5-13844842-C-T

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_001369.3(DNAH5):​c.5266G>A​(p.Glu1756Lys) variant causes a missense change. The variant allele was found at a frequency of 0.00393 in 1,614,158 control chromosomes in the GnomAD database, including 23 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0027 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0041 ( 22 hom. )

Consequence

DNAH5
NM_001369.3 missense

Scores

1
4
13

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:7

Conservation

PhyloP100: 5.82
Variant links:
Genes affected
DNAH5 (HGNC:2950): (dynein axonemal heavy chain 5) This gene encodes a dynein protein, which is part of a microtubule-associated motor protein complex consisting of heavy, light, and intermediate chains. This protein is an axonemal heavy chain dynein. It functions as a force-generating protein with ATPase activity, whereby the release of ADP is thought to produce the force-producing power stroke. Mutations in this gene cause primary ciliary dyskinesia type 3, as well as Kartagener syndrome, which are both diseases due to ciliary defects. [provided by RefSeq, Oct 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.012920976).
BP6
Variant 5-13844842-C-T is Benign according to our data. Variant chr5-13844842-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 227327.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=6, Uncertain_significance=1, Benign=1}. Variant chr5-13844842-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00271 (413/152288) while in subpopulation NFE AF= 0.00479 (326/68024). AF 95% confidence interval is 0.00436. There are 1 homozygotes in gnomad4. There are 182 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 22 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
DNAH5NM_001369.3 linkuse as main transcriptc.5266G>A p.Glu1756Lys missense_variant 32/79 ENST00000265104.5 NP_001360.1 Q8TE73

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
DNAH5ENST00000265104.5 linkuse as main transcriptc.5266G>A p.Glu1756Lys missense_variant 32/791 NM_001369.3 ENSP00000265104.4 Q8TE73
DNAH5ENST00000681290.1 linkuse as main transcriptc.5221G>A p.Glu1741Lys missense_variant 32/79 ENSP00000505288.1 A0A7P0Z455

Frequencies

GnomAD3 genomes
AF:
0.00271
AC:
413
AN:
152170
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000965
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000982
Gnomad ASJ
AF:
0.00115
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00236
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00479
Gnomad OTH
AF:
0.000958
GnomAD3 exomes
AF:
0.00254
AC:
639
AN:
251486
Hom.:
0
AF XY:
0.00266
AC XY:
361
AN XY:
135916
show subpopulations
Gnomad AFR exome
AF:
0.000861
Gnomad AMR exome
AF:
0.000520
Gnomad ASJ exome
AF:
0.00129
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000653
Gnomad FIN exome
AF:
0.00273
Gnomad NFE exome
AF:
0.00459
Gnomad OTH exome
AF:
0.00179
GnomAD4 exome
AF:
0.00406
AC:
5932
AN:
1461870
Hom.:
22
Cov.:
32
AF XY:
0.00388
AC XY:
2825
AN XY:
727236
show subpopulations
Gnomad4 AFR exome
AF:
0.000926
Gnomad4 AMR exome
AF:
0.000492
Gnomad4 ASJ exome
AF:
0.00138
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000696
Gnomad4 FIN exome
AF:
0.00286
Gnomad4 NFE exome
AF:
0.00493
Gnomad4 OTH exome
AF:
0.00333
GnomAD4 genome
AF:
0.00271
AC:
413
AN:
152288
Hom.:
1
Cov.:
32
AF XY:
0.00244
AC XY:
182
AN XY:
74464
show subpopulations
Gnomad4 AFR
AF:
0.000962
Gnomad4 AMR
AF:
0.000981
Gnomad4 ASJ
AF:
0.00115
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00236
Gnomad4 NFE
AF:
0.00479
Gnomad4 OTH
AF:
0.000948
Alfa
AF:
0.00428
Hom.:
1
Bravo
AF:
0.00232
TwinsUK
AF:
0.00512
AC:
19
ALSPAC
AF:
0.00752
AC:
29
ESP6500AA
AF:
0.00113
AC:
5
ESP6500EA
AF:
0.00547
AC:
47
ExAC
AF:
0.00261
AC:
317
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00376
EpiControl
AF:
0.00450

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:7
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Benign:3
Likely benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Nov 09, 2016- -
Likely benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineSep 03, 2015p.Glu1756Lys in exon 32 of DNAH5: This variant is not expected to have clinical significance because it has been identified in 0.4% (285/66740) of European chro mosomes by the Exome Aggregation Consortium (ExAC, http://exac.broadinstitute.or g; dbSNP rs116524991). -
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
not provided Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxJun 17, 2019Observed without a second DNAH5 variant in a patient with asthenozoospermia in published literature (Zuccarello et al., 2008); In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; This variant is associated with the following publications: (PMID: 18492703) -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenMay 01, 2024DNAH5: BP4, BS2 -
Primary ciliary dyskinesia Benign:2
Benign, criteria provided, single submitterclinical testingAmbry GeneticsDec 24, 2014This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 30, 2024- -
Primary ciliary dyskinesia 3 Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.35
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.50
T
Eigen
Benign
-0.014
Eigen_PC
Benign
0.098
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.88
D
M_CAP
Benign
0.024
T
MetaRNN
Benign
0.013
T
MetaSVM
Benign
-0.87
T
MutationAssessor
Benign
1.8
L
PrimateAI
Benign
0.44
T
PROVEAN
Uncertain
-3.0
D
REVEL
Benign
0.17
Sift
Benign
0.19
T
Polyphen
0.0080
B
Vest4
0.52
MVP
0.61
MPC
0.11
ClinPred
0.028
T
GERP RS
5.0
Varity_R
0.43
gMVP
0.27

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: rs116524991; hg19: chr5-13844951; COSMIC: COSV54202422; API