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NM_001370658.1(BTD):c.68A>G (p.His23Arg) AND Biotinidase deficiency

Germline classification:
Conflicting interpretations of pathogenicity (5 submissions)
Last evaluated:
Oct 24, 2022
Review status:
criteria provided, conflicting classifications
Somatic classification
of clinical impact:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Somatic classification
of oncogenicity:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Record status:
current
Accession:
RCV000022030.20

Allele description [Variation Report for NM_001370658.1(BTD):c.68A>G (p.His23Arg)]

NM_001370658.1(BTD):c.68A>G (p.His23Arg)

Gene:
BTD:biotinidase [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
3p25.1
Genomic location:
Preferred name:
NM_001370658.1(BTD):c.68A>G (p.His23Arg)
Other names:
H43R
HGVS:
  • NC_000003.12:g.15635507A>G
  • NG_008019.2:g.39156A>G
  • NM_000060.4:c.128A>G
  • NM_000060.4:c.128A>G
  • NM_001281723.4:c.68A>G
  • NM_001281724.3:c.68A>G
  • NM_001281725.3:c.68A>G
  • NM_001281726.3:c.68A>G
  • NM_001323582.2:c.68A>G
  • NM_001370658.1:c.68A>GMANE SELECT
  • NM_001370752.1:c.68A>G
  • NM_001370753.1:c.68A>G
  • NM_001407364.1:c.68A>G
  • NM_001407365.1:c.68A>G
  • NM_001407366.1:c.68A>G
  • NM_001407367.1:c.68A>G
  • NM_001407368.1:c.68A>G
  • NM_001407369.1:c.68A>G
  • NM_001407370.1:c.68A>G
  • NM_001407371.1:c.68A>G
  • NM_001407372.1:c.68A>G
  • NM_001407373.1:c.68A>G
  • NM_001407374.1:c.68A>G
  • NM_001407375.1:c.68A>G
  • NM_001407376.1:c.68A>G
  • NM_001407377.1:c.68A>G
  • NM_001407378.1:c.68A>G
  • NM_001407379.1:c.68A>G
  • NM_001407380.1:c.68A>G
  • NM_001407381.1:c.68A>G
  • NM_001407382.1:c.68A>G
  • NM_001407383.1:c.68A>G
  • NM_001407384.1:c.68A>G
  • NM_001407386.1:c.68A>G
  • NM_001407388.1:c.68A>G
  • NM_001407390.1:c.68A>G
  • NM_001407392.1:c.68A>G
  • NM_001407394.1:c.68A>G
  • NM_001407395.1:c.68A>G
  • NM_001407396.1:c.68A>G
  • NM_001407397.1:c.68A>G
  • NM_001407398.1:c.68A>G
  • NM_001407399.1:c.68A>G
  • NM_001407400.1:c.68A>G
  • NM_001407401.1:c.68A>G
  • NP_000051.1:p.His43Arg
  • NP_001268652.2:p.His23Arg
  • NP_001268652.2:p.His23Arg
  • NP_001268653.2:p.His23Arg
  • NP_001268654.1:p.His23Arg
  • NP_001268654.1:p.His23Arg
  • NP_001268655.2:p.His23Arg
  • NP_001268655.2:p.His23Arg
  • NP_001310511.1:p.His23Arg
  • NP_001310511.1:p.His23Arg
  • NP_001357587.1:p.His23Arg
  • NP_001357681.1:p.His23Arg
  • NP_001357682.1:p.His23Arg
  • NP_001394293.1:p.His23Arg
  • NP_001394294.1:p.His23Arg
  • NP_001394295.1:p.His23Arg
  • NP_001394296.1:p.His23Arg
  • NP_001394297.1:p.His23Arg
  • NP_001394298.1:p.His23Arg
  • NP_001394299.1:p.His23Arg
  • NP_001394300.1:p.His23Arg
  • NP_001394301.1:p.His23Arg
  • NP_001394302.1:p.His23Arg
  • NP_001394303.1:p.His23Arg
  • NP_001394304.1:p.His23Arg
  • NP_001394305.1:p.His23Arg
  • NP_001394306.1:p.His23Arg
  • NP_001394307.1:p.His23Arg
  • NP_001394308.1:p.His23Arg
  • NP_001394309.1:p.His23Arg
  • NP_001394310.1:p.His23Arg
  • NP_001394311.1:p.His23Arg
  • NP_001394312.1:p.His23Arg
  • NP_001394313.1:p.His23Arg
  • NP_001394315.1:p.His23Arg
  • NP_001394317.1:p.His23Arg
  • NP_001394319.1:p.His23Arg
  • NP_001394321.1:p.His23Arg
  • NP_001394323.1:p.His23Arg
  • NP_001394324.1:p.His23Arg
  • NP_001394325.1:p.His23Arg
  • NP_001394326.1:p.His23Arg
  • NP_001394327.1:p.His23Arg
  • NP_001394328.1:p.His23Arg
  • NP_001394329.1:p.His23Arg
  • NP_001394330.1:p.His23Arg
  • NC_000003.11:g.15677014A>G
  • NG_008019.1:g.38760A>G
  • NM_001281723.2:c.134A>G
  • NM_001281723.3:c.68A>G
  • NM_001281723.3:c.68A>G
  • NM_001281725.2:c.68A>G
  • NM_001281726.2:c.68A>G
  • NM_001323582.1:c.68A>G
Protein change:
H23R
Links:
dbSNP: rs146011150
NCBI 1000 Genomes Browser:
rs146011150
Molecular consequence:
  • NM_000060.4:c.128A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001281723.4:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001281724.3:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001281725.3:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001281726.3:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001323582.2:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001370658.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001370752.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001370753.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407364.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407365.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407366.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407367.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407368.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407369.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407370.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407371.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407372.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407373.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407374.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407375.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407376.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407377.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407378.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407379.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407380.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407381.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407382.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407383.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407384.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407386.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407388.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407390.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407392.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407394.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407395.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407396.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407397.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407398.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407399.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407400.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001407401.1:c.68A>G - missense variant - [Sequence Ontology: SO:0001583]

Condition(s)

Name:
Biotinidase deficiency
Synonyms:
BTD deficiency; Late-onset biotin-responsive multiple carboxylase deficiency; Biotin deficiency
Identifiers:
MONDO: MONDO:0009665; MedGen: C0220754; Orphanet: 79241; OMIM: 253260

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV000607107GenomeConnect, ClinGen
no classification provided
not providedgermlinephenotyping only

SCV000943282Labcorp Genetics (formerly Invitae), Labcorp
criteria provided, single submitter

(Invitae Variant Classification Sherloc (09022015))
Uncertain significance
(Oct 24, 2022)
germlineclinical testing

PubMed (2)
[See all records that cite these PMIDs]

SCV001440042Institute of Human Genetics, University of Leipzig Medical Center
criteria provided, single submitter

(ACMG Guidelines, 2015)
Likely benign
(Jan 1, 2019)
unknownclinical testing

PubMed (1)
[See all records that cite this PMID]

SCV001454447Natera, Inc.
no assertion criteria provided
Uncertain significance
(Feb 4, 2020)
germlineclinical testing

SCV003835547Baylor Genetics
criteria provided, single submitter

(ACMG Guidelines, 2015)
Uncertain significance
(Oct 22, 2022)
unknownclinical testing

PubMed (1)
[See all records that cite this PMID]

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedunknownyesnot providednot providednot providednot providednot providedclinical testing
not providedunknownunknownnot providednot providednot providednot providednot providedclinical testing
not providedgermlineunknownnot providednot providednot providednot providednot providedclinical testing, phenotyping only

Citations

PubMed

Forty-eight novel mutations causing biotinidase deficiency.

Procter M, Wolf B, Mao R.

Mol Genet Metab. 2016 Mar;117(3):369-72. doi: 10.1016/j.ymgme.2016.01.002. Epub 2016 Jan 12.

PubMed [citation]
PMID:
26810761

Sherloc: a comprehensive refinement of the ACMG-AMP variant classification criteria.

Nykamp K, Anderson M, Powers M, Garcia J, Herrera B, Ho YY, Kobayashi Y, Patil N, Thusberg J, Westbrook M; Invitae Clinical Genomics Group., Topper S.

Genet Med. 2017 Oct;19(10):1105-1117. doi: 10.1038/gim.2017.37. Epub 2017 May 11. Erratum in: Genet Med. 2020 Jan;22(1):240. doi: 10.1038/s41436-019-0624-9.

PubMed [citation]
PMID:
28492532
PMCID:
PMC5632818
See all PubMed Citations (3)

Details of each submission

From GenomeConnect, ClinGen, SCV000607107.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedphenotyping onlynot provided

Description

GenomeConnect assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. GenomeConnect staff make no attempt to reinterpret the clinical significance of the variant.

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknownnot providednot providednot providednot providednot providednot providednot provided

From Labcorp Genetics (formerly Invitae), Labcorp, SCV000943282.2

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (2)

Description

This sequence change replaces histidine, which is basic and polar, with arginine, which is basic and polar, at codon 43 of the BTD protein (p.His43Arg). This variant is present in population databases (rs146011150, gnomAD 0.07%). This missense change has been observed in individual(s) with a positive newborn screening result for BTD-related disease (PMID: 26810761). ClinVar contains an entry for this variant (Variation ID: 38483). Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Tolerated"; PolyPhen-2: "Benign"; Align-GVGD: "Class C0". The arginine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance.

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknownnot providednot providednot providednot providednot providednot providednot provided

From Institute of Human Genetics, University of Leipzig Medical Center, SCV001440042.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (1)
#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1unknownyesnot providednot providednot providednot providednot providednot providednot provided

From Natera, Inc., SCV001454447.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testingnot provided
#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknownnot providednot providednot providednot providednot providednot providednot provided

From Baylor Genetics, SCV003835547.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (1)
#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1unknownunknownnot providednot providednot providednot providednot providednot providednot provided

Last Updated: Nov 10, 2024