17-11598537-G-C

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_001372.4(DNAH9):ā€‹c.39G>Cā€‹(p.Glu13Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000286 in 1,406,996 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.00024 ( 0 hom., cov: 32)
Exomes š‘“: 0.00029 ( 1 hom. )

Consequence

DNAH9
NM_001372.4 missense

Scores

1
1
16

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 0.576
Variant links:
Genes affected
DNAH9 (HGNC:2953): (dynein axonemal heavy chain 9) This gene encodes the heavy chain subunit of axonemal dynein, a large multi-subunit molecular motor. Axonemal dynein attaches to microtubules and hydrolyzes ATP to mediate the movement of cilia and flagella. The gene expresses at least two transcript variants; additional variants have been described, but their full length nature has not been determined. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.0035793781).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
DNAH9NM_001372.4 linkuse as main transcriptc.39G>C p.Glu13Asp missense_variant 1/69 ENST00000262442.9 NP_001363.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
DNAH9ENST00000262442.9 linkuse as main transcriptc.39G>C p.Glu13Asp missense_variant 1/691 NM_001372.4 ENSP00000262442 P1Q9NYC9-1
DNAH9ENST00000579406.1 linkuse as main transcriptn.66G>C non_coding_transcript_exon_variant 1/81
DNAH9ENST00000454412.6 linkuse as main transcriptc.39G>C p.Glu13Asp missense_variant 1/685 ENSP00000414874
DNAH9ENST00000579828.5 linkuse as main transcriptc.39G>C p.Glu13Asp missense_variant 1/42 ENSP00000463782

Frequencies

GnomAD3 genomes
AF:
0.000243
AC:
37
AN:
152142
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000621
Gnomad FIN
AF:
0.00103
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000294
Gnomad OTH
AF:
0.000957
GnomAD3 exomes
AF:
0.000271
AC:
8
AN:
29540
Hom.:
0
AF XY:
0.000350
AC XY:
6
AN XY:
17164
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000970
Gnomad FIN exome
AF:
0.000561
Gnomad NFE exome
AF:
0.0000934
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000291
AC:
365
AN:
1254742
Hom.:
1
Cov.:
33
AF XY:
0.000339
AC XY:
208
AN XY:
612842
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00124
Gnomad4 FIN exome
AF:
0.000658
Gnomad4 NFE exome
AF:
0.000247
Gnomad4 OTH exome
AF:
0.000271
GnomAD4 genome
AF:
0.000243
AC:
37
AN:
152254
Hom.:
0
Cov.:
32
AF XY:
0.000201
AC XY:
15
AN XY:
74448
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000653
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000621
Gnomad4 FIN
AF:
0.00103
Gnomad4 NFE
AF:
0.000294
Gnomad4 OTH
AF:
0.000947
Alfa
AF:
0.0000693
Hom.:
0
Bravo
AF:
0.000155
ExAC
AF:
0.000163
AC:
13
Asia WGS
AF:
0.000289
AC:
1
AN:
3476

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsNov 19, 2022The c.39G>C (p.E13D) alteration is located in exon 1 (coding exon 1) of the DNAH9 gene. This alteration results from a G to C substitution at nucleotide position 39, causing the glutamic acid (E) at amino acid position 13 to be replaced by an aspartic acid (D). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpOct 12, 2022This sequence change replaces glutamic acid, which is acidic and polar, with aspartic acid, which is acidic and polar, at codon 13 of the DNAH9 protein (p.Glu13Asp). This variant is present in population databases (rs186019513, gnomAD 0.1%). This variant has not been reported in the literature in individuals affected with DNAH9-related conditions. ClinVar contains an entry for this variant (Variation ID: 1464229). 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 aspartic acid 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. -
Ciliary dyskinesia, primary, 40 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsOct 11, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.59
T
BayesDel_noAF
Benign
-0.68
CADD
Benign
7.7
DANN
Benign
0.55
DEOGEN2
Benign
0.0086
T;.;.
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.12
N
LIST_S2
Benign
0.34
T;T;T
MetaRNN
Benign
0.0036
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.86
L;.;.
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Uncertain
0.77
T
PROVEAN
Benign
-0.40
N;.;N
REVEL
Benign
0.046
Sift
Benign
0.33
T;.;T
Sift4G
Pathogenic
0.0
.;D;.
Polyphen
0.0
B;.;B
Vest4
0.067
MutPred
0.19
Gain of loop (P = 0.0435);Gain of loop (P = 0.0435);Gain of loop (P = 0.0435);
MVP
0.22
MPC
0.13
ClinPred
0.020
T
GERP RS
2.6
Varity_R
0.044
gMVP
0.27

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: rs186019513; hg19: chr17-11501854; API