chr5-80634437-T-C

Variant names:

• chr5-80634437-T-C
• rs1643638
• NM_000791.4:c.370-445A>G

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_Strong BA1

The NM_000791.4(DHFR):​c.370-445A>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.254 in 151,962 control chromosomes in the GnomAD database, including 5,089 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency: Genomes: 𝑓 0.25 (5089 hom., cov: 31)
• Consequence: DHFR NM_000791.4 intron
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: -0.0410
• Publications: 10 publications found

Genes affected

DHFR (HGNC:2861): (dihydrofolate reductase) Dihydrofolate reductase converts dihydrofolate into tetrahydrofolate, a methyl group shuttle required for the de novo synthesis of purines, thymidylic acid, and certain amino acids. While the functional dihydrofolate reductase gene has been mapped to chromosome 5, multiple intronless processed pseudogenes or dihydrofolate reductase-like genes have been identified on separate chromosomes. Dihydrofolate reductase deficiency has been linked to megaloblastic anemia. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2014]

DHFR Gene-Disease associations (from GenCC):

• constitutional megaloblastic anemia with severe neurologic disease

  Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics

ACMG classification

Our verdict: Benign. The variant received -12 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.87).
• BA1: GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.304 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000791.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	DHFR	NM_000791.4	MANE Select	c.370-445A>G		intron	N/A	NP_000782.1
	DHFR	NM_001290354.2		c.214-445A>G		intron	N/A	NP_001277283.1
	DHFR	NM_001290357.2		c.369+3446A>G		intron	N/A	NP_001277286.1

Ensembl Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	DHFR	ENST00000439211.7	TSL:1 MANE Select	c.370-445A>G		intron	N/A	ENSP00000396308.2
	DHFR	ENST00000513048.5	TSL:1	n.251-445A>G		intron	N/A
	DHFR	ENST00000505337.5	TSL:2	c.370-445A>G		intron	N/A	ENSP00000426474.1

Frequencies

GnomAD3 genomes AF: 0.254 AC: 38519 AN: 151844 Hom.: 5083 Cov.: 31

Gnomad AFR AF: 0.277

Gnomad AMI AF: 0.256

Gnomad AMR AF: 0.229

Gnomad ASJ AF: 0.290

Gnomad EAS AF: 0.0398

Gnomad SAS AF: 0.318

Gnomad FIN AF: 0.181

Gnomad MID AF: 0.332

Gnomad NFE AF: 0.265

Gnomad OTH AF: 0.284

We have no GnomAD4 exomes data on this position. Probably position not covered by the project.

GnomAD4 genome AF: 0.254 AC: 38546 AN: 151962 Hom.: 5089 Cov.: 31 AF XY: 0.251 AC XY: 18609 AN XY: 74274

African (AFR) AF: 0.277 AC: 11494 AN: 41440

American (AMR) AF: 0.229 AC: 3489 AN: 15244

Ashkenazi Jewish (ASJ) AF: 0.290 AC: 1004 AN: 3466

East Asian (EAS) AF: 0.0399 AC: 207 AN: 5190

South Asian (SAS) AF: 0.317 AC: 1529 AN: 4818

European-Finnish (FIN) AF: 0.181 AC: 1909 AN: 10564

Middle Eastern (MID) AF: 0.337 AC: 99 AN: 294

European-Non Finnish (NFE) AF: 0.265 AC: 17985 AN: 67922

Other (OTH) AF: 0.282 AC: 597 AN: 2114

Alfa AF: 0.254 Hom.: 634

Bravo AF: 0.255

Asia WGS AF: 0.204 AC: 709 AN: 3464

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.87
CADD	Benign	5.1
DANN	Benign	0.74
PhyloP100		-0.041
Mutation Taster		=100/0	polymorphism (auto)

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

Other links and lift over

dbSNP: rs1643638; hg19: chr5-79930256;