmental delay, epilepsy, hypotonia, and dysmorphic features. [provided by RefSeq, Jul 2008]
D2HGDH Gene-Disease associations (from GenCC):
  • mitochondrial disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • D-2-hydroxyglutaric aciduria 1
    Inheritance: AR Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • D-2-hydroxyglutaric aciduria
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0021398067).
BP6
Variant 2-241735388-G-A is Benign according to our data. Variant chr2-241735388-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 158414.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.316 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_152783.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
D2HGDH
NM_152783.5
MANE Select
c.164G>Ap.Arg55Gln
missense
Exon 2 of 10NP_689996.4
D2HGDH
NM_001352824.2
c.-381G>A
5_prime_UTR
Exon 2 of 10NP_001339753.1
D2HGDH
NM_001287249.2
c.-111+693G>A
intron
N/ANP_001274178.1B5MCV2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
D2HGDH
ENST00000321264.9
TSL:1 MANE Select
c.164G>Ap.Arg55Gln
missense
Exon 2 of 10ENSP00000315351.4Q8N465-1
D2HGDH
ENST00000436747.5
TSL:1
n.164G>A
non_coding_transcript_exon
Exon 2 of 12ENSP00000400212.1F8WCF9
D2HGDH
ENST00000951632.1
c.164G>Ap.Arg55Gln
missense
Exon 2 of 12ENSP00000621691.1

Frequencies

GnomAD3 genomes
AF:
0.273
AC:
41593
AN:
152144
Hom.:
6005
Cov.:
35
show subpopulations
Gnomad AFR
AF:
0.207
Gnomad AMI
AF:
0.444
Gnomad AMR
AF:
0.229
Gnomad ASJ
AF:
0.382
Gnomad EAS
AF:
0.152
Gnomad SAS
AF:
0.298
Gnomad FIN
AF:
0.298
Gnomad MID
AF:
0.316
Gnomad NFE
AF:
0.320
Gnomad OTH
AF:
0.273
GnomAD2 exomes
AF:
0.278
AC:
55268
AN:
198738
AF XY:
0.286
show subpopulations
Gnomad AFR exome
AF:
0.203
Gnomad AMR exome
AF:
0.197
Gnomad ASJ exome
AF:
0.374
Gnomad EAS exome
AF:
0.155
Gnomad FIN exome
AF:
0.283
Gnomad NFE exome
AF:
0.319
Gnomad OTH exome
AF:
0.293
GnomAD4 exome
AF:
0.300
AC:
431924
AN:
1437358
Hom.:
66404
Cov.:
43
AF XY:
0.302
AC XY:
215402
AN XY:
713498
show subpopulations
African (AFR)
AF:
0.198
AC:
6615
AN:
33342
American (AMR)
AF:
0.198
AC:
7885
AN:
39842
Ashkenazi Jewish (ASJ)
AF:
0.377
AC:
9676
AN:
25646
East Asian (EAS)
AF:
0.162
AC:
6302
AN:
38874
South Asian (SAS)
AF:
0.297
AC:
24808
AN:
83654
European-Finnish (FIN)
AF:
0.294
AC:
13884
AN:
47152
Middle Eastern (MID)
AF:
0.346
AC:
1974
AN:
5704
European-Non Finnish (NFE)
AF:
0.311
AC:
343221
AN:
1103526
Other (OTH)
AF:
0.295
AC:
17559
AN:
59618
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
20236
40472
60709
80945
101181
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
11078
22156
33234
44312
55390
<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:
0.273
AC:
41597
AN:
152262
Hom.:
6006
Cov.:
35
AF XY:
0.271
AC XY:
20205
AN XY:
74442
show subpopulations
African (AFR)
AF:
0.206
AC:
8578
AN:
41570
American (AMR)
AF:
0.229
AC:
3499
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.382
AC:
1327
AN:
3472
East Asian (EAS)
AF:
0.151
AC:
781
AN:
5172
South Asian (SAS)
AF:
0.298
AC:
1437
AN:
4826
European-Finnish (FIN)
AF:
0.298
AC:
3163
AN:
10604
Middle Eastern (MID)
AF:
0.313
AC:
92
AN:
294
European-Non Finnish (NFE)
AF:
0.320
AC:
21739
AN:
67992
Other (OTH)
AF:
0.273
AC:
578
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.494
Heterozygous variant carriers
0
1593
3186
4780
6373
7966
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
428
856
1284
1712
2140
<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:
0.307
Hom.:
11160
Bravo
AF:
0.261
TwinsUK
AF:
0.316
AC:
1172
ALSPAC
AF:
0.300
AC:
1158
ESP6500AA
AF:
0.192
AC:
788
ESP6500EA
AF:
0.313
AC:
2638
ExAC
AF:
0.258
AC:
30457
Asia WGS
AF:
0.214
AC:
745
AN:
3478

ClinVar

ClinVar submissions
Significance:Benign/Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
3
D-2-hydroxyglutaric aciduria 1 (3)
-
-
3
not provided (3)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.062
BayesDel_addAF
Benign
-0.64
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
5.2
DANN
Benign
0.97
DEOGEN2
Benign
0.043
T
Eigen
Benign
-1.3
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.56
T
MetaRNN
Benign
0.0021
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
-0.86
N
PhyloP100
-0.91
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-0.090
N
REVEL
Benign
0.14
Sift
Benign
0.64
T
Sift4G
Benign
0.57
T
Polyphen
0.032
B
Vest4
0.032
MPC
0.43
ClinPred
0.0048
T
GERP RS
-6.4
Varity_R
0.036
gMVP
0.48
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.13
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: rs77940364; hg19: chr2-242674803; COSMIC: COSV58319692; API