9-133644248-G-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000787.4(DBH):​c.952G>T​(p.Ala318Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0776 in 1,613,524 control chromosomes in the GnomAD database, including 5,350 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.078 ( 536 hom., cov: 34)
Exomes 𝑓: 0.078 ( 4814 hom. )

Consequence

DBH
NM_000787.4 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 0.970
Variant links:
Genes affected
DBH (HGNC:2689): (dopamine beta-hydroxylase) The protein encoded by this gene is an oxidoreductase belonging to the copper type II, ascorbate-dependent monooxygenase family. The encoded protein, expressed in neuroscretory vesicles and chromaffin granules of the adrenal medulla, catalyzes the conversion of dopamine to norepinephrine, which functions as both a hormone and as the main neurotransmitter of the sympathetic nervous system. The enzyme encoded by this gene exists exists in both soluble and membrane-bound forms, depending on the absence or presence, respectively, of a signal peptide. Mutations in this gene cause dopamine beta-hydroxylate deficiency in human patients, characterized by deficits in autonomic and cardiovascular function, including hypotension and ptosis. Polymorphisms in this gene may play a role in a variety of psychiatric disorders. [provided by RefSeq, Aug 2017]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0028128922).
BP6
Variant 9-133644248-G-T is Benign according to our data. Variant chr9-133644248-G-T is described in ClinVar as [Benign]. Clinvar id is 365652.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-133644248-G-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.112 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DBHNM_000787.4 linkuse as main transcriptc.952G>T p.Ala318Ser missense_variant 5/12 ENST00000393056.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DBHENST00000393056.8 linkuse as main transcriptc.952G>T p.Ala318Ser missense_variant 5/121 NM_000787.4 P1

Frequencies

GnomAD3 genomes
AF:
0.0782
AC:
11898
AN:
152152
Hom.:
535
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.115
Gnomad AMI
AF:
0.0362
Gnomad AMR
AF:
0.0405
Gnomad ASJ
AF:
0.0530
Gnomad EAS
AF:
0.00519
Gnomad SAS
AF:
0.0465
Gnomad FIN
AF:
0.0438
Gnomad MID
AF:
0.0570
Gnomad NFE
AF:
0.0797
Gnomad OTH
AF:
0.0683
GnomAD3 exomes
AF:
0.0632
AC:
15879
AN:
251432
Hom.:
659
AF XY:
0.0627
AC XY:
8525
AN XY:
135894
show subpopulations
Gnomad AFR exome
AF:
0.120
Gnomad AMR exome
AF:
0.0338
Gnomad ASJ exome
AF:
0.0540
Gnomad EAS exome
AF:
0.00326
Gnomad SAS exome
AF:
0.0503
Gnomad FIN exome
AF:
0.0468
Gnomad NFE exome
AF:
0.0809
Gnomad OTH exome
AF:
0.0668
GnomAD4 exome
AF:
0.0775
AC:
113267
AN:
1461254
Hom.:
4814
Cov.:
33
AF XY:
0.0759
AC XY:
55167
AN XY:
726952
show subpopulations
Gnomad4 AFR exome
AF:
0.122
Gnomad4 AMR exome
AF:
0.0352
Gnomad4 ASJ exome
AF:
0.0532
Gnomad4 EAS exome
AF:
0.00708
Gnomad4 SAS exome
AF:
0.0490
Gnomad4 FIN exome
AF:
0.0495
Gnomad4 NFE exome
AF:
0.0849
Gnomad4 OTH exome
AF:
0.0742
GnomAD4 genome
AF:
0.0782
AC:
11914
AN:
152270
Hom.:
536
Cov.:
34
AF XY:
0.0744
AC XY:
5537
AN XY:
74456
show subpopulations
Gnomad4 AFR
AF:
0.115
Gnomad4 AMR
AF:
0.0405
Gnomad4 ASJ
AF:
0.0530
Gnomad4 EAS
AF:
0.00520
Gnomad4 SAS
AF:
0.0469
Gnomad4 FIN
AF:
0.0438
Gnomad4 NFE
AF:
0.0797
Gnomad4 OTH
AF:
0.0685
Alfa
AF:
0.0730
Hom.:
810
Bravo
AF:
0.0809
TwinsUK
AF:
0.0790
AC:
293
ALSPAC
AF:
0.0893
AC:
344
ESP6500AA
AF:
0.120
AC:
530
ESP6500EA
AF:
0.0777
AC:
668
ExAC
AF:
0.0665
AC:
8069
Asia WGS
AF:
0.0470
AC:
164
AN:
3478
EpiCase
AF:
0.0765
EpiControl
AF:
0.0736

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Orthostatic hypotension 1 Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxMay 04, 2021- -
DBH-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesNov 20, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.083
BayesDel_addAF
Benign
-0.71
T
BayesDel_noAF
Benign
-0.70
CADD
Benign
2.7
DANN
Benign
0.85
DEOGEN2
Benign
0.10
T
Eigen
Benign
-0.99
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.60
D
LIST_S2
Benign
0.81
T
MetaRNN
Benign
0.0028
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.5
L
MutationTaster
Benign
1.0
P
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-0.76
N
REVEL
Benign
0.062
Sift
Benign
0.24
T
Sift4G
Benign
0.26
T
Polyphen
0.067
B
Vest4
0.33
MPC
0.29
ClinPred
0.012
T
GERP RS
-0.85
Varity_R
0.17
gMVP
0.74

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs4531; hg19: chr9-136509370; COSMIC: COSV55040352; COSMIC: COSV55040352; API