NM_002601.4:c.409G>A

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_002601.4(PDE6D):​c.409G>A​(p.Asp137Asn) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00111 in 1,612,136 control chromosomes in the GnomAD database, including 8 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0021 ( 3 hom., cov: 32)
Exomes 𝑓: 0.0010 ( 5 hom. )

Consequence

PDE6D
NM_002601.4 missense

Scores

2
2
13

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 7.36

Publications

5 publications found
Variant links:
Genes affected
PDE6D (HGNC:8788): (phosphodiesterase 6D) This gene encodes the delta subunit of rod-specific photoreceptor phosphodiesterase (PDE), a key enzyme in the phototransduction cascade. A similar protein in cow functions in solubilizing membrane-bound PDE. In addition to its role in the PDE complex, the encoded protein is thought to bind to prenyl groups of proteins to target them to subcellular organelles called cilia. Mutations in this gene are associated with Joubert syndrome-22. Alternative splicing results in multiple splice variants. [provided by RefSeq, Mar 2014]
PDE6D Gene-Disease associations (from GenCC):
  • Joubert syndrome 22
    Inheritance: AR Classification: STRONG, MODERATE, LIMITED Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • orofaciodigital syndrome type 6
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.010318369).
BP6
Variant 2-231732996-C-T is Benign according to our data. Variant chr2-231732996-C-T is described in ClinVar as Likely_benign. ClinVar VariationId is 541700.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00212 (323/152256) while in subpopulation AFR AF = 0.00657 (273/41564). AF 95% confidence interval is 0.00593. There are 3 homozygotes in GnomAd4. There are 144 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 3 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002601.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PDE6D
NM_002601.4
MANE Select
c.409G>Ap.Asp137Asn
missense
Exon 5 of 5NP_002592.1O43924
PDE6D
NM_001291018.2
c.*21G>A
3_prime_UTR
Exon 4 of 4NP_001277947.1B8ZZK5

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PDE6D
ENST00000287600.9
TSL:1 MANE Select
c.409G>Ap.Asp137Asn
missense
Exon 5 of 5ENSP00000287600.4O43924
PDE6D
ENST00000938376.1
c.283G>Ap.Asp95Asn
missense
Exon 4 of 4ENSP00000608435.1
PDE6D
ENST00000409772.5
TSL:3
c.*21G>A
3_prime_UTR
Exon 4 of 4ENSP00000387108.1B8ZZK5

Frequencies

GnomAD3 genomes
AF:
0.00210
AC:
319
AN:
152138
Hom.:
3
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00649
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000393
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:
0.000618
Gnomad OTH
AF:
0.000956
GnomAD2 exomes
AF:
0.000662
AC:
165
AN:
249158
AF XY:
0.000549
show subpopulations
Gnomad AFR exome
AF:
0.00677
Gnomad AMR exome
AF:
0.000174
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000421
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00100
AC:
1462
AN:
1459880
Hom.:
5
Cov.:
28
AF XY:
0.000962
AC XY:
699
AN XY:
726458
show subpopulations
African (AFR)
AF:
0.00742
AC:
248
AN:
33444
American (AMR)
AF:
0.000269
AC:
12
AN:
44686
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26116
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39662
South Asian (SAS)
AF:
0.0000232
AC:
2
AN:
86188
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53416
Middle Eastern (MID)
AF:
0.000174
AC:
1
AN:
5760
European-Non Finnish (NFE)
AF:
0.00105
AC:
1161
AN:
1110286
Other (OTH)
AF:
0.000630
AC:
38
AN:
60322
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.432
Heterozygous variant carriers
0
64
128
193
257
321
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
56
112
168
224
280
<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:
0.00212
AC:
323
AN:
152256
Hom.:
3
Cov.:
32
AF XY:
0.00193
AC XY:
144
AN XY:
74424
show subpopulations
African (AFR)
AF:
0.00657
AC:
273
AN:
41564
American (AMR)
AF:
0.000392
AC:
6
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4818
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10602
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000618
AC:
42
AN:
68002
Other (OTH)
AF:
0.000946
AC:
2
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
14
28
43
57
71
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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:
0.00112
Hom.:
0
Bravo
AF:
0.00241
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.00234
AC:
9
ESP6500AA
AF:
0.00340
AC:
15
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000848
AC:
103
EpiCase
AF:
0.000655
EpiControl
AF:
0.000593

ClinVar

ClinVar submissions
Significance:Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
not provided (2)
-
-
1
Joubert syndrome 22 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.089
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.37
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.16
T
Eigen
Benign
-0.042
Eigen_PC
Benign
0.15
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.97
D
MetaRNN
Benign
0.010
T
MetaSVM
Benign
-0.89
T
MutationAssessor
Benign
1.2
L
PhyloP100
7.4
PrimateAI
Pathogenic
0.83
D
PROVEAN
Benign
-2.2
N
REVEL
Benign
0.12
Sift
Benign
0.22
T
Sift4G
Benign
0.36
T
Polyphen
0.022
B
Vest4
0.57
MVP
0.47
MPC
1.0
ClinPred
0.044
T
GERP RS
5.3
Varity_R
0.43
gMVP
0.62
Mutation Taster
=75/25
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.10
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: rs146510084; hg19: chr2-232597706; COSMIC: COSV99807692; COSMIC: COSV99807692; API