6-49606913-G-T

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_000324.3(RHAG):​c.1147C>A​(p.Leu383Ile) variant causes a missense change. The variant allele was found at a frequency of 0.000722 in 1,610,196 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/22 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 0.00045 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00075 ( 3 hom. )

Consequence

RHAG
NM_000324.3 missense

Scores

3
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: 4.01

Publications

5 publications found
Variant links:
Genes affected
RHAG (HGNC:10006): (Rh associated glycoprotein) The protein encoded by this gene is erythrocyte-specific and is thought to be part of a membrane channel that transports ammonium and carbon dioxide across the blood cell membrane. The encoded protein appears to interact with Rh blood group antigens and Rh30 polypeptides. Defects in this gene are a cause of regulator type Rh-null hemolytic anemia (RHN), or Rh-deficiency syndrome.[provided by RefSeq, Mar 2009]
RHAG Gene-Disease associations (from GenCC):
  • Rh deficiency syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • overhydrated hereditary stomatocytosis
    Inheritance: AD Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.06165579).
BP6
Variant 6-49606913-G-T is Benign according to our data. Variant chr6-49606913-G-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 1050684.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.000453 (69/152270) while in subpopulation NFE AF = 0.000853 (58/68032). AF 95% confidence interval is 0.000677. There are 0 homozygotes in GnomAd4. There are 33 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 3 AR,AD gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000324.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RHAG
NM_000324.3
MANE Select
c.1147C>Ap.Leu383Ile
missense
Exon 9 of 10NP_000315.2Q02094-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RHAG
ENST00000371175.10
TSL:1 MANE Select
c.1147C>Ap.Leu383Ile
missense
Exon 9 of 10ENSP00000360217.4Q02094-1
RHAG
ENST00000646272.1
c.1147C>Ap.Leu383Ile
missense
Exon 9 of 10ENSP00000494337.1A0A2R8YEH1
RHAG
ENST00000646939.1
c.1025C>Ap.Ser342Tyr
missense
Exon 8 of 9ENSP00000494709.1Q02094-2

Frequencies

GnomAD3 genomes
AF:
0.000453
AC:
69
AN:
152152
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000852
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000275
AC:
69
AN:
250974
AF XY:
0.000346
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000139
Gnomad NFE exome
AF:
0.000573
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000750
AC:
1093
AN:
1457926
Hom.:
3
Cov.:
29
AF XY:
0.000718
AC XY:
521
AN XY:
725552
show subpopulations
African (AFR)
AF:
0.000180
AC:
6
AN:
33392
American (AMR)
AF:
0.0000224
AC:
1
AN:
44678
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26112
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39676
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86156
European-Finnish (FIN)
AF:
0.000375
AC:
20
AN:
53384
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5756
European-Non Finnish (NFE)
AF:
0.000902
AC:
1000
AN:
1108562
Other (OTH)
AF:
0.00110
AC:
66
AN:
60210
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.442
Heterozygous variant carriers
0
47
93
140
186
233
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
38
76
114
152
190
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000453
AC:
69
AN:
152270
Hom.:
0
Cov.:
33
AF XY:
0.000443
AC XY:
33
AN XY:
74454
show subpopulations
African (AFR)
AF:
0.000241
AC:
10
AN:
41560
American (AMR)
AF:
0.0000654
AC:
1
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5186
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4816
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10594
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000853
AC:
58
AN:
68032
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
3
6
10
13
16
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000615
Hom.:
0
Bravo
AF:
0.000450
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000272
AC:
33
EpiCase
AF:
0.000600
EpiControl
AF:
0.000474

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
1
not provided (2)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.16
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.42
CADD
Uncertain
23
DANN
Benign
0.94
DEOGEN2
Benign
0.022
T
Eigen
Benign
-0.45
Eigen_PC
Benign
-0.37
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Benign
0.70
T
M_CAP
Benign
0.024
T
MetaRNN
Benign
0.062
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.8
M
PhyloP100
4.0
PrimateAI
Benign
0.48
T
PROVEAN
Benign
-1.7
N
REVEL
Benign
0.19
Sift
Uncertain
0.020
D
Sift4G
Benign
0.13
T
Polyphen
0.48
P
Vest4
0.41
MVP
0.19
MPC
0.63
ClinPred
0.22
T
GERP RS
3.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.17
gMVP
0.36
Mutation Taster
=70/30
polymorphism

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

Other links and lift over

dbSNP: rs141051794; hg19: chr6-49574626; API