6-43645099-A-T
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Variant summary
Our verdict is Pathogenic. Variant got 14 ACMG points: 14P and 0B. PVS1PS1_ModeratePM2PP5_Moderate
The NM_152732.5(RSPH9):c.1A>T(p.Met1?) variant causes a start lost change. The variant allele was found at a frequency of 0.00000435 in 1,610,782 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 Pathogenic (★).
Frequency
Genomes: 𝑓 0.000026 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000021 ( 0 hom. )
Consequence
RSPH9
NM_152732.5 start_lost
NM_152732.5 start_lost
Scores
6
7
3
Clinical Significance
Conservation
PhyloP100: 5.96
Genes affected
RSPH9 (HGNC:21057): (radial spoke head component 9) This gene encodes a protein thought to be a component of the radial spoke head in motile cilia and flagella. Mutations in this gene are associated with primary ciliary dyskinesia 12. Alternative splicing results in multiple transcript variants.[provided by RefSeq, Jul 2010]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 14 ACMG points.
PVS1
Start lost variant, no new inframe start found.
PS1
Another start lost variant in NM_152732.5 (RSPH9) was described as [Likely_pathogenic] in Lovd
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 6-43645099-A-T is Pathogenic according to our data. Variant chr6-43645099-A-T is described in ClinVar as [Pathogenic]. Clinvar id is 2887444.Status of the report is criteria_provided_single_submitter, 1 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
RSPH9 | NM_152732.5 | c.1A>T | p.Met1? | start_lost | 1/5 | ENST00000372163.5 | NP_689945.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
RSPH9 | ENST00000372163.5 | c.1A>T | p.Met1? | start_lost | 1/5 | 1 | NM_152732.5 | ENSP00000361236 | P1 | |
RSPH9 | ENST00000372165.8 | c.1A>T | p.Met1? | start_lost | 1/6 | 2 | ENSP00000361238 |
Frequencies
GnomAD3 genomes AF: 0.0000263 AC: 4AN: 152168Hom.: 0 Cov.: 33
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GnomAD3 exomes AF: 0.0000123 AC: 3AN: 243492Hom.: 0 AF XY: 0.00000751 AC XY: 1AN XY: 133104
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GnomAD4 exome AF: 0.00000206 AC: 3AN: 1458614Hom.: 0 Cov.: 32 AF XY: 0.00000138 AC XY: 1AN XY: 725780
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GnomAD4 genome AF: 0.0000263 AC: 4AN: 152168Hom.: 0 Cov.: 33 AF XY: 0.0000135 AC XY: 1AN XY: 74334
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Primary ciliary dyskinesia Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Dec 09, 2023 | This sequence change affects the initiator methionine of the RSPH9 mRNA. The next in-frame methionine is located at codon 33. This variant is present in population databases (rs775745422, gnomAD 0.02%). Disruption of the initiator codon has been observed in individual(s) with primary ciliary dyskinesia (PMID: 23993197, 25789548; Invitae). For these reasons, this variant has been classified as Pathogenic. - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Uncertain
D
BayesDel_noAF
Pathogenic
CADD
Uncertain
DANN
Uncertain
DEOGEN2
Benign
.;T
Eigen
Uncertain
Eigen_PC
Uncertain
FATHMM_MKL
Pathogenic
D
LIST_S2
Uncertain
D;D
M_CAP
Pathogenic
D
MetaRNN
Pathogenic
D;D
MetaSVM
Benign
T
MutationTaster
Benign
D;D
PROVEAN
Uncertain
D;D
REVEL
Uncertain
Sift
Pathogenic
D;D
Sift4G
Pathogenic
D;D
Polyphen
0.52
.;P
Vest4
MutPred
Loss of helix (P = 0.0626);Loss of helix (P = 0.0626);
MVP
ClinPred
D
GERP RS
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Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at