About SDHA
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is benign. Select a step to read what it means.
Benign.A benign classification under the recorded framework.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is Not recorded. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
No pathogenic criterion marked as applied in the recorded assessment.
This variant has an allele frequency exceeding 1% in the East Asian population across multiple population databases: gnomAD v2.1 East Asian AF = 1.96% (391/19,954 alleles, 5 homozygotes), gnomAD v4.1 East Asian AF = 2.39% (1,074/44,890 alleles, 10 homozygotes), and gnomAD-Canada v1.0 East Asian AF = 1.12% (15/1,338 alleles). The gnomAD v4.1 grpmax FAF is 2.27%, well above the 1% BA1 threshold. This allele frequency is too high to support a causative role in rare Mendelian disease, meeting BA1 (stand-alone benign).
The allele frequency in the East Asian population exceeds 0.3% in all queried population databases: gnomAD v2.1 EAS AF = 1.96%, gnomAD v4.1 EAS AF = 2.39%, gnomAD-Canada EAS AF = 1.12%. The overall frequency is also elevated in gnomAD v2.1 (0.148%) although below 0.3% in gnomAD v4.1 (0.077%). BS1 is met based on the East Asian subpopulation frequency, which is well above the 0.3% threshold. Note: BA1 (stand-alone benign) is also met; BS1 provides additional population-frequency support but is not counted independently when BA1 is applied.
This variant has been observed in the homozygous state in multiple individuals across gnomAD databases: 6 homozygotes in v2.1 (exomes), 12 homozygotes in v4.1 (of which 10 are East Asian), and 0 homozygotes in gnomAD-Canada. SDHA biallelic loss-of-function causes severe, early-onset recessive conditions (mitochondrial complex II deficiency, Leigh syndrome) with expected full penetrance. The observation of 12 apparently healthy adult homozygotes in population databases is inconsistent with a highly penetrant recessive pathogenic variant. BS2 is met at the supporting benign level.
Multiple in silico predictors consistently suggest a benign effect for this missense variant. REVEL score is 0.392 (below the commonly used 0.5 pathogenic threshold). BayesDel score is 0.00237 (very low, strongly favoring benign). SpliceAI predicts no significant splice alteration (max delta score = 0.03). The convergent computational evidence supports a lack of functional impact, meeting BP4 at the supporting benign level.
This variant has been reported in ClinVar as Benign by 6 clinical laboratories, Likely benign by 4 clinical laboratories, and benign by 1 clinical laboratory (ClinVar Variation ID: 353201). The aggregate ClinVar consensus is Benign/Likely benign with 11 submitting laboratories, though none represent an expert panel. BP6 is met at the supporting benign level based on the consistent benign classification across multiple clinical testing laboratories.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: BA1 stand-alone benign, BS1 strong benign, BS2 supporting benign, BP4 supporting benign, BP6 supporting benign; combination = 1 stand-alone benign, which maps to Benign.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 1,241 / 1,613,346 alleles. Recorded AF 0.000769209. Recorded homozygote count 12.
This variant is present in gnomAD v2.1 (AF= 0.00147924; MAF= 0.14792%, 418/282578 alleles, homozygotes = 6) and has highest observed frequency in the East Asian population (AF= 0.0195951; MAF= 1.95951%, 391/19954 alleles, homozygotes = 5); grpmax FAF= 0.0180621.
This variant is present in gnomAD-Canada v1.0 (AF= 0.00124891; MAF= 0.12489%, 23/18416 alleles, homozygotes = 0) and has highest observed frequency in the eas population (AF= 0.0112108; grpmax FAF95= 0.00690997).
Recorded SpliceAI maximum delta score: 0.030. Refer to the recorded PP3/BP4 rationale for interpretation.
6 Benign · 4 Likely benign · 1 benign.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. SDHA, a subunit of succinate dehydrogenase, is frequently altered by amplification in various cancers, including lung and bladder cancers.
This variant has previously been reported in somatic cancers (COSMIC; COSV53768747, n = 5 times).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under Not recorded, with the data and sources behind each one.
29 criteria with recorded statuses: 5 met · 6 not met · 13 not assessed · 5 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_004168.4:c.163T>C (p.Tyr55His) is classified as Benign based on the ACMG/AMP 2015 framework.
This variant meets BA1 (stand-alone benign): the allele frequency in the East Asian population is 1.96% in gnomAD v2.1 (391/19,954 alleles, 5 homozygotes) and 2.39% in gnomAD v4.1 (1,074/44,890 alleles, 10 homozygotes), with a gnomAD v4.1 grpmax FAF of 2.27%. An allele frequency exceeding 1% in a general population is inconsistent with a role in rare Mendelian disease.
Additional benign evidence includes BS1 (East Asian AF well above 0.3%), BS2 (12 homozygotes observed in gnomAD v4.1 in a gene where biallelic loss-of-function causes severe early-onset recessive disease), BP4 (REVEL = 0.392; BayesDel = 0.00237; SpliceAI max delta = 0.03; all predictors converge on a benign interpretation), and BP6 (ClinVar consensus of Benign/Likely benign from 11 clinical laboratories).
No pathogenic criteria are met. PVS1 is not applicable (missense variant). PP3 is not met (in silico predictors favor benign). PM1 is not met (the variant is common in population databases despite lying in the FAD-binding domain). PS4 is not met (the variant is classified as benign across clinical laboratories and observed at appreciable frequency in unaffected populations).
The classification of Benign is driven by BA1, which alone is sufficient to classify a variant as Benign under the ACMG/AMP 2015 combination rules.
No criteria match.
No further detail was recorded.
Every interpreted variant in SDHA, mapped onto the exon structure of NM_004168.4. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| East Asian1074 / 44,890 | 0.02410 hom |
| Remaining individuals74 / 62,426 | 0.00121 hom |
| South Asian68 / 91,040 | 0.000751 hom |
| African/African American12 / 75,046 | 0.00016 |
| Admixed American1 / 60,030 | 1.7e-05 |
| European (non-Finnish)12 / 1,179,712 | 1e-05 |
| East Asian391 / 19,954 | 0.025 hom |
| South Asian20 / 30,616 | 0.000651 hom |
| Remaining individuals3 / 7,220 | 0.00042 |
| African/African American1 / 24,962 | 4e-05 |
| European (non-Finnish)3 / 128,894 | 2.3e-05 |
| eas15 / 1,338 | 0.011 |
| oth2 / 1,138 | 0.0018 |
| sas2 / 1,362 | 0.0015 |
| nfe4 / 11,738 | 0.00034 |
This variant is present in gnomAD v4.1 (AF= 0.000769209; MAF= 0.07692%, 1241/1613346 alleles, homozygotes = 12) and has highest observed frequency in the East Asian population (AF= 0.0239252; MAF= 2.39252%, 1074/44890 alleles, homozygotes = 10); grpmax FAF= 0.0227368.
This variant is present in gnomAD v2.1 (AF= 0.00147924; MAF= 0.14792%, 418/282578 alleles, homozygotes = 6) and has highest observed frequency in the East Asian population (AF= 0.0195951; MAF= 1.95951%, 391/19954 alleles, homozygotes = 5); grpmax FAF= 0.0180621.
This variant is present in gnomAD-Canada v1.0 (AF= 0.00124891; MAF= 0.12489%, 23/18416 alleles, homozygotes = 0) and has highest observed frequency in the eas population (AF= 0.0112108; grpmax FAF95= 0.00690997).
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.03). REVEL score = 0.392. BayesDel score = 0.00236504.
11 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata. None of the listed paper records explicitly indicates that the variant is named.
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
This variant is present in gnomAD v4.1 (AF= 0.000769209; MAF= 0.07692%, 1241/1613346 alleles, homozygotes = 12) and has highest observed frequency in the East Asian population (AF= 0.0239252; MAF= 2.39252%, 1074/44890 alleles, homozygotes = 10); grpmax FAF= 0.0227368.
This variant is present in gnomAD v2.1 (AF= 0.00147924; MAF= 0.14792%, 418/282578 alleles, homozygotes = 6) and has highest observed frequency in the East Asian population (AF= 0.0195951; MAF= 1.95951%, 391/19954 alleles, homozygotes = 5); grpmax FAF= 0.0180621.
This variant is present in gnomAD-Canada v1.0 (AF= 0.00124891; MAF= 0.12489%, 23/18416 alleles, homozygotes = 0) and has highest observed frequency in the eas population (AF= 0.0112108; grpmax FAF95= 0.00690997).
This variant has been reported in ClinVar as Benign (6 clinical laboratories) and as Likely benign (4 clinical laboratories) and as benign (1 clinical laboratory). (ClinVarID = 353201)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.03). REVEL score = 0.392. BayesDel score = 0.00236504.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. SDHA, a subunit of succinate dehydrogenase, is frequently altered by amplification in various cancers, including lung and bladder cancers.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV53768747, n = 5 times).
This variant does not lie in a statistically significant hotspot.