NM_000523.4:c.163G>C

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4BS2

The NM_000523.4(HOXD13):​c.163G>C​(p.Gly55Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000943 in 1,379,258 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G55A) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000073 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000016 ( 0 hom. )

Consequence

HOXD13
NM_000523.4 missense

Scores

2
2
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.989

Publications

0 publications found
Variant links:
Genes affected
HOXD13 (HGNC:5136): (homeobox D13) This gene belongs to the homeobox family of genes. The homeobox genes encode a highly conserved family of transcription factors that play an important role in morphogenesis in all multicellular organisms. Mammals possess four similar homeobox gene clusters, HOXA, HOXB, HOXC and HOXD, located on different chromosomes, consisting of 9 to 11 genes arranged in tandem. This gene is one of several homeobox HOXD genes located in a cluster on chromosome 2. Deletions that remove the entire HOXD gene cluster or the 5' end of this cluster have been associated with severe limb and genital abnormalities. Mutations in this particular gene cause synpolydactyly. [provided by RefSeq, Jul 2008]
HOXD13 Gene-Disease associations (from GenCC):
  • brachydactyly-syndactyly syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Laboratory for Molecular Medicine, G2P
  • synpolydactyly type 1
    Inheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)
  • brachydactyly type E
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • syndactyly type 5
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.2928021).
BS2
High AC in GnomAd4 at 11 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000523.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HOXD13
NM_000523.4
MANE Select
c.163G>Cp.Gly55Arg
missense
Exon 1 of 2NP_000514.2P35453

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HOXD13
ENST00000392539.4
TSL:1 MANE Select
c.163G>Cp.Gly55Arg
missense
Exon 1 of 2ENSP00000376322.3P35453

Frequencies

GnomAD3 genomes
AF:
0.0000727
AC:
11
AN:
151226
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000266
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
26180
AF XY:
0.00
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000163
AC:
2
AN:
1228032
Hom.:
0
Cov.:
31
AF XY:
0.00000166
AC XY:
1
AN XY:
601042
show subpopulations
African (AFR)
AF:
0.0000828
AC:
2
AN:
24168
American (AMR)
AF:
0.00
AC:
0
AN:
10764
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
17430
East Asian (EAS)
AF:
0.00
AC:
0
AN:
28032
South Asian (SAS)
AF:
0.00
AC:
0
AN:
51706
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
31064
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4840
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1009598
Other (OTH)
AF:
0.00
AC:
0
AN:
50430
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.0000727
AC:
11
AN:
151226
Hom.:
0
Cov.:
33
AF XY:
0.000108
AC XY:
8
AN XY:
73814
show subpopulations
African (AFR)
AF:
0.000266
AC:
11
AN:
41348
American (AMR)
AF:
0.00
AC:
0
AN:
15176
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3450
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5136
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10378
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67610
Other (OTH)
AF:
0.00
AC:
0
AN:
2074
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
1
2
3
4
5
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:
0.00
Hom.:
0
Bravo
AF:
0.0000869
ExAC
AF:
0.0000409
AC:
1

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Inborn genetic diseases (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.50
BayesDel_addAF
Benign
-0.018
T
BayesDel_noAF
Benign
-0.26
CADD
Benign
23
DANN
Uncertain
0.97
DEOGEN2
Benign
0.33
T
Eigen
Benign
-0.99
Eigen_PC
Benign
-0.97
FATHMM_MKL
Benign
0.12
N
LIST_S2
Benign
0.79
T
M_CAP
Pathogenic
0.90
D
MetaRNN
Benign
0.29
T
MetaSVM
Benign
-0.45
T
MutationAssessor
Benign
0.55
N
PhyloP100
0.99
PrimateAI
Pathogenic
0.93
D
PROVEAN
Benign
-0.81
N
REVEL
Benign
0.22
Sift
Benign
0.22
T
Sift4G
Benign
0.39
T
Polyphen
0.0
B
Vest4
0.18
MutPred
0.39
Gain of helix (P = 0.0117)
MVP
0.78
ClinPred
0.067
T
GERP RS
1.6
PromoterAI
-0.023
Neutral
Varity_R
0.11
gMVP
0.45
Mutation Taster
=91/9
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: rs765137360; hg19: chr2-176957781; API