chr11-6640068-C-T

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_003737.4(DCHS1):​c.1546G>A​(p.Ala516Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000765 in 1,613,840 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00078 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00076 ( 2 hom. )

Consequence

DCHS1
NM_003737.4 missense

Scores

19

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:4

Conservation

PhyloP100: -0.125

Publications

3 publications found
Variant links:
Genes affected
DCHS1 (HGNC:13681): (dachsous cadherin-related 1) This gene is a member of the cadherin superfamily whose members encode calcium-dependent cell-cell adhesion molecules. The encoded protein has a signal peptide, 27 cadherin repeat domains and a unique cytoplasmic region. This particular cadherin family member is expressed in fibroblasts but not in melanocytes or keratinocytes. The cell-cell adhesion of fibroblasts is thought to be necessary for wound healing. [provided by RefSeq, Jul 2008]
DCHS1 Gene-Disease associations (from GenCC):
  • mitral valve prolapse, myxomatous 2
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • van Maldergem syndrome 1
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia
  • familial mitral valve prolapse
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • van Maldergem syndrome
    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 -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0056413114).
BP6
Variant 11-6640068-C-T is Benign according to our data. Variant chr11-6640068-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 444244.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.000775 (118/152178) while in subpopulation NFE AF = 0.00109 (74/68030). AF 95% confidence interval is 0.000888. There are 0 homozygotes in GnomAd4. There are 60 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 2 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DCHS1NM_003737.4 linkc.1546G>A p.Ala516Thr missense_variant Exon 2 of 21 ENST00000299441.5 NP_003728.1 Q96JQ0

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DCHS1ENST00000299441.5 linkc.1546G>A p.Ala516Thr missense_variant Exon 2 of 21 1 NM_003737.4 ENSP00000299441.3 Q96JQ0
ENSG00000255410ENST00000656961.1 linkn.309+8639C>T intron_variant Intron 2 of 2

Frequencies

GnomAD3 genomes
AF:
0.000775
AC:
118
AN:
152178
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000265
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00317
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00179
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00109
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.000849
AC:
213
AN:
250742
AF XY:
0.000937
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000289
Gnomad ASJ exome
AF:
0.00229
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00180
Gnomad NFE exome
AF:
0.00110
Gnomad OTH exome
AF:
0.000980
GnomAD4 exome
AF:
0.000764
AC:
1116
AN:
1461662
Hom.:
2
Cov.:
31
AF XY:
0.000781
AC XY:
568
AN XY:
727102
show subpopulations
African (AFR)
AF:
0.0000597
AC:
2
AN:
33480
American (AMR)
AF:
0.000335
AC:
15
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.00264
AC:
69
AN:
26134
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39698
South Asian (SAS)
AF:
0.000383
AC:
33
AN:
86256
European-Finnish (FIN)
AF:
0.00169
AC:
90
AN:
53392
Middle Eastern (MID)
AF:
0.00295
AC:
17
AN:
5768
European-Non Finnish (NFE)
AF:
0.000753
AC:
837
AN:
1111846
Other (OTH)
AF:
0.000878
AC:
53
AN:
60370
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
74
148
223
297
371
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
30
60
90
120
150
<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:
0.000775
AC:
118
AN:
152178
Hom.:
0
Cov.:
32
AF XY:
0.000807
AC XY:
60
AN XY:
74344
show subpopulations
African (AFR)
AF:
0.000265
AC:
11
AN:
41438
American (AMR)
AF:
0.0000654
AC:
1
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.00317
AC:
11
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5190
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4830
European-Finnish (FIN)
AF:
0.00179
AC:
19
AN:
10614
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00109
AC:
74
AN:
68030
Other (OTH)
AF:
0.000478
AC:
1
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
7
14
21
28
35
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:
0.000940
Hom.:
0
Bravo
AF:
0.000604
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000582
AC:
5
ExAC
AF:
0.000972
AC:
118
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00109
EpiControl
AF:
0.000415

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:4
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:3
May 08, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Aug 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

DCHS1: BP4 -

Apr 27, 2021
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 15, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:1
Jun 20, 2017
Institute for Genomic Medicine (IGM) Clinical Laboratory, Nationwide Children's Hospital
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

BS2, BP4; This alteration was seen in a healthy adult where full penetrance of the disorder is expected at an early age, and is predicted to be tolerated by multiple functional prediction tools. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.065
BayesDel_addAF
Benign
-0.59
T
BayesDel_noAF
Benign
-0.65
CADD
Benign
3.8
DANN
Benign
0.80
DEOGEN2
Benign
0.039
T
Eigen
Benign
-1.3
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.042
N
LIST_S2
Benign
0.52
T
M_CAP
Benign
0.011
T
MetaRNN
Benign
0.0056
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.15
N
PhyloP100
-0.13
PrimateAI
Benign
0.25
T
PROVEAN
Benign
1.5
N
REVEL
Benign
0.027
Sift
Benign
1.0
T
Sift4G
Benign
0.67
T
Polyphen
0.0020
B
Vest4
0.13
MVP
0.24
MPC
0.28
ClinPred
0.0065
T
GERP RS
-4.3
Varity_R
0.016
gMVP
0.098
Mutation Taster
=99/1
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs142972252; hg19: chr11-6661299; COSMIC: COSV104408714; COSMIC: COSV104408714; API