2-176122788-G-A

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_014213.4(HOXD9):​c.20G>A​(p.Gly7Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000216 in 1,525,288 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00028 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00021 ( 0 hom. )

Consequence

HOXD9
NM_014213.4 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.36
Variant links:
Genes affected
HOXD9 (HGNC:5140): (homeobox D9) This gene belongs to the homeobox family of genes. The homeobox genes encode a highly conserved family of transcription factors that play an important role in morphogenesis in all multicellular organisms. Mammals possess four similar homeobox gene clusters, HOXA, HOXB, HOXC and HOXD, located on different chromosomes, consisting of 9 to 11 genes arranged in tandem. This gene is one of several homeobox HOXD genes located at 2q31-2q37 chromosome regions. Deletions that removed the entire HOXD gene cluster or 5' end of this cluster have been associated with severe limb and genital abnormalities. The exact role of this gene has not been determined. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.017316848).
BS2
High AC in GnomAd4 at 42 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HOXD9NM_014213.4 linkuse as main transcriptc.20G>A p.Gly7Glu missense_variant 1/2 ENST00000249499.8 NP_055028.3 P28356

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HOXD9ENST00000249499.8 linkuse as main transcriptc.20G>A p.Gly7Glu missense_variant 1/21 NM_014213.4 ENSP00000249499.6 P28356
HOXD-AS2ENST00000440016.6 linkuse as main transcriptn.498-344C>T intron_variant 5

Frequencies

GnomAD3 genomes
AF:
0.000276
AC:
42
AN:
152122
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000290
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000250
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000289
AC:
50
AN:
173004
Hom.:
0
AF XY:
0.000288
AC XY:
27
AN XY:
93844
show subpopulations
Gnomad AFR exome
AF:
0.000270
Gnomad AMR exome
AF:
0.000195
Gnomad ASJ exome
AF:
0.00350
Gnomad EAS exome
AF:
0.000419
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000523
Gnomad NFE exome
AF:
0.000188
Gnomad OTH exome
AF:
0.00129
GnomAD4 exome
AF:
0.000210
AC:
288
AN:
1373166
Hom.:
0
Cov.:
33
AF XY:
0.000224
AC XY:
152
AN XY:
678708
show subpopulations
Gnomad4 AFR exome
AF:
0.000180
Gnomad4 AMR exome
AF:
0.000132
Gnomad4 ASJ exome
AF:
0.00389
Gnomad4 EAS exome
AF:
0.000286
Gnomad4 SAS exome
AF:
0.0000826
Gnomad4 FIN exome
AF:
0.0000774
Gnomad4 NFE exome
AF:
0.000154
Gnomad4 OTH exome
AF:
0.000230
GnomAD4 genome
AF:
0.000276
AC:
42
AN:
152122
Hom.:
0
Cov.:
33
AF XY:
0.000309
AC XY:
23
AN XY:
74326
show subpopulations
Gnomad4 AFR
AF:
0.000290
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00288
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000250
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000558
Hom.:
0
ExAC
AF:
0.000264
AC:
32

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsAug 12, 2021The c.20G>A (p.G7E) alteration is located in exon 1 (coding exon 1) of the HOXD9 gene. This alteration results from a G to A substitution at nucleotide position 20, causing the glycine (G) at amino acid position 7 to be replaced by a glutamic acid (E). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.16
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
21
DANN
Benign
0.97
DEOGEN2
Benign
0.039
T
Eigen
Benign
-0.37
Eigen_PC
Benign
-0.20
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.36
T
M_CAP
Uncertain
0.22
D
MetaRNN
Benign
0.017
T
MetaSVM
Uncertain
-0.25
T
MutationAssessor
Benign
0.0
N
PrimateAI
Uncertain
0.73
T
PROVEAN
Benign
-0.59
N
REVEL
Benign
0.18
Sift
Benign
0.21
T
Sift4G
Benign
0.32
T
Polyphen
0.10
B
Vest4
0.15
MutPred
0.17
Loss of MoRF binding (P = 0.0262);
MVP
0.86
MPC
0.69
ClinPred
0.0070
T
GERP RS
3.4
Varity_R
0.13
gMVP
0.13

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: rs186057872; hg19: chr2-176987516; API