2-176122935-C-T

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_014213.4(HOXD9):​c.167C>T​(p.Pro56Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000538 in 1,579,648 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000079 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000051 ( 0 hom. )

Consequence

HOXD9
NM_014213.4 missense

Scores

3
6
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.28
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 Likely_benign. Variant got -4 ACMG points.

BS2
High AC in GnomAd4 at 12 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HOXD9NM_014213.4 linkuse as main transcriptc.167C>T p.Pro56Leu 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.167C>T p.Pro56Leu missense_variant 1/21 NM_014213.4 ENSP00000249499.6 P28356
HOXD-AS2ENST00000440016.6 linkuse as main transcriptn.498-491G>A intron_variant 5

Frequencies

GnomAD3 genomes
AF:
0.0000789
AC:
12
AN:
152158
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00637
Gnomad NFE
AF:
0.0000882
Gnomad OTH
AF:
0.000956
GnomAD3 exomes
AF:
0.0000796
AC:
15
AN:
188368
Hom.:
0
AF XY:
0.0000671
AC XY:
7
AN XY:
104292
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000136
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000382
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000999
Gnomad OTH exome
AF:
0.000423
GnomAD4 exome
AF:
0.0000511
AC:
73
AN:
1427382
Hom.:
0
Cov.:
33
AF XY:
0.0000452
AC XY:
32
AN XY:
708482
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000977
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000242
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000538
Gnomad4 OTH exome
AF:
0.000102
GnomAD4 genome
AF:
0.0000788
AC:
12
AN:
152266
Hom.:
0
Cov.:
33
AF XY:
0.0000940
AC XY:
7
AN XY:
74460
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000882
Gnomad4 OTH
AF:
0.000946
Bravo
AF:
0.0000869
ExAC
AF:
0.0000433
AC:
5

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 GeneticsJun 17, 2024The c.167C>T (p.P56L) alteration is located in exon 1 (coding exon 1) of the HOXD9 gene. This alteration results from a C to T substitution at nucleotide position 167, causing the proline (P) at amino acid position 56 to be replaced by a leucine (L). 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
0.12
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.16
CADD
Uncertain
24
DANN
Uncertain
0.98
DEOGEN2
Benign
0.16
T
Eigen
Benign
0.064
Eigen_PC
Benign
0.084
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.61
T
M_CAP
Pathogenic
0.86
D
MetaRNN
Uncertain
0.59
D
MetaSVM
Uncertain
-0.048
T
MutationAssessor
Benign
0.90
L
PrimateAI
Pathogenic
0.90
D
PROVEAN
Benign
-2.2
N
REVEL
Uncertain
0.29
Sift
Uncertain
0.0020
D
Sift4G
Uncertain
0.057
T
Polyphen
0.93
P
Vest4
0.43
MVP
0.94
MPC
1.1
ClinPred
0.16
T
GERP RS
3.3
Varity_R
0.14
gMVP
0.29

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: rs550084423; hg19: chr2-176987663; API