2-26448712-C-T

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4_StrongBS1_Supporting

The NM_145038.5(DRC1):​c.1418C>T​(p.Ala473Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000237 in 1,614,200 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00034 ( 1 hom., cov: 33)
Exomes 𝑓: 0.00023 ( 1 hom. )

Consequence

DRC1
NM_145038.5 missense

Scores

3
16

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:5B:1

Conservation

PhyloP100: -1.94
Variant links:
Genes affected
DRC1 (HGNC:24245): (dynein regulatory complex subunit 1) This gene encodes a central component of the nexin-dynein complex (N-DRC), which regulates the assembly of ciliary dynein. Mutations in this gene can cause ciliary dyskinesia. [provided by RefSeq, Aug 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.010977119).
BS1
Variant frequency is greater than expected in population mid. gnomad4_exome allele frequency = 0.000226 (331/1461868) while in subpopulation MID AF= 0.00781 (45/5760). AF 95% confidence interval is 0.006. There are 1 homozygotes in gnomad4_exome. There are 174 alleles in male gnomad4_exome subpopulation. Median coverage is 33. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
DRC1NM_145038.5 linkuse as main transcriptc.1418C>T p.Ala473Val missense_variant 11/17 ENST00000288710.7 NP_659475.2 Q96MC2
DRC1XM_047446339.1 linkuse as main transcriptc.398C>T p.Ala133Val missense_variant 4/10 XP_047302295.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
DRC1ENST00000288710.7 linkuse as main transcriptc.1418C>T p.Ala473Val missense_variant 11/172 NM_145038.5 ENSP00000288710.2 Q96MC2
DRC1ENST00000439066.2 linkuse as main transcriptn.148C>T non_coding_transcript_exon_variant 2/53
DRC1ENST00000649059.1 linkuse as main transcriptn.*381C>T non_coding_transcript_exon_variant 10/16 ENSP00000497543.1 A0A3B3IT12
DRC1ENST00000649059.1 linkuse as main transcriptn.*381C>T 3_prime_UTR_variant 10/16 ENSP00000497543.1 A0A3B3IT12

Frequencies

GnomAD3 genomes
AF:
0.000335
AC:
51
AN:
152214
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000965
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000654
Gnomad ASJ
AF:
0.000864
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.000367
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.000290
AC:
73
AN:
251452
Hom.:
0
AF XY:
0.000294
AC XY:
40
AN XY:
135916
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000231
Gnomad ASJ exome
AF:
0.00218
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000980
Gnomad FIN exome
AF:
0.000185
Gnomad NFE exome
AF:
0.000281
Gnomad OTH exome
AF:
0.000652
GnomAD4 exome
AF:
0.000226
AC:
331
AN:
1461868
Hom.:
1
Cov.:
33
AF XY:
0.000239
AC XY:
174
AN XY:
727228
show subpopulations
Gnomad4 AFR exome
AF:
0.000508
Gnomad4 AMR exome
AF:
0.000313
Gnomad4 ASJ exome
AF:
0.00126
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000128
Gnomad4 FIN exome
AF:
0.000131
Gnomad4 NFE exome
AF:
0.000151
Gnomad4 OTH exome
AF:
0.000596
GnomAD4 genome
AF:
0.000341
AC:
52
AN:
152332
Hom.:
1
Cov.:
33
AF XY:
0.000336
AC XY:
25
AN XY:
74496
show subpopulations
Gnomad4 AFR
AF:
0.0000962
Gnomad4 AMR
AF:
0.000653
Gnomad4 ASJ
AF:
0.000864
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.000367
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.000398
Hom.:
0
Bravo
AF:
0.000310
ExAC
AF:
0.000338
AC:
41
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000273
EpiControl
AF:
0.000652

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:5Benign:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:2
Uncertain significance, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxAug 21, 2017The A473V variant in the DRC1 gene has not been reported previously as a pathogenic variant, nor as a benign variant, to our knowledge. The A473V variant is observed in 29/66,340 (0.043%) alleles from individuals of European (non-Finnish) background in the ExAC dataset (Lek et al., 2016). The A473V variant is a conservative amino acid substitution, which is not likely to impact secondary protein structure as these residues share similar properties. This substitution occurs at a position that is not conserved, and in silico analysis is inconsistent in its predictions as to whether or not the variant is damaging to the protein structure/function. We interpret A473V as a variant of uncertain significance. -
Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 27, 2022The c.1418C>T (p.A473V) alteration is located in exon 11 (coding exon 11) of the DRC1 gene. This alteration results from a C to T substitution at nucleotide position 1418, causing the alanine (A) at amino acid position 473 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
Primary ciliary dyskinesia Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpAug 09, 2022This sequence change replaces alanine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 473 of the DRC1 protein (p.Ala473Val). This variant is present in population databases (rs199574440, gnomAD 0.2%). This variant has not been reported in the literature in individuals affected with DRC1-related conditions. ClinVar contains an entry for this variant (Variation ID: 407102). Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be tolerated. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Primary ciliary dyskinesia 21 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsJan 04, 2022- -
DRC1-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesFeb 06, 2023This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.085
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
0.32
DANN
Uncertain
0.99
DEOGEN2
Benign
0.0020
T
Eigen
Benign
-0.82
Eigen_PC
Benign
-0.95
FATHMM_MKL
Benign
0.054
N
LIST_S2
Benign
0.48
T
M_CAP
Benign
0.0054
T
MetaRNN
Benign
0.011
T
MetaSVM
Benign
-0.98
T
MutationAssessor
Uncertain
2.6
M
PrimateAI
Benign
0.25
T
PROVEAN
Benign
-1.4
N
REVEL
Benign
0.075
Sift
Uncertain
0.026
D
Sift4G
Benign
0.12
T
Polyphen
0.22
B
Vest4
0.26
MVP
0.12
MPC
0.093
ClinPred
0.021
T
GERP RS
-0.71
Varity_R
0.059
gMVP
0.22

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: rs199574440; hg19: chr2-26671580; API