8-60865677-TG-T
Variant names: 
Variant summary
Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PVS1_StrongPM2
The NM_017780.4(CHD7):c.8744delG(p.Gly2915AspfsTer2) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000688 in 1,454,366 control chromosomes in the GnomAD database, with no homozygous occurrence. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.
Frequency
 Genomes: not found (cov: 33) 
 Exomes 𝑓:  6.9e-7   (  0   hom.  ) 
Consequence
 CHD7
NM_017780.4 frameshift
NM_017780.4 frameshift
Scores
 Not classified 
Clinical Significance
 Not reported in ClinVar 
Conservation
 PhyloP100:  1.55  
Publications
0 publications found 
Genes affected
 CHD7  (HGNC:20626):  (chromodomain helicase DNA binding protein 7) This gene encodes a protein that contains several helicase family domains. Mutations in this gene have been found in some patients with the CHARGE syndrome. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2015] 
CHD7 Gene-Disease associations (from GenCC):
- CHARGE syndromeInheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, PanelApp Australia, Broad Center for Mendelian Genomics, ClinGen, G2P
 - hypogonadotropic hypogonadism 5 with or without anosmiaInheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
 - hypogonadotropic hypogonadismInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - Kallmann syndromeInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - Omenn syndromeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Likely_pathogenic. The variant received 6 ACMG points.
PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. There are 4 pathogenic variants in the truncated region. 
PM2
Very rare variant in population databases, with high coverage; 
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  Cov.: 33 
GnomAD3 genomes 
Cov.: 
33
GnomAD4 exome  AF:  6.88e-7  AC: 1AN: 1454366Hom.:  0  Cov.: 31 AF XY:  0.00  AC XY: 0AN XY: 722424 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
GnomAD4 exome 
 AF: 
AC: 
1
AN: 
1454366
Hom.: 
Cov.: 
31
 AF XY: 
AC XY: 
0
AN XY: 
722424
show subpopulations 
 ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
African (AFR) 
 AF: 
AC: 
0
AN: 
33162
American (AMR) 
 AF: 
AC: 
0
AN: 
44240
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
25746
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39576
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
85824
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53196
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5732
European-Non Finnish (NFE) 
 AF: 
AC: 
1
AN: 
1106910
Other (OTH) 
 AF: 
AC: 
0
AN: 
59980
 ⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals. 
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.225 
Heterozygous variant carriers
 0 
 0 
 1 
 1 
 2 
 2 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
GnomAD4 genome  Cov.: 33 
GnomAD4 genome 
Cov.: 
33
ClinVar
Not reported inComputational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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