DOCK8 p.Arg151Gln

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP6BS1BS2

The NM_203447.4(DOCK8):​c.452G>A​(p.Arg151Gln) variant causes a missense change. The variant allele was found at a frequency of 0.00176 in 1,614,138 control chromosomes in the GnomAD database, including 9 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. R151R) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0013 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0018 ( 9 hom. )

Consequence

DOCK8
NM_203447.4 missense

Scores

5
14

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:4

Conservation

PhyloP100: 3.91

Publications

6 publications found
Variant links:
Genes affected
DOCK8 (HGNC:19191): (dedicator of cytokinesis 8) This gene encodes a member of the DOCK180 family of guanine nucleotide exchange factors. Guanine nucleotide exchange factors interact with Rho GTPases and are components of intracellular signaling networks. Mutations in this gene result in the autosomal recessive form of the hyper-IgE syndrome. Alternatively spliced transcript variants encoding different isoforms have been described.[provided by RefSeq, Jun 2010]
DOCK8 Gene-Disease associations (from GenCC):
  • combined immunodeficiency due to DOCK8 deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE, LIMITED Submitted by: Orphanet, G2P, Ambry Genetics, Genomics England PanelApp, Labcorp Genetics (formerly Invitae), ClinGen
  • autosomal dominant non-syndromic intellectual disability
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • complex neurodevelopmental disorder
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

new If you want to explore the variant's impact on the transcript NM_203447.4, check out the Mutation Effect Viewer. This is especially useful for frameshift variants or if you want to visualize the effect of exon loss / intron retention.

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP6
Variant 9-304628-G-A is Benign according to our data. Variant chr9-304628-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 366540.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00133 (203/152258) while in subpopulation NFE AF = 0.00219 (149/68024). AF 95% confidence interval is 0.0019. There are 0 homozygotes in GnomAd4. There are 86 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 9 AR,AD gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_203447.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DOCK8
NM_203447.4
MANE Select
c.452G>Ap.Arg151Gln
missense
Exon 5 of 48NP_982272.2Q8NF50-1
DOCK8
NM_001193536.2
c.248G>Ap.Arg83Gln
missense
Exon 4 of 47NP_001180465.1Q8NF50-3
DOCK8
NM_001190458.2
c.248G>Ap.Arg83Gln
missense
Exon 4 of 46NP_001177387.1Q8NF50-4

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DOCK8
ENST00000432829.7
TSL:1 MANE Select
c.452G>Ap.Arg151Gln
missense
Exon 5 of 48ENSP00000394888.3Q8NF50-1
DOCK8
ENST00000469391.5
TSL:1
c.248G>Ap.Arg83Gln
missense
Exon 4 of 46ENSP00000419438.1Q8NF50-4
DOCK8
ENST00000382329.2
TSL:1
c.248G>Ap.Arg83Gln
missense
Exon 5 of 46ENSP00000371766.2A2A369

Frequencies

GnomAD3 genomes
AF:
0.00133
AC:
203
AN:
152140
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000410
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.00131
Gnomad ASJ
AF:
0.00173
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.000377
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00219
Gnomad OTH
AF:
0.00143
GnomAD2 exomes
AF:
0.00139
AC:
350
AN:
251386
AF XY:
0.00137
show subpopulations
Gnomad AFR exome
AF:
0.000308
Gnomad AMR exome
AF:
0.000752
Gnomad ASJ exome
AF:
0.00288
Gnomad EAS exome
AF:
0.000218
Gnomad FIN exome
AF:
0.000370
Gnomad NFE exome
AF:
0.00212
Gnomad OTH exome
AF:
0.00244
GnomAD4 exome
AF:
0.00181
AC:
2643
AN:
1461880
Hom.:
9
Cov.:
31
AF XY:
0.00177
AC XY:
1288
AN XY:
727244
show subpopulations
African (AFR)
AF:
0.000358
AC:
12
AN:
33480
American (AMR)
AF:
0.00107
AC:
48
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00279
AC:
73
AN:
26136
East Asian (EAS)
AF:
0.0000504
AC:
2
AN:
39698
South Asian (SAS)
AF:
0.000719
AC:
62
AN:
86258
European-Finnish (FIN)
AF:
0.000431
AC:
23
AN:
53418
Middle Eastern (MID)
AF:
0.00329
AC:
19
AN:
5768
European-Non Finnish (NFE)
AF:
0.00208
AC:
2318
AN:
1112002
Other (OTH)
AF:
0.00142
AC:
86
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
148
296
445
593
741
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
86
172
258
344
430
<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:
0.00133
AC:
203
AN:
152258
Hom.:
0
Cov.:
33
AF XY:
0.00116
AC XY:
86
AN XY:
74438
show subpopulations
African (AFR)
AF:
0.000409
AC:
17
AN:
41560
American (AMR)
AF:
0.00131
AC:
20
AN:
15276
Ashkenazi Jewish (ASJ)
AF:
0.00173
AC:
6
AN:
3470
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5182
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4828
European-Finnish (FIN)
AF:
0.000377
AC:
4
AN:
10598
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00219
AC:
149
AN:
68024
Other (OTH)
AF:
0.00142
AC:
3
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
12
24
37
49
61
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.00197
Hom.:
2
Bravo
AF:
0.00143
EpiCase
AF:
0.00196
EpiControl
AF:
0.00213

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
not provided (2)
-
2
-
not specified (2)
-
1
-
Combined immunodeficiency due to DOCK8 deficiency (1)
-
-
1
DOCK8-related disorder (1)
-
-
1
Not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.085
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.36
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Benign
0.088
T
Eigen
Uncertain
0.26
Eigen_PC
Uncertain
0.40
FATHMM_MKL
Uncertain
0.88
D
LIST_S2
Uncertain
0.92
D
M_CAP
Benign
0.012
T
MetaRNN
Benign
0.0072
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.52
N
PhyloP100
3.9
PrimateAI
Benign
0.44
T
PROVEAN
Benign
0.61
N
REVEL
Benign
0.087
Sift
Benign
1.0
T
Sift4G
Benign
0.79
T
Varity_R
0.071
gMVP
0.51
Mutation Taster
=98/2
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.28
Details are displayed if max score is > 0.2
DS_AL_spliceai
0.28
Position offset: -47

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

MaxEntScan Visualizer can be used to analyze the impact of this mutation on the neighboring sequence.

Publications

Other links and lift over

dbSNP: rs149918318;
hg19: chr9-304628;
COSMIC: COSV105929673;
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