rs796052053

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 3P and 1B. PM5PP5BP4

The NM_003849.4(SUCLG1):​c.40A>T​(p.Met14Leu) variant causes a missense change. The variant allele was found at a frequency of 0.00000858 in 1,398,350 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. M14V) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000086 ( 0 hom. )

Consequence

SUCLG1
NM_003849.4 missense

Scores

2
6
11

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:3

Conservation

PhyloP100: 3.93

Publications

6 publications found
Variant links:
Genes affected
SUCLG1 (HGNC:11449): (succinate-CoA ligase GDP/ADP-forming subunit alpha) This gene encodes the alpha subunit of the heterodimeric enzyme succinate coenzyme A ligase. This enzyme is targeted to the mitochondria and catalyzes the conversion of succinyl CoA and ADP or GDP to succinate and ATP or GTP. Mutations in this gene are the cause of the metabolic disorder fatal infantile lactic acidosis and mitochondrial DNA depletion. [provided by RefSeq, Feb 2010]
SUCLG1 Gene-Disease associations (from GenCC):
  • mitochondrial DNA depletion syndrome 9
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, G2P
  • Leigh syndrome
    Inheritance: AR Classification: MODERATE Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM5
Other missense variant is known to change same aminoacid residue: Variant chr2-84459230-T-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 203978.
PP5
Variant 2-84459230-T-A is Pathogenic according to our data. Variant chr2-84459230-T-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 561158.
BP4
Computational evidence support a benign effect (MetaRNN=0.35133097). . Strength limited to SUPPORTING due to the PP5.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SUCLG1NM_003849.4 linkc.40A>T p.Met14Leu missense_variant Exon 1 of 9 ENST00000393868.7 NP_003840.2 P53597

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SUCLG1ENST00000393868.7 linkc.40A>T p.Met14Leu missense_variant Exon 1 of 9 1 NM_003849.4 ENSP00000377446.2 P53597

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.0000586
AC:
9
AN:
153666
AF XY:
0.0000491
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000364
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:
0.00000858
AC:
12
AN:
1398350
Hom.:
0
Cov.:
31
AF XY:
0.00000725
AC XY:
5
AN XY:
689700
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31592
American (AMR)
AF:
0.000308
AC:
11
AN:
35700
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25170
East Asian (EAS)
AF:
0.0000280
AC:
1
AN:
35730
South Asian (SAS)
AF:
0.00
AC:
0
AN:
79222
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
48442
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5698
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1078814
Other (OTH)
AF:
0.00
AC:
0
AN:
57982
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.446
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
Cov.:
32
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Mitochondrial DNA depletion syndrome 9 Pathogenic:3
Sep 01, 2017
Baylor Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant has been previously reported as disease-causing and was found once in our laboratory with a missense variant [Q212R - phase not determined, but mother carried M14L and not Q212R] in a 7-year-old female with bilateral hearing loss and congenital chorea. Heterozygotes for this variant are expected to be asymptomatic carriers. -

Jun 25, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces methionine, which is neutral and non-polar, with leucine, which is neutral and non-polar, at codon 14 of the SUCLG1 protein (p.Met14Leu). This variant is present in population databases (no rsID available, gnomAD 0.04%). This missense change has been observed in individual(s) with mitochondrial DNA depletion syndrome and/or SUCLG1-related conditions (PMID: 20453710, 27484306; Invitae). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. ClinVar contains an entry for this variant (Variation ID: 561158). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) has been performed at Invitae for this missense variant, however the output from this modeling did not meet the statistical confidence thresholds required to predict the impact of this variant on SUCLG1 protein function. Studies have shown that this missense change alters SUCLG1 gene expression (PMID: 27484306). This variant disrupts the p.Met14 amino acid residue in SUCLG1. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 21639866, 29217198, 35094435). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. For these reasons, this variant has been classified as Pathogenic. -

Jul 31, 2023
3billion
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The variant is observed at an extremely low frequency in the gnomAD v2.1.1 dataset (total allele frequency: 0.006%). Predicted Consequence/Location: Missense variant Functional studies provide strong evidence of the variant having a damaging effect on the gene or gene product (PMID: 27484306). Same nucleotide change resulting in same amino acid change has been previously reported to be associated with SUCLG1-related disorder (PMID: 20453710). A different missense change at the same codon (p.Met14Thr) has been reported to be associated with SUCLG1-related disorder (ClinVar ID: VCV000632366 /PMID: 21639866). Therefore, this variant is classified as Likely pathogenic according to the recommendation of ACMG/AMP guideline. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Uncertain
0.15
D
BayesDel_noAF
Pathogenic
0.29
CADD
Benign
22
DANN
Benign
0.92
DEOGEN2
Benign
0.17
T
Eigen
Benign
-0.19
Eigen_PC
Benign
-0.052
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Benign
0.49
T
M_CAP
Pathogenic
0.52
D
MetaRNN
Benign
0.35
T
MetaSVM
Uncertain
-0.20
T
MutationAssessor
Uncertain
2.0
M
PhyloP100
3.9
PrimateAI
Uncertain
0.75
T
PROVEAN
Benign
-0.020
N
REVEL
Uncertain
0.54
Sift
Benign
0.59
T
Sift4G
Benign
1.0
T
Polyphen
0.17
B
Vest4
0.43
MutPred
0.34
Loss of catalytic residue at M14 (P = 0.0699);
MVP
0.77
MPC
0.038
ClinPred
0.37
T
GERP RS
5.2
PromoterAI
-0.26
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.55
gMVP
0.76
Mutation Taster
=34/66
disease causing (ClinVar)

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: rs796052053; hg19: chr2-84686354; API