chr2-176151875-A-T

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_014621.3(HOXD4):​c.242A>T​(p.Glu81Val) variant causes a missense change. The variant allele was found at a frequency of 0.00143 in 1,585,294 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (no stars).

Frequency

Genomes: 𝑓 0.00085 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0015 ( 0 hom. )

Consequence

HOXD4
NM_014621.3 missense

Scores

2
4
12

Clinical Significance

Uncertain significance no assertion criteria provided U:1

Conservation

PhyloP100: 6.80

Publications

10 publications found
Variant links:
Genes affected
HOXD4 (HGNC:5138): (homeobox D4) 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 at 2q31-2q37 chromosome regions. Deletions that removed the entire HOXD gene cluster or 5' end of this cluster have been associated with severe limb and genital abnormalities. The protein encoded by this gene may play a role in determining positional values in developing limb buds. Alternatively spliced variants have been described but their full length nature has not been determined. [provided by RefSeq, Jul 2008]
HOXD3 (HGNC:5137): (homeobox D3) 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 at 2q31-2q37 chromosome regions. Deletions that removed the entire HOXD gene cluster or 5' end of this cluster have been associated with severe limb and genital abnormalities. The protein encoded by this gene may play a role in the regulation of cell adhesion processes. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.21931592).
BS2
High AC in GnomAd4 at 130 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_014621.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HOXD4
NM_014621.3
MANE Select
c.242A>Tp.Glu81Val
missense
Exon 1 of 2NP_055436.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HOXD4
ENST00000306324.4
TSL:1 MANE Select
c.242A>Tp.Glu81Val
missense
Exon 1 of 2ENSP00000302548.3P09016
HOXD3
ENST00000963805.1
c.-85+4225A>T
intron
N/AENSP00000633864.1
HOXD3
ENST00000432796.2
TSL:3
c.-85+14876A>T
intron
N/AENSP00000392615.2C9J1M3

Frequencies

GnomAD3 genomes
AF:
0.000855
AC:
130
AN:
152082
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000169
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000458
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000283
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00163
Gnomad OTH
AF:
0.000956
GnomAD2 exomes
AF:
0.000791
AC:
152
AN:
192114
AF XY:
0.000710
show subpopulations
Gnomad AFR exome
AF:
0.000100
Gnomad AMR exome
AF:
0.000443
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00128
Gnomad NFE exome
AF:
0.00139
Gnomad OTH exome
AF:
0.000991
GnomAD4 exome
AF:
0.00149
AC:
2131
AN:
1433096
Hom.:
0
Cov.:
31
AF XY:
0.00141
AC XY:
999
AN XY:
710238
show subpopulations
African (AFR)
AF:
0.0000610
AC:
2
AN:
32800
American (AMR)
AF:
0.000493
AC:
20
AN:
40548
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25596
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38380
South Asian (SAS)
AF:
0.00
AC:
0
AN:
83976
European-Finnish (FIN)
AF:
0.000742
AC:
37
AN:
49892
Middle Eastern (MID)
AF:
0.000190
AC:
1
AN:
5260
European-Non Finnish (NFE)
AF:
0.00181
AC:
1989
AN:
1097508
Other (OTH)
AF:
0.00139
AC:
82
AN:
59136
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
122
245
367
490
612
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
78
156
234
312
390
<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:
0.000854
AC:
130
AN:
152198
Hom.:
0
Cov.:
33
AF XY:
0.000632
AC XY:
47
AN XY:
74412
show subpopulations
African (AFR)
AF:
0.000168
AC:
7
AN:
41560
American (AMR)
AF:
0.000458
AC:
7
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5144
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4824
European-Finnish (FIN)
AF:
0.000283
AC:
3
AN:
10612
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
290
European-Non Finnish (NFE)
AF:
0.00163
AC:
111
AN:
67978
Other (OTH)
AF:
0.000946
AC:
2
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.508
Heterozygous variant carriers
0
7
14
22
29
36
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:
0.00100
Hom.:
0
Bravo
AF:
0.000774
TwinsUK
AF:
0.00135
AC:
5
ALSPAC
AF:
0.00182
AC:
7
ExAC
AF:
0.000583
AC:
65

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:no assertion criteria provided
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Leukemia, acute lymphoblastic, susceptibility to (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Uncertain
0.040
CADD
Benign
22
DANN
Benign
0.67
DEOGEN2
Benign
0.15
T
Eigen
Benign
-0.45
Eigen_PC
Benign
-0.44
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.44
T
M_CAP
Uncertain
0.25
D
MetaRNN
Benign
0.22
T
MetaSVM
Benign
-0.81
T
MutationAssessor
Uncertain
2.5
M
PhyloP100
6.8
PrimateAI
Pathogenic
0.83
D
PROVEAN
Benign
-2.1
N
REVEL
Uncertain
0.46
Sift
Benign
0.24
T
Sift4G
Benign
0.26
T
Polyphen
0.11
B
Vest4
0.80
MVP
0.87
MPC
0.50
ClinPred
0.058
T
GERP RS
3.1
PromoterAI
-0.096
Neutral
Varity_R
0.15
gMVP
0.41
Mutation Taster
=64/36
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs104893636; hg19: chr2-177016603; API