rs782647894

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 0P and 3B. BP4_ModerateBS2_Supporting

The NM_000190.4(HMBS):​c.29C>A​(p.Thr10Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000548 in 1,460,502 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T10M) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.0000055 ( 0 hom. )

Consequence

HMBS
NM_000190.4 missense

Scores

3
3
11

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.870

Publications

2 publications found
Variant links:
Genes affected
HMBS (HGNC:4982): (hydroxymethylbilane synthase) This gene encodes a member of the hydroxymethylbilane synthase superfamily. The encoded protein is the third enzyme of the heme biosynthetic pathway and catalyzes the head to tail condensation of four porphobilinogen molecules into the linear hydroxymethylbilane. Mutations in this gene are associated with the autosomal dominant disease acute intermittent porphyria. Alternatively spliced transcript variants encoding different isoforms have been described. [provided by RefSeq, Jul 2008]
HMBS Gene-Disease associations (from GenCC):
  • acute intermittent porphyria
    Inheritance: AD, SD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), ClinGen, Genomics England PanelApp

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ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.15013316).
BS2
High AC in GnomAdExome4 at 8 SD,AD gene. Variant has AC lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000190.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HMBS
NM_000190.4
MANE Select
c.29C>Ap.Thr10Lys
missense
Exon 1 of 14NP_000181.2
HMBS
NM_001425056.1
c.29C>Ap.Thr10Lys
missense
Exon 1 of 14NP_001411985.1
HMBS
NM_001425057.1
c.29C>Ap.Thr10Lys
missense
Exon 1 of 14NP_001411986.1A0A3F2YNY7

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HMBS
ENST00000652429.1
MANE Select
c.29C>Ap.Thr10Lys
missense
Exon 1 of 14ENSP00000498786.1P08397-1
HMBS
ENST00000545621.5
TSL:1
n.29C>A
non_coding_transcript_exon
Exon 1 of 10ENSP00000444849.1F5H4X2
HMBS
ENST00000545901.5
TSL:1
n.182C>A
non_coding_transcript_exon
Exon 1 of 3

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD2 exomes
AF:
0.00000800
AC:
2
AN:
249914
AF XY:
0.0000147
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:
0.0000178
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000548
AC:
8
AN:
1460502
Hom.:
0
Cov.:
43
AF XY:
0.00000826
AC XY:
6
AN XY:
726560
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33474
American (AMR)
AF:
0.00
AC:
0
AN:
44700
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26114
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39598
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86250
European-Finnish (FIN)
AF:
0.0000949
AC:
5
AN:
52692
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5758
European-Non Finnish (NFE)
AF:
9.00e-7
AC:
1
AN:
1111568
Other (OTH)
AF:
0.0000331
AC:
2
AN:
60348
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.450
Heterozygous variant carriers
0
1
2
3
4
5
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
Cov.:
31
ExAC
AF:
0.0000247
AC:
3

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Pathogenic
0.17
D
BayesDel_noAF
Uncertain
0.0
CADD
Benign
19
DANN
Uncertain
0.98
DEOGEN2
Benign
0.41
T
Eigen
Benign
-0.59
Eigen_PC
Benign
-0.50
FATHMM_MKL
Benign
0.44
N
M_CAP
Pathogenic
0.53
D
MetaRNN
Benign
0.15
T
MetaSVM
Pathogenic
1.3
D
MutationAssessor
Benign
1.5
L
PhyloP100
0.87
PrimateAI
Benign
0.37
T
PROVEAN
Benign
-0.86
N
REVEL
Uncertain
0.38
Sift
Benign
0.23
T
Sift4G
Benign
0.39
T
Polyphen
0.026
B
Vest4
0.22
MutPred
0.28
Gain of ubiquitination at T10 (P = 0.0037)
MVP
0.56
MPC
0.45
ClinPred
0.43
T
GERP RS
5.0
PromoterAI
-0.033
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.20
Mutation Taster
=96/4
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs782647894; hg19: chr11-118955772; API