17-82433808-A-T

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_001330542.2(HEXD):​c.433A>T​(p.Ile145Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000616 in 1,459,856 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. I145V) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000062 ( 0 hom. )

Consequence

HEXD
NM_001330542.2 missense

Scores

4
6
7

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.0800
Variant links:
Genes affected
HEXD (HGNC:26307): (hexosaminidase D) Enables beta-N-acetylhexosaminidase activity. Predicted to be involved in carbohydrate metabolic process. Located in extracellular vesicle. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.951

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HEXDNM_001330542.2 linkuse as main transcriptc.433A>T p.Ile145Phe missense_variant 5/13 ENST00000327949.15 NP_001317471.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HEXDENST00000327949.15 linkuse as main transcriptc.433A>T p.Ile145Phe missense_variant 5/131 NM_001330542.2 ENSP00000332634 P1Q8WVB3-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000616
AC:
9
AN:
1459856
Hom.:
0
Cov.:
36
AF XY:
0.00000551
AC XY:
4
AN XY:
726202
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000810
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.33
BayesDel_addAF
Pathogenic
0.23
D
BayesDel_noAF
Uncertain
0.10
CADD
Benign
13
DANN
Benign
0.38
Eigen
Benign
-0.27
Eigen_PC
Benign
-0.43
FATHMM_MKL
Benign
0.75
D
LIST_S2
Uncertain
0.93
D;.;D;D;T
M_CAP
Uncertain
0.14
D
MetaRNN
Pathogenic
0.95
D;D;D;D;D
MetaSVM
Pathogenic
0.84
D
MutationTaster
Benign
0.45
P;P;P
PrimateAI
Benign
0.36
T
PROVEAN
Uncertain
-3.9
D;D;.;.;.
REVEL
Pathogenic
0.67
Sift
Uncertain
0.0010
D;D;.;.;.
Sift4G
Uncertain
0.0020
D;D;D;D;.
Vest4
0.46
MutPred
0.77
Gain of methylation at R142 (P = 0.1433);Gain of methylation at R142 (P = 0.1433);.;Gain of methylation at R142 (P = 0.1433);Gain of methylation at R142 (P = 0.1433);
MVP
0.64
MPC
0.92
ClinPred
0.98
D
GERP RS
0.036
gMVP
0.85

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: rs4789773; hg19: chr17-80391684; API