2-176123105-G-T

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 1P and 4B. PP3BS2

The NM_014213.4(HOXD9):​c.337G>T​(p.Gly113Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000151 in 1,519,908 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000079 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000080 ( 0 hom. )

Consequence

HOXD9
NM_014213.4 missense

Scores

3
12
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.55

Publications

0 publications found
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]
HOXD-AS2 (HGNC:43756): (HOXD cluster antisense RNA 2)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.818
BS2
High AC in GnomAd4 at 12 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
HOXD9NM_014213.4 linkc.337G>T p.Gly113Cys missense_variant Exon 1 of 2 ENST00000249499.8 NP_055028.3 P28356

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
HOXD9ENST00000249499.8 linkc.337G>T p.Gly113Cys missense_variant Exon 1 of 2 1 NM_014213.4 ENSP00000249499.6 P28356
HOXD-AS2ENST00000440016.6 linkn.498-661C>A intron_variant Intron 2 of 3 5

Frequencies

GnomAD3 genomes
AF:
0.0000789
AC:
12
AN:
152020
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000290
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000886
AC:
1
AN:
112838
AF XY:
0.0000157
show subpopulations
Gnomad AFR exome
AF:
0.000351
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000804
AC:
11
AN:
1367782
Hom.:
0
Cov.:
33
AF XY:
0.00000592
AC XY:
4
AN XY:
675948
show subpopulations
African (AFR)
AF:
0.000361
AC:
10
AN:
27698
American (AMR)
AF:
0.0000314
AC:
1
AN:
31830
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
22780
East Asian (EAS)
AF:
0.00
AC:
0
AN:
31718
South Asian (SAS)
AF:
0.00
AC:
0
AN:
74664
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
46452
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5504
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1070822
Other (OTH)
AF:
0.00
AC:
0
AN:
56314
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
1
2
4
5
6
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000789
AC:
12
AN:
152126
Hom.:
0
Cov.:
33
AF XY:
0.0000269
AC XY:
2
AN XY:
74382
show subpopulations
African (AFR)
AF:
0.000289
AC:
12
AN:
41536
American (AMR)
AF:
0.00
AC:
0
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5156
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10584
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67960
Other (OTH)
AF:
0.00
AC:
0
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.458
Heterozygous variant carriers
0
1
2
4
5
6
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000236
Hom.:
0
Bravo
AF:
0.0000869
ExAC
AF:
0.0000282
AC:
3

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Sep 10, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.337G>T (p.G113C) alteration is located in exon 1 (coding exon 1) of the HOXD9 gene. This alteration results from a G to T substitution at nucleotide position 337, causing the glycine (G) at amino acid position 113 to be replaced by a cysteine (C). 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
0.26
BayesDel_addAF
Uncertain
0.14
D
BayesDel_noAF
Uncertain
-0.030
CADD
Uncertain
24
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.51
D
Eigen
Uncertain
0.36
Eigen_PC
Uncertain
0.26
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.65
T
M_CAP
Pathogenic
0.87
D
MetaRNN
Pathogenic
0.82
D
MetaSVM
Uncertain
0.38
D
MutationAssessor
Uncertain
2.4
M
PhyloP100
1.5
PrimateAI
Pathogenic
0.88
D
PROVEAN
Uncertain
-4.0
D
REVEL
Uncertain
0.60
Sift
Benign
0.031
D
Sift4G
Uncertain
0.040
D
Polyphen
1.0
D
Vest4
0.47
MutPred
0.82
Gain of catalytic residue at P112 (P = 0.0135);
MVP
0.97
MPC
1.5
ClinPred
0.99
D
GERP RS
2.2
PromoterAI
-0.057
Neutral
Varity_R
0.39
gMVP
0.47
Mutation Taster
=69/31
polymorphism

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

Other links and lift over

dbSNP: rs754094124; hg19: chr2-176987833; API