chr6-39030327-C-T

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 2P and 5B. PVS1_ModerateBS1_SupportingBS2

The NM_001206927.2(DNAH8):​c.14059C>T​(p.Arg4687Ter) variant causes a stop gained change. The variant allele was found at a frequency of 0.000735 in 1,614,026 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00055 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00075 ( 2 hom. )

Consequence

DNAH8
NM_001206927.2 stop_gained

Scores

3
3
1

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:6

Conservation

PhyloP100: 4.14
Variant links:
Genes affected
DNAH8 (HGNC:2952): (dynein axonemal heavy chain 8) The protein encoded by this gene is a heavy chain of an axonemal dynein involved in sperm and respiratory cilia motility. Axonemal dyneins generate force through hydrolysis of ATP and binding to microtubules. [provided by RefSeq, Jan 2012]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. Fraction of 0.0046 CDS is truncated, and there are 0 pathogenic variants in the truncated region.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.000552 (84/152298) while in subpopulation NFE AF= 0.001 (68/68032). AF 95% confidence interval is 0.000808. There are 1 homozygotes in gnomad4. There are 45 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DNAH8NM_001206927.2 linkuse as main transcriptc.14059C>T p.Arg4687Ter stop_gained 93/93 ENST00000327475.11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DNAH8ENST00000327475.11 linkuse as main transcriptc.14059C>T p.Arg4687Ter stop_gained 93/935 NM_001206927.2 P2
DNAH8ENST00000359357.7 linkuse as main transcriptc.13408C>T p.Arg4470Ter stop_gained 91/912 A2Q96JB1-1

Frequencies

GnomAD3 genomes
AF:
0.000552
AC:
84
AN:
152180
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000314
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000999
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000505
AC:
127
AN:
251478
Hom.:
0
AF XY:
0.000537
AC XY:
73
AN XY:
135910
show subpopulations
Gnomad AFR exome
AF:
0.000246
Gnomad AMR exome
AF:
0.000289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000980
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000958
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.000754
AC:
1102
AN:
1461728
Hom.:
2
Cov.:
31
AF XY:
0.000701
AC XY:
510
AN XY:
727188
show subpopulations
Gnomad4 AFR exome
AF:
0.000149
Gnomad4 AMR exome
AF:
0.000335
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000696
Gnomad4 FIN exome
AF:
0.0000374
Gnomad4 NFE exome
AF:
0.000947
Gnomad4 OTH exome
AF:
0.000348
GnomAD4 genome
AF:
0.000552
AC:
84
AN:
152298
Hom.:
1
Cov.:
32
AF XY:
0.000604
AC XY:
45
AN XY:
74472
show subpopulations
Gnomad4 AFR
AF:
0.000313
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.00100
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000697
Hom.:
0
Bravo
AF:
0.000438
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000814
AC:
7
ExAC
AF:
0.000486
AC:
59
EpiCase
AF:
0.000981
EpiControl
AF:
0.000948

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:3
Uncertain significance, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Uncertain significance, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxDec 28, 2022Nonsense variant predicted to result in protein truncation as the last 21amino acids are lost, although loss-of-function variants have not been reported downstream of this position in the protein; Has not been previously published as pathogenic or benign to our knowledge -
Primary ciliary dyskinesia Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingUNC Molecular Genetics Laboratory, University of North Carolina at Chapel HillMar 02, 2021- -
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpOct 25, 2022This sequence change creates a premature translational stop signal (p.Arg4687*) in the DNAH8 gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 21 amino acid(s) of the DNAH8 protein. This variant is present in population databases (rs146551804, gnomAD 0.09%), and has an allele count higher than expected for a pathogenic variant. This variant has not been reported in the literature in individuals affected with DNAH8-related conditions. ClinVar contains an entry for this variant (Variation ID: 238638). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Spermatogenic failure 46 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsMar 01, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.23
D
BayesDel_noAF
Pathogenic
0.49
CADD
Pathogenic
46
DANN
Uncertain
0.99
Eigen
Pathogenic
0.75
Eigen_PC
Uncertain
0.57
FATHMM_MKL
Uncertain
0.76
D
MutationTaster
Benign
1.0
D;D
Vest4
0.32
GERP RS
4.2

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs146551804; hg19: chr6-38998103; COSMIC: COSV99046918; API