14-49633733-G-A

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_018139.3(DNAAF2):​c.1417C>T​(p.Arg473Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000759 in 1,594,842 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00049 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00079 ( 4 hom. )

Consequence

DNAAF2
NM_018139.3 missense

Scores

3
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:2

Conservation

PhyloP100: -0.480
Variant links:
Genes affected
DNAAF2 (HGNC:20188): (dynein axonemal assembly factor 2) This gene encodes a highly conserved protein involved in the preassembly of dynein arm complexes which power cilia. These complexes are found in some cilia and are assembled in the cytoplasm prior to transport for cilia formation. Mutations in this gene have been associated with primary ciliary dyskinesia. Multiple transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Oct 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0070435107).
BP6
Variant 14-49633733-G-A is Benign according to our data. Variant chr14-49633733-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 216703.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=1}.
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.000486 (74/152274) while in subpopulation SAS AF= 0.00145 (7/4826). AF 95% confidence interval is 0.000716. There are 0 homozygotes in gnomad4. There are 33 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 4 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
DNAAF2NM_018139.3 linkuse as main transcriptc.1417C>T p.Arg473Trp missense_variant 1/3 ENST00000298292.13 NP_060609.2
DNAAF2NM_001083908.2 linkuse as main transcriptc.1417C>T p.Arg473Trp missense_variant 1/2 NP_001077377.1
DNAAF2NM_001378453.1 linkuse as main transcriptc.-455C>T 5_prime_UTR_variant 1/2 NP_001365382.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
DNAAF2ENST00000298292.13 linkuse as main transcriptc.1417C>T p.Arg473Trp missense_variant 1/31 NM_018139.3 ENSP00000298292 P2Q9NVR5-1
DNAAF2ENST00000406043.3 linkuse as main transcriptc.1417C>T p.Arg473Trp missense_variant 1/21 ENSP00000384862 A2Q9NVR5-2

Frequencies

GnomAD3 genomes
AF:
0.000486
AC:
74
AN:
152156
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000965
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00145
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000897
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000505
AC:
119
AN:
235636
Hom.:
2
AF XY:
0.000552
AC XY:
71
AN XY:
128574
show subpopulations
Gnomad AFR exome
AF:
0.000264
Gnomad AMR exome
AF:
0.0000910
Gnomad ASJ exome
AF:
0.000113
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00177
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000546
Gnomad OTH exome
AF:
0.000176
GnomAD4 exome
AF:
0.000787
AC:
1136
AN:
1442568
Hom.:
4
Cov.:
92
AF XY:
0.000812
AC XY:
581
AN XY:
715828
show subpopulations
Gnomad4 AFR exome
AF:
0.000273
Gnomad4 AMR exome
AF:
0.0000695
Gnomad4 ASJ exome
AF:
0.0000793
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00170
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000855
Gnomad4 OTH exome
AF:
0.000571
GnomAD4 genome
AF:
0.000486
AC:
74
AN:
152274
Hom.:
0
Cov.:
33
AF XY:
0.000443
AC XY:
33
AN XY:
74452
show subpopulations
Gnomad4 AFR
AF:
0.0000962
Gnomad4 AMR
AF:
0.0000653
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00145
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.000897
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000366
Hom.:
0
Bravo
AF:
0.000355
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.000237
AC:
1
ESP6500EA
AF:
0.00130
AC:
11
ExAC
AF:
0.000504
AC:
61
Asia WGS
AF:
0.000866
AC:
3
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Primary ciliary dyskinesia Benign:2
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 15, 2024- -
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsSep 13, 2022This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Primary ciliary dyskinesia 10 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.095
BayesDel_addAF
Benign
-0.62
T
BayesDel_noAF
Benign
-0.68
CADD
Benign
16
DANN
Uncertain
1.0
DEOGEN2
Benign
0.0081
T;.
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.0086
N
LIST_S2
Benign
0.53
T;T
M_CAP
Benign
0.011
T
MetaRNN
Benign
0.0070
T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
1.6
L;L
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.32
T
PROVEAN
Benign
-2.0
N;N
REVEL
Benign
0.022
Sift
Uncertain
0.023
D;D
Sift4G
Uncertain
0.030
D;D
Polyphen
0.0
B;B
Vest4
0.10
MVP
0.20
MPC
0.72
ClinPred
0.069
T
GERP RS
-4.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.1
Varity_R
0.044
gMVP
0.40

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs200327783; hg19: chr14-50100451; API