NM_025132.4:c.20T>C
Variant names: 
Variant summary
Our verdict is Uncertain significance. The variant received 5 ACMG points: 5P and 0B. PM2PP3_ModeratePP5
The NM_025132.4(WDR19):c.20T>C(p.Leu7Pro) variant causes a missense change. The variant allele was found at a frequency of 0.00000285 in 1,404,162 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).
Frequency
 Genomes: not found (cov: 32) 
 Exomes 𝑓:  0.0000028   (  0   hom.  ) 
Consequence
 WDR19
NM_025132.4 missense
NM_025132.4 missense
Scores
 9
 8
 2
Clinical Significance
Conservation
 PhyloP100:  3.59  
Publications
5 publications found 
Genes affected
 WDR19  (HGNC:18340):  (WD repeat domain 19) The protein encoded by this gene is a member of the WD (tryptophan-aspartic acid) repeat family, which is a large family of structurally-related proteins known to participate in a wide range of cellular processes. Each WD repeat typically contains about 40 amino acids that are usually bracketed by glycine-histidine and tryptophan-aspartic acid (WD) dipeptides. This protein contains six WD repeats, three transmembrane domains, and a clathrin heavy-chain repeat. Mutations in this gene have been described in individuals with a wide range of disorders affecting function of the cilium. These disorders are known as ciliopathies, and include Jeune syndrome, Sensenbrenner syndromes, Senior-Loken syndrome, combined or isolated nephronophthisis (NPHP), and retinitis pigmentosa (RP). Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Dec 2015] 
WDR19 Gene-Disease associations (from GenCC):
- asphyxiating thoracic dystrophy 5Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
 - ciliopathyInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
 - cranioectodermal dysplasia 4Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
 - nephronophthisis 13Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
 - Senior-Loken syndrome 8Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
 - cranioectodermal dysplasiaInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 - Jeune syndromeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 - nephronophthisis 1Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 - Senior-Loken syndromeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Uncertain_significance. The variant received 5 ACMG points.
PM2
Very rare variant in population databases, with high coverage; 
PP3
MetaRNN computational evidence supports a deleterious effect, 0.909
PP5
Variant 4-39185739-T-C is Pathogenic according to our data. Variant chr4-39185739-T-C is described in ClinVar as Pathogenic. ClinVar VariationId is 30705.Status of the report is no_assertion_criteria_provided, 0 stars. 
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  Cov.: 32 
GnomAD3 genomes 
Cov.: 
32
GnomAD4 exome  AF:  0.00000285  AC: 4AN: 1404162Hom.:  0  Cov.: 30 AF XY:  0.00  AC XY: 0AN XY: 692932 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
GnomAD4 exome 
 AF: 
AC: 
4
AN: 
1404162
Hom.: 
Cov.: 
30
 AF XY: 
AC XY: 
0
AN XY: 
692932
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: 
31788
American (AMR) 
 AF: 
AC: 
0
AN: 
36386
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
25238
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
36366
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
79462
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
49678
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5704
European-Non Finnish (NFE) 
 AF: 
AC: 
4
AN: 
1081290
Other (OTH) 
 AF: 
AC: 
0
AN: 
58250
 ⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.0000000286219), which strongly suggests a high chance of mosaicism in these individuals. 
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.388 
Heterozygous variant carriers
 0 
 1 
 1 
 2 
 2 
 3 
 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  Cov.: 32 
GnomAD4 genome 
Cov.: 
32
Alfa 
 AF: 
Hom.: 
Bravo 
 AF: 
ClinVar
Significance: Pathogenic 
Submissions summary: Pathogenic:1 
Revision: no assertion criteria provided
LINK: link 
Submissions by phenotype
Asphyxiating thoracic dystrophy 5    Pathogenic:1 
Nov 11, 2011
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 AlphaMissense 
 Pathogenic 
 BayesDel_addAF 
 Pathogenic 
D 
 BayesDel_noAF 
 Pathogenic 
 DANN 
 Pathogenic 
 DEOGEN2 
 Uncertain 
D;. 
 Eigen 
 Pathogenic 
 Eigen_PC 
 Pathogenic 
 FATHMM_MKL 
 Pathogenic 
D 
 LIST_S2 
 Benign 
T;T 
 M_CAP 
 Uncertain 
D 
 MetaRNN 
 Pathogenic 
D;D 
 MetaSVM 
 Uncertain 
T 
 MutationAssessor 
 Pathogenic 
M;. 
 PhyloP100 
 PrimateAI 
 Uncertain 
T 
 PROVEAN 
 Uncertain 
D;D 
 REVEL 
 Uncertain 
 Sift 
 Uncertain 
D;D 
 Sift4G 
 Uncertain 
D;D 
 Polyphen 
D;D 
 Vest4 
 MutPred 
Loss of sheet (P = 0.0084);Loss of sheet (P = 0.0084);
 MVP 
 MPC 
 ClinPred 
D 
 GERP RS 
 Varity_R 
 gMVP 
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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