chr6-116616611-T-A
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Variant summary
Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2
The NM_001010892.3(RSPH4A):c.-13T>A variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000796 in 1,605,164 control chromosomes in the GnomAD database, including 9 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Genomes: 𝑓 0.0044 ( 4 hom., cov: 31)
Exomes 𝑓: 0.00042 ( 5 hom. )
Consequence
RSPH4A
NM_001010892.3 5_prime_UTR
NM_001010892.3 5_prime_UTR
Scores
2
Clinical Significance
Conservation
PhyloP100: -0.508
Genes affected
RSPH4A (HGNC:21558): (radial spoke head component 4A) This gene encodes a protein that appears to be a component the radial spoke head, as determined by homology to similar proteins in the biflagellate alga Chlamydomonas reinhardtii and other ciliates. Radial spokes, which are regularly spaced along cilia, sperm, and flagella axonemes, consist of a thin 'stalk' and a bulbous 'head' that form a signal transduction scaffold between the central pair of microtubules and dynein. Mutations in this gene cause primary ciliary dyskinesia 1, a disease arising from dysmotility of motile cilia and sperm. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2009]
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ACMG classification
Classification made for transcript
Verdict is Benign. Variant got -13 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.77).
BP6
Variant 6-116616611-T-A is Benign according to our data. Variant chr6-116616611-T-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 1707228.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1}.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00438 (666/152192) while in subpopulation AFR AF= 0.0151 (626/41532). AF 95% confidence interval is 0.0141. There are 4 homozygotes in gnomad4. There are 311 alleles in male gnomad4 subpopulation. Median coverage is 31. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 4 AR gene
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
RSPH4A | NM_001010892.3 | c.-13T>A | 5_prime_UTR_variant | 1/6 | ENST00000229554.10 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
RSPH4A | ENST00000229554.10 | c.-13T>A | 5_prime_UTR_variant | 1/6 | 1 | NM_001010892.3 | P1 | ||
RSPH4A | ENST00000368581.8 | c.-13T>A | 5_prime_UTR_variant | 1/5 | 1 | ||||
RSPH4A | ENST00000368580.4 | upstream_gene_variant | 5 |
Frequencies
GnomAD3 genomes AF: 0.00440 AC: 669AN: 152074Hom.: 4 Cov.: 31
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GnomAD3 exomes AF: 0.000593 AC: 140AN: 235988Hom.: 1 AF XY: 0.000532 AC XY: 68AN XY: 127904
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GnomAD4 exome AF: 0.000421 AC: 612AN: 1452972Hom.: 5 Cov.: 30 AF XY: 0.000363 AC XY: 262AN XY: 722044
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GnomAD4 genome AF: 0.00438 AC: 666AN: 152192Hom.: 4 Cov.: 31 AF XY: 0.00418 AC XY: 311AN XY: 74390
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ClinVar
Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link
Submissions by phenotype
Primary ciliary dyskinesia Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Ambry Genetics | Aug 26, 2015 | The c.-13T>A alteration is located in the 5' untranslated region (5'UTR) of the RSPH4A gene. This alteration consists of a T to A substitution nucleotides upstream from the first translated codon. Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. - |
not provided Benign:1
Likely benign, criteria provided, single submitter | clinical testing | GeneDx | Jul 11, 2020 | See Variant Classification Assertion Criteria. - |
Computational scores
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BayesDel_noAF
Benign
CADD
Benign
DANN
Benign
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at