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chr20-45469825-T-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_006103.4(WFDC2):​c.44T>A​(p.Leu15His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000411 in 1,459,010 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000041 ( 0 hom. )

Consequence

WFDC2
NM_006103.4 missense

Scores

11
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.612
Variant links:
Genes affected
WFDC2 (HGNC:15939): (WAP four-disulfide core domain 2) This gene encodes a protein that is a member of the WFDC domain family. The WFDC domain, or WAP Signature motif, contains eight cysteines forming four disulfide bonds at the core of the protein, and functions as a protease inhibitor in many family members. This gene is expressed in pulmonary epithelial cells, and was also found to be expressed in some ovarian cancers. The encoded protein is a small secretory protein, which may be involved in sperm maturation. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
WFDC2NM_006103.4 linkuse as main transcriptc.44T>A p.Leu15His missense_variant 1/4 ENST00000372676.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
WFDC2ENST00000372676.8 linkuse as main transcriptc.44T>A p.Leu15His missense_variant 1/41 NM_006103.4 P1Q14508-1
WFDC2ENST00000217425.9 linkuse as main transcriptc.44T>A p.Leu15His missense_variant 1/31 Q14508-5
WFDC2ENST00000339946.7 linkuse as main transcriptc.44T>A p.Leu15His missense_variant 1/31 Q14508-3
WFDC2ENST00000447118.5 linkuse as main transcriptc.44T>A p.Leu15His missense_variant, NMD_transcript_variant 1/51

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000412
AC:
1
AN:
242564
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
131872
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:
0.00000914
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000411
AC:
6
AN:
1459010
Hom.:
0
Cov.:
35
AF XY:
0.00000413
AC XY:
3
AN XY:
725530
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000540
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsApr 28, 2023The c.44T>A (p.L15H) alteration is located in exon 1 (coding exon 1) of the WFDC2 gene. This alteration results from a T to A substitution at nucleotide position 44, causing the leucine (L) at amino acid position 15 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.38
BayesDel_addAF
Uncertain
0.037
T
BayesDel_noAF
Benign
-0.19
CADD
Benign
21
DANN
Uncertain
0.98
DEOGEN2
Benign
0.41
T;.;.
Eigen
Benign
0.061
Eigen_PC
Benign
-0.11
FATHMM_MKL
Benign
0.24
N
LIST_S2
Benign
0.46
T;T;T
M_CAP
Uncertain
0.24
D
MetaRNN
Uncertain
0.70
D;D;D
MetaSVM
Uncertain
-0.21
T
MutationAssessor
Benign
1.8
L;L;L
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Uncertain
0.61
T
PROVEAN
Uncertain
-3.7
D;N;D
REVEL
Uncertain
0.33
Sift
Uncertain
0.0070
D;D;D
Sift4G
Uncertain
0.0020
D;D;D
Polyphen
1.0
D;.;D
Vest4
0.56
MutPred
0.55
Gain of catalytic residue at L17 (P = 0.0726);Gain of catalytic residue at L17 (P = 0.0726);Gain of catalytic residue at L17 (P = 0.0726);
MVP
0.67
MPC
0.22
ClinPred
0.82
D
GERP RS
4.9
Varity_R
0.27
gMVP
0.73

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

LitVar

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

Other links and lift over

dbSNP: rs1475153699; hg19: chr20-44098465; API