chr2-176092982-T-TGGC
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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
NM_000523.4 inframe_insertion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 0.870
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]
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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 |
---|---|---|---|---|---|---|---|
HOXD13 | NM_000523.4 | c.106_108dup | p.Ala36dup | inframe_insertion | 1/2 | ENST00000392539.4 | |
HOXD13 | XM_011511068.3 | c.725-1484_725-1482dup | intron_variant |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
HOXD13 | ENST00000392539.4 | c.106_108dup | p.Ala36dup | inframe_insertion | 1/2 | 1 | NM_000523.4 | P1 |
Frequencies
GnomAD3 genomes AF: 0.000232 AC: 35AN: 150896Hom.: 0 Cov.: 33
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GnomAD3 exomes AF: 0.000138 AC: 6AN: 43376Hom.: 0 AF XY: 0.000187 AC XY: 5AN XY: 26720
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GnomAD4 exome AF: 0.000499 AC: 598AN: 1198826Hom.: 0 Cov.: 30 AF XY: 0.000489 AC XY: 287AN XY: 586546
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GnomAD4 genome AF: 0.000232 AC: 35AN: 151004Hom.: 0 Cov.: 33 AF XY: 0.000230 AC XY: 17AN XY: 73768
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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 submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Nov 12, 2023 | This 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
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at