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21-42477381-G-A

Variant summary

Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate

The NM_080860.4(RSPH1):c.637C>T(p.Gln213Ter) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000236 in 1,612,486 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 Likely pathogenic (★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 34)
Exomes 𝑓: 0.000025 ( 0 hom. )

Consequence

RSPH1
NM_080860.4 stop_gained

Scores

2
1
4

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 0.672
Variant links:
Genes affected
RSPH1 (HGNC:12371): (radial spoke head component 1) This gene encodes a male meiotic metaphase chromosome-associated acidic protein. This gene is expressed in tissues with motile cilia or flagella, including the trachea, lungs, airway brushings, and testes. Mutations in this gene result in primary ciliary dyskinesia-24. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Sep 2014]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 12 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 21-42477381-G-A is Pathogenic according to our data. Variant chr21-42477381-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 1339557.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RSPH1NM_080860.4 linkuse as main transcriptc.637C>T p.Gln213Ter stop_gained 7/9 ENST00000291536.8
RSPH1NM_001286506.2 linkuse as main transcriptc.523C>T p.Gln175Ter stop_gained 6/8
RSPH1XM_011529786.2 linkuse as main transcriptc.565C>T p.Gln189Ter stop_gained 6/8
RSPH1XM_005261208.3 linkuse as main transcriptc.430C>T p.Gln144Ter stop_gained 5/7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RSPH1ENST00000291536.8 linkuse as main transcriptc.637C>T p.Gln213Ter stop_gained 7/91 NM_080860.4 P1Q8WYR4-1
RSPH1ENST00000398352.3 linkuse as main transcriptc.523C>T p.Gln175Ter stop_gained 6/85 Q8WYR4-2
RSPH1ENST00000493019.1 linkuse as main transcriptn.2255C>T non_coding_transcript_exon_variant 6/82

Frequencies

GnomAD3 genomes
AF:
0.00000663
AC:
1
AN:
150728
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000194
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
GnomAD3 exomes
AF:
0.0000398
AC:
10
AN:
251414
Hom.:
0
AF XY:
0.0000441
AC XY:
6
AN XY:
135910
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000792
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000253
AC:
37
AN:
1461758
Hom.:
0
Cov.:
34
AF XY:
0.0000234
AC XY:
17
AN XY:
727182
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000348
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000225
Gnomad4 OTH exome
AF:
0.000116
GnomAD4 genome
AF:
0.00000663
AC:
1
AN:
150728
Hom.:
0
Cov.:
34
AF XY:
0.0000136
AC XY:
1
AN XY:
73552
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000194
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000138
Hom.:
0
ExAC
AF:
0.0000741
AC:
9

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Primary ciliary dyskinesia 24 Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingGenomics Facility, Ludwig-Maximilians-Universität MünchenDec 28, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.21
D
BayesDel_noAF
Pathogenic
0.26
Cadd
Pathogenic
34
Dann
Uncertain
0.99
Eigen
Benign
-0.28
Eigen_PC
Benign
-0.59
FATHMM_MKL
Benign
0.029
N
MutationTaster
Benign
1.0
A;A
Vest4
0.068
GERP RS
1.8

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: rs146298259; hg19: chr21-43897491; API