ClinVar Miner

Submissions for variant NM_002437.5(MPV17):c.149G>A (p.Arg50Gln)

gnomAD frequency: 0.00003  dbSNP: rs121909721
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Total submissions: 8
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Athena Diagnostics Inc RCV000712314 SCV000842780 pathogenic not provided 2022-02-09 criteria provided, single submitter clinical testing The frequency of this variant in the general population is consistent with pathogenicity (http://gnomad.broadinstitute.org). This variant segregates with disease in multiple families. Computational tools predict that this variant is damaging.
Eurofins Ntd Llc (ga) RCV000712314 SCV000862602 pathogenic not provided 2018-07-24 criteria provided, single submitter clinical testing
Invitae RCV000712314 SCV001202706 pathogenic not provided 2024-01-18 criteria provided, single submitter clinical testing This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 50 of the MPV17 protein (p.Arg50Gln). This variant is present in population databases (rs121909721, gnomAD 0.003%). This missense change has been observed in individuals with mitochondrial DNA depletion syndrome or Navajo neurohepatopathy (PMID: 16582910, 16909392, 28209105). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 16160). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be disruptive. Experimental studies have shown that this missense change affects MPV17 function (PMID: 16582910, 30833296). For these reasons, this variant has been classified as Pathogenic.
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV002509162 SCV002819528 pathogenic Mitochondrial DNA depletion syndrome 2022-12-14 criteria provided, single submitter clinical testing Variant summary: MPV17 c.149G>A (p.Arg50Gln) results in a conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 1.2e-05 in 251478 control chromosomes (gnomAD). c.149G>A has been reported in the literature in multiple homozygous individuals affected with Mitochondrial DNA Depletion Syndrome (MPV17 Related disorder) and the variant segregated with the disease (examples: Spinazzola_2006 and Karadimas_2006). These data indicate that the variant is very likely to be associated with disease. At least one publication reports experimental evidence suggesting that the R50Q mutation causes protein instability and decay (Karadimas_2006). Four clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 and all classified the variant as pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic.
Baylor Genetics RCV003466861 SCV004193739 pathogenic Charcot-Marie-Tooth disease, axonal, type 2EE 2023-09-26 criteria provided, single submitter clinical testing
OMIM RCV000017543 SCV000037815 pathogenic Mitochondrial DNA depletion syndrome 6 (hepatocerebral type) 2006-09-01 no assertion criteria provided literature only
GeneReviews RCV000017543 SCV000054537 not provided Mitochondrial DNA depletion syndrome 6 (hepatocerebral type) no assertion provided literature only
Natera, Inc. RCV000017543 SCV001462529 pathogenic Mitochondrial DNA depletion syndrome 6 (hepatocerebral type) 2020-09-16 no assertion criteria provided clinical testing

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