chr21-42477382-G-A
Variant names: 
Variant summary
Our verdict is Benign. The variant received -7 ACMG points: 0P and 7B. BP4_StrongBP6_ModerateBP7
The NM_080860.4(RSPH1):c.636C>T(p.Thr212Thr) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000298 in 1,612,524 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 Likely benign (★).
Frequency
 Genomes: 𝑓 0.000020   (  0   hom.,  cov: 34) 
 Exomes 𝑓:  0.000031   (  0   hom.  ) 
Consequence
 RSPH1
NM_080860.4 synonymous
NM_080860.4 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  0.244  
Publications
0 publications found 
Genes affected
 RSPH1  (HGNC:12371):  (radial spoke head component 1) This gene encodes a male meiotic metaphase chromosome-associated acidic protein. This gene is expressed in tissues with motile cilia or flagella, including the trachea, lungs, airway brushings, and testes. Mutations in this gene result in primary ciliary dyskinesia-24. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Sep 2014] 
RSPH1 Gene-Disease associations (from GenCC):
- primary ciliary dyskinesia 24Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: ClinGen, Ambry Genetics, PanelApp Australia, G2P, Labcorp Genetics (formerly Invitae)
- primary ciliary dyskinesiaInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -7 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.77). 
BP6
Variant 21-42477382-G-A is Benign according to our data. Variant chr21-42477382-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 241786.Status of the report is criteria_provided_single_submitter, 1 stars. 
BP7
Synonymous conserved (PhyloP=0.244 with no splicing effect.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| RSPH1 | NM_080860.4 | c.636C>T | p.Thr212Thr | synonymous_variant | Exon 7 of 9 | ENST00000291536.8 | NP_543136.1 | |
| RSPH1 | NM_001286506.2 | c.522C>T | p.Thr174Thr | synonymous_variant | Exon 6 of 8 | NP_001273435.1 | ||
| RSPH1 | XM_011529786.2 | c.564C>T | p.Thr188Thr | synonymous_variant | Exon 6 of 8 | XP_011528088.1 | ||
| RSPH1 | XM_005261208.3 | c.429C>T | p.Thr143Thr | synonymous_variant | Exon 5 of 7 | XP_005261265.1 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| RSPH1 | ENST00000291536.8 | c.636C>T | p.Thr212Thr | synonymous_variant | Exon 7 of 9 | 1 | NM_080860.4 | ENSP00000291536.3 | ||
| RSPH1 | ENST00000398352.3 | c.522C>T | p.Thr174Thr | synonymous_variant | Exon 6 of 8 | 5 | ENSP00000381395.3 | |||
| RSPH1 | ENST00000493019.1 | n.2254C>T | non_coding_transcript_exon_variant | Exon 6 of 8 | 2 | 
Frequencies
GnomAD3 genomes  0.0000199  AC: 3AN: 150792Hom.:  0  Cov.: 34 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
3
AN: 
150792
Hom.: 
Cov.: 
34
Gnomad AFR 
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Gnomad AMI 
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Gnomad AMR 
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Gnomad ASJ 
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Gnomad EAS 
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Gnomad SAS 
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Gnomad FIN 
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Gnomad MID 
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Gnomad NFE 
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Gnomad OTH 
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GnomAD2 exomes  AF:  0.0000398  AC: 10AN: 251418 AF XY:  0.0000221   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
10
AN: 
251418
 AF XY: 
Gnomad AFR exome 
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Gnomad AMR exome 
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Gnomad ASJ exome 
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Gnomad EAS exome 
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Gnomad FIN exome 
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Gnomad NFE exome 
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Gnomad OTH exome 
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GnomAD4 exome  AF:  0.0000308  AC: 45AN: 1461732Hom.:  0  Cov.: 34 AF XY:  0.0000385  AC XY: 28AN XY: 727154 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
45
AN: 
1461732
Hom.: 
Cov.: 
34
 AF XY: 
AC XY: 
28
AN XY: 
727154
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33480
American (AMR) 
 AF: 
AC: 
4
AN: 
44720
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26134
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39696
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
86258
European-Finnish (FIN) 
 AF: 
AC: 
1
AN: 
53378
Middle Eastern (MID) 
 AF: 
AC: 
1
AN: 
5768
European-Non Finnish (NFE) 
 AF: 
AC: 
38
AN: 
1111916
Other (OTH) 
 AF: 
AC: 
1
AN: 
60382
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.462 
Heterozygous variant carriers
 0 
 2 
 4 
 7 
 9 
 11 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
 0 
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 10 
 <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  0.0000199  AC: 3AN: 150792Hom.:  0  Cov.: 34 AF XY:  0.00  AC XY: 0AN XY: 73558 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
3
AN: 
150792
Hom.: 
Cov.: 
34
 AF XY: 
AC XY: 
0
AN XY: 
73558
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
40964
American (AMR) 
 AF: 
AC: 
0
AN: 
15084
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3460
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5154
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4772
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10468
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
316
European-Non Finnish (NFE) 
 AF: 
AC: 
3
AN: 
67602
Other (OTH) 
 AF: 
AC: 
0
AN: 
2064
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.525 
Heterozygous variant carriers
 0 
 0 
 1 
 1 
 2 
 2 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Alfa 
 AF: 
Hom.: 
Bravo 
 AF: 
ClinVar
Significance: Likely benign 
Submissions summary: Benign:1 
Revision: criteria provided, single submitter
LINK: link 
Submissions by phenotype
Primary ciliary dyskinesia    Benign:1 
Jul 17, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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