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NM_002225.5(IVD):c.149G>A (p.Arg50His) AND Isovaleryl-CoA dehydrogenase deficiency

Germline classification:
Pathogenic/Likely pathogenic (5 submissions)
Last evaluated:
Feb 22, 2024
Review status:
2 stars out of maximum of 4 stars
criteria provided, multiple submitters, no conflicts
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:
RCV000411182.12

Allele description

NM_002225.5(IVD):c.149G>A (p.Arg50His)

Gene:
IVD:isovaleryl-CoA dehydrogenase [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
15q15.1
Genomic location:
Preferred name:
NM_002225.5(IVD):c.149G>A (p.Arg50His)
HGVS:
  • NC_000015.10:g.40407640G>A
  • NG_011986.2:g.7156G>A
  • NM_001159508.3:c.145-299G>A
  • NM_001354597.3:c.101G>A
  • NM_001354598.3:c.149G>A
  • NM_001354599.3:c.149G>A
  • NM_001354600.3:c.149G>A
  • NM_001354601.3:c.149G>A
  • NM_002225.5:c.149G>AMANE SELECT
  • NP_001341526.1:p.Arg34His
  • NP_001341527.2:p.Arg50His
  • NP_001341528.2:p.Arg50His
  • NP_001341529.2:p.Arg50His
  • NP_001341530.2:p.Arg50His
  • NP_002216.3:p.Arg50His
  • NC_000015.9:g.40699841G>A
  • NM_002225.3:c.158G>A
  • NR_148925.2:n.561G>A
Protein change:
R34H
Links:
dbSNP: rs2229311
NCBI 1000 Genomes Browser:
rs2229311
Molecular consequence:
  • NM_001159508.3:c.145-299G>A - intron variant - [Sequence Ontology: SO:0001627]
  • NM_001354597.3:c.101G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001354598.3:c.149G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001354599.3:c.149G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001354600.3:c.149G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001354601.3:c.149G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_002225.5:c.149G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NR_148925.2:n.561G>A - non-coding transcript variant - [Sequence Ontology: SO:0001619]

Condition(s)

Name:
Isovaleryl-CoA dehydrogenase deficiency (IVA)
Synonyms:
Isovaleric acid CoA dehydrogenase deficiency; Isovaleric acidemia; Isovaleryl CoA carboxylase deficiency; See all synonyms [MedGen]
Identifiers:
MONDO: MONDO:0009475; MedGen: C0268575; Orphanet: 33; OMIM: 243500

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV000486257Counsyl
criteria provided, single submitter

(Counsyl Autosomal and X-linked Recessive Disease Classification criteria (2015))
Likely pathogenic
(Apr 28, 2016)
unknownclinical testing

PubMed (4)
[See all records that cite these PMIDs]

mdi-5618_320494_Counsyl Autosomal and X-linked Recessive Disease Classification criteria (2015).pdf,

Citation Link,

SCV000931264Invitae
criteria provided, single submitter

(Invitae Variant Classification Sherloc (09022015))
Pathogenic
(Jan 29, 2024)
germlineclinical testing

PubMed (7)
[See all records that cite these PMIDs]

SCV001440727Institute of Human Genetics, University of Leipzig Medical Center
criteria provided, single submitter

(ACMG Guidelines, 2015)
Pathogenic
(Jan 1, 2019)
unknownclinical testing

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

SCV004198018Baylor Genetics
criteria provided, single submitter

(ACMG Guidelines, 2015)
Pathogenic
(Feb 22, 2024)
unknownclinical testing

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

SCV005073896Neuberg Centre For Genomic Medicine, NCGM
criteria provided, single submitter

(ACMG Guidelines, 2015)
Pathogenicgermlineclinical testing

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

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedgermlineunknownnot providednot providednot providednot providednot providedclinical testing
not providedgermlineyesnot providednot providednot providednot providednot providedclinical testing
not providedunknownyesnot providednot providednot providednot providednot providedclinical testing
not providedunknownunknownnot providednot providednot providednot providednot providedclinical testing

Citations

PubMed

Phenotypic and genotypic spectrum of Turkish patients with isovaleric acidemia.

Ozgul RK, Karaca M, Kilic M, Kucuk O, Yucel-Yilmaz D, Unal O, Hismi B, Aliefendioglu D, Sivri S, Tokatli A, Coskun T, Dursun A.

Eur J Med Genet. 2014 Oct;57(10):596-601. doi: 10.1016/j.ejmg.2014.08.006. Epub 2014 Sep 8.

PubMed [citation]
PMID:
25220015

Genetic mutation profile of isovaleric acidemia patients in Taiwan.

Lin WD, Wang CH, Lee CC, Lai CC, Tsai Y, Tsai FJ.

Mol Genet Metab. 2007 Feb;90(2):134-9. Epub 2006 Oct 4.

PubMed [citation]
PMID:
17027310
See all PubMed Citations (9)

Details of each submission

From Counsyl, SCV000486257.2

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (4)
#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1unknownunknownnot providednot providednot providednot providednot providednot providednot provided

From Invitae, SCV000931264.6

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (7)

Description

This sequence change replaces arginine, which is basic and polar, with histidine, which is basic and polar, at codon 53 of the IVD protein (p.Arg53His). This variant is present in population databases (rs2229311, gnomAD 0.006%). This missense change has been observed in individual(s) with isovaleric acidemia (PMID: 15486829, 17027310, 19099814, 27904153). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. This variant is also known as c.149G>A (p.Arg21His). ClinVar contains an entry for this variant (Variation ID: 370843). 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. This variant disrupts the p.Arg53 amino acid residue in IVD. Other variant(s) that disrupt this residue have been observed in individuals with IVD-related conditions (PMID: 10677295, 15486829, 17576084), which suggests that this may be a clinically significant amino acid residue. For these reasons, this variant has been classified as Pathogenic.

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

From Institute of Human Genetics, University of Leipzig Medical Center, SCV001440727.1

#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 Baylor Genetics, SCV004198018.2

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

From Neuberg Centre For Genomic Medicine, NCGM, SCV005073896.1

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

Description

The missense c.149G>A (p.Arg50His) variant in the IVD gene has been observed in several patients with isovaleric acidemia (Ensenauer, Regina et al., 2004). The variant is present in a mutational hotspot. A different amino acid change p.Arg50Cys has been reported as pathogenic (van der Weerd K, et al., 2017). This variant is reported with the allele frequency (0.002%) in the gnomAD Exomes. It is submitted to ClinVar as Pathogenic/Likely Pathogenic. The amino acid Arginine at position 50 is changed to a Histidine changing protein sequence and it might alter its composition and physico-chemical properties. The variant is predicted as damaging by SIFT. The amino acid change p.Arg50His in IVD is predicted as conserved by GERP++ and PhyloP across 100 vertebrates. For these reasons, this variant has been classified as Pathogenic.

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

Last Updated: Jul 15, 2024