chr2-176092982-T-TGGC

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 0P and 2B. BP3BS1_Supporting

The NM_000523.4(HOXD13):​c.106_108dup​(p.Ala36dup) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000469 in 1,349,830 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00023 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00050 ( 0 hom. )

Consequence

HOXD13
NM_000523.4 inframe_insertion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.870
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_000523.4
BS1
Variant frequency is greater than expected in population nfe. gnomad4_exome allele frequency = 0.000499 (598/1198826) while in subpopulation NFE AF= 0.00056 (552/986052). AF 95% confidence interval is 0.000521. There are 0 homozygotes in gnomad4_exome. There are 287 alleles in male gnomad4_exome subpopulation. Median coverage is 30. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HOXD13NM_000523.4 linkuse as main transcriptc.106_108dup p.Ala36dup inframe_insertion 1/2 ENST00000392539.4
HOXD13XM_011511068.3 linkuse as main transcriptc.725-1484_725-1482dup intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HOXD13ENST00000392539.4 linkuse as main transcriptc.106_108dup p.Ala36dup inframe_insertion 1/21 NM_000523.4 P1

Frequencies

GnomAD3 genomes
AF:
0.000232
AC:
35
AN:
150896
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000729
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:
0.000473
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000138
AC:
6
AN:
43376
Hom.:
0
AF XY:
0.000187
AC XY:
5
AN XY:
26720
show subpopulations
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 SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000338
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000499
AC:
598
AN:
1198826
Hom.:
0
Cov.:
30
AF XY:
0.000489
AC XY:
287
AN XY:
586546
show subpopulations
Gnomad4 AFR exome
AF:
0.0000842
Gnomad4 AMR exome
AF:
0.000272
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000388
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000560
Gnomad4 OTH exome
AF:
0.000808
GnomAD4 genome
AF:
0.000232
AC:
35
AN:
151004
Hom.:
0
Cov.:
33
AF XY:
0.000230
AC XY:
17
AN XY:
73768
show subpopulations
Gnomad4 AFR
AF:
0.0000727
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000473
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.000242

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpNov 12, 2023This variant, c.106_108dup, results in the insertion of 1 amino acid(s) of the HOXD13 protein (p.Ala36dup), but otherwise preserves the integrity of the reading frame. This variant is present in population databases (no rsID available, gnomAD 0.03%), and has an allele count higher than expected for a pathogenic variant. This variant has not been reported in the literature in individuals affected with HOXD13-related conditions. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs767527649; hg19: chr2-176957710; API