16-84145313-G-C

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBS1_SupportingBS2

The NM_178452.6(DNAAF1):​c.-128G>C variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0167 in 1,486,218 control chromosomes in the GnomAD database, including 261 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.014 ( 24 hom., cov: 32)
Exomes 𝑓: 0.017 ( 237 hom. )

Consequence

DNAAF1
NM_178452.6 5_prime_UTR

Scores

2

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: -0.639
Variant links:
Genes affected
DNAAF1 (HGNC:30539): (dynein axonemal assembly factor 1) The protein encoded by this gene is cilium-specific and is required for the stability of the ciliary architecture. It is involved in the regulation of microtubule-based cilia and actin-based brush border microvilli. Mutations in this gene are associated with primary ciliary dyskinesia-13. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jan 2016]
HSDL1 (HGNC:16475): (hydroxysteroid dehydrogenase like 1) Predicted to enable oxidoreductase activity. Located in intermediate filament cytoskeleton and mitochondrion. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.84).
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0139 (2122/152252) while in subpopulation NFE AF = 0.0198 (1348/67996). AF 95% confidence interval is 0.0189. There are 24 homozygotes in GnomAd4. There are 1036 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAd4 at 24 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DNAAF1NM_178452.6 linkc.-128G>C 5_prime_UTR_variant Exon 1 of 12 ENST00000378553.10 NP_848547.4 Q8NEP3-1A0A140VJN4
HSDL1NM_031463.5 linkc.-302C>G upstream_gene_variant ENST00000219439.9 NP_113651.4 Q3SXM5-1I6L975

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DNAAF1ENST00000378553.10 linkc.-128G>C 5_prime_UTR_variant Exon 1 of 12 1 NM_178452.6 ENSP00000367815.5 Q8NEP3-1
HSDL1ENST00000219439.9 linkc.-302C>G upstream_gene_variant 1 NM_031463.5 ENSP00000219439.4 Q3SXM5-1

Frequencies

GnomAD3 genomes
AF:
0.0140
AC:
2123
AN:
152134
Hom.:
24
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00328
Gnomad AMI
AF:
0.103
Gnomad AMR
AF:
0.0143
Gnomad ASJ
AF:
0.00922
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00269
Gnomad FIN
AF:
0.0223
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0198
Gnomad OTH
AF:
0.0196
GnomAD4 exome
AF:
0.0170
AC:
22652
AN:
1333966
Hom.:
237
Cov.:
22
AF XY:
0.0166
AC XY:
10964
AN XY:
658696
show subpopulations
African (AFR)
AF:
0.00318
AC:
97
AN:
30458
American (AMR)
AF:
0.0105
AC:
370
AN:
35282
Ashkenazi Jewish (ASJ)
AF:
0.0117
AC:
289
AN:
24632
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35218
South Asian (SAS)
AF:
0.00423
AC:
327
AN:
77310
European-Finnish (FIN)
AF:
0.0249
AC:
867
AN:
34878
Middle Eastern (MID)
AF:
0.0102
AC:
44
AN:
4314
European-Non Finnish (NFE)
AF:
0.0191
AC:
19796
AN:
1035936
Other (OTH)
AF:
0.0154
AC:
862
AN:
55938
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.506
Heterozygous variant carriers
0
1086
2173
3259
4346
5432
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
754
1508
2262
3016
3770
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0139
AC:
2122
AN:
152252
Hom.:
24
Cov.:
32
AF XY:
0.0139
AC XY:
1036
AN XY:
74462
show subpopulations
African (AFR)
AF:
0.00327
AC:
136
AN:
41556
American (AMR)
AF:
0.0143
AC:
219
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.00922
AC:
32
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5160
South Asian (SAS)
AF:
0.00269
AC:
13
AN:
4830
European-Finnish (FIN)
AF:
0.0223
AC:
237
AN:
10616
Middle Eastern (MID)
AF:
0.00680
AC:
2
AN:
294
European-Non Finnish (NFE)
AF:
0.0198
AC:
1348
AN:
67996
Other (OTH)
AF:
0.0194
AC:
41
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
112
223
335
446
558
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
24
48
72
96
120
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0180
Hom.:
4
Bravo
AF:
0.0125
Asia WGS
AF:
0.00173
AC:
6
AN:
3478

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Primary ciliary dyskinesia 13 Uncertain:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

not provided Uncertain:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.84
CADD
Benign
3.1
DANN
Benign
0.36
PhyloP100
-0.64
PromoterAI
0.10
Neutral
Mutation Taster
=300/0
polymorphism

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs140245131; hg19: chr16-84178918; API