2-176123226-C-G

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_014213.4(HOXD9):ā€‹c.458C>Gā€‹(p.Ala153Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00006 in 1,466,384 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 (ā˜…).

Frequency

Genomes: š‘“ 0.000053 ( 0 hom., cov: 33)
Exomes š‘“: 0.000061 ( 0 hom. )

Consequence

HOXD9
NM_014213.4 missense

Scores

2
1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.70
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 -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.142696).
BS2
High AC in GnomAd4 at 8 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HOXD9NM_014213.4 linkuse as main transcriptc.458C>G p.Ala153Gly 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.458C>G p.Ala153Gly missense_variant 1/21 NM_014213.4 ENSP00000249499.6 P28356
HOXD-AS2ENST00000440016.6 linkuse as main transcriptn.498-782G>C intron_variant 5

Frequencies

GnomAD3 genomes
AF:
0.0000526
AC:
8
AN:
152160
Hom.:
0
Cov.:
33
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:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000882
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000117
AC:
9
AN:
76810
Hom.:
0
AF XY:
0.0000703
AC XY:
3
AN XY:
42652
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000217
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000232
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000161
Gnomad OTH exome
AF:
0.000477
GnomAD4 exome
AF:
0.0000609
AC:
80
AN:
1314108
Hom.:
0
Cov.:
34
AF XY:
0.0000622
AC XY:
40
AN XY:
643330
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.0000466
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000380
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000347
Gnomad4 OTH exome
AF:
0.000185
GnomAD4 genome
AF:
0.0000525
AC:
8
AN:
152276
Hom.:
0
Cov.:
33
AF XY:
0.0000403
AC XY:
3
AN XY:
74442
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:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000882
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000174
Hom.:
0
Bravo
AF:
0.0000604
ExAC
AF:
0.0000687
AC:
5
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

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 01, 2023The c.458C>G (p.A153G) alteration is located in exon 1 (coding exon 1) of the HOXD9 gene. This alteration results from a C to G substitution at nucleotide position 458, causing the alanine (A) at amino acid position 153 to be replaced by a glycine (G). 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
0.069
BayesDel_addAF
Benign
-0.24
T
BayesDel_noAF
Benign
-0.30
CADD
Benign
20
DANN
Benign
0.97
DEOGEN2
Benign
0.086
T
Eigen
Benign
-0.41
Eigen_PC
Benign
-0.30
FATHMM_MKL
Uncertain
0.79
D
LIST_S2
Benign
0.43
T
M_CAP
Pathogenic
0.90
D
MetaRNN
Benign
0.14
T
MetaSVM
Benign
-0.32
T
MutationAssessor
Benign
1.1
L
PrimateAI
Pathogenic
0.91
D
PROVEAN
Benign
-1.4
N
REVEL
Benign
0.19
Sift
Benign
0.32
T
Sift4G
Benign
0.22
T
Polyphen
0.0080
B
Vest4
0.18
MutPred
0.33
Gain of catalytic residue at A153 (P = 0.0676);
MVP
0.86
MPC
0.57
ClinPred
0.025
T
GERP RS
2.6
Varity_R
0.13
gMVP
0.35

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: rs769173326; hg19: chr2-176987954; API