chr6-49606921-C-T

Variant summary

Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PM2PM5PP3_Strong

The ENST00000371175.10(RHAG):​c.1139G>A​(p.Gly380Asp) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000206 in 1,455,690 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G380V) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

RHAG
ENST00000371175.10 missense, splice_region

Scores

10
5
4
Splicing: ADA: 0.9989
2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 7.50
Variant links:
Genes affected
RHAG (HGNC:10006): (Rh associated glycoprotein) The protein encoded by this gene is erythrocyte-specific and is thought to be part of a membrane channel that transports ammonium and carbon dioxide across the blood cell membrane. The encoded protein appears to interact with Rh blood group antigens and Rh30 polypeptides. Defects in this gene are a cause of regulator type Rh-null hemolytic anemia (RHN), or Rh-deficiency syndrome.[provided by RefSeq, Mar 2009]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 8 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr6-49606921-C-A is described in ClinVar as [Pathogenic]. Clinvar id is 13066.Status of the report is no_assertion_criteria_provided, 0 stars.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.958

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RHAGNM_000324.3 linkuse as main transcriptc.1139G>A p.Gly380Asp missense_variant, splice_region_variant 9/10 ENST00000371175.10 NP_000315.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RHAGENST00000371175.10 linkuse as main transcriptc.1139G>A p.Gly380Asp missense_variant, splice_region_variant 9/101 NM_000324.3 ENSP00000360217 P2Q02094-1
RHAGENST00000646272.1 linkuse as main transcriptc.1139G>A p.Gly380Asp missense_variant, splice_region_variant 9/10 ENSP00000494337 A2
RHAGENST00000646939.1 linkuse as main transcriptc.1017G>A p.Arg339= splice_region_variant, synonymous_variant 8/9 ENSP00000494709 Q02094-2
RHAGENST00000646963.1 linkuse as main transcriptc.1138+229G>A intron_variant ENSP00000495337

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000399
AC:
1
AN:
250906
Hom.:
0
AF XY:
0.00000737
AC XY:
1
AN XY:
135612
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000290
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000206
AC:
3
AN:
1455690
Hom.:
0
Cov.:
28
AF XY:
0.00000276
AC XY:
2
AN XY:
724658
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
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:
9.04e-7
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
33

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.96
BayesDel_addAF
Pathogenic
0.21
D
BayesDel_noAF
Pathogenic
0.15
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Benign
0.25
T;.;T
Eigen
Pathogenic
0.88
Eigen_PC
Pathogenic
0.77
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Uncertain
0.95
D;D;D
M_CAP
Benign
0.047
D
MetaRNN
Pathogenic
0.96
D;D;D
MetaSVM
Benign
-0.46
T
MutationAssessor
Pathogenic
3.9
H;.;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.61
T
PROVEAN
Pathogenic
-6.5
D;.;.
REVEL
Uncertain
0.64
Sift
Pathogenic
0.0
D;.;.
Sift4G
Pathogenic
0.0010
D;.;D
Polyphen
1.0
D;.;.
Vest4
0.96
MutPred
0.83
Loss of ubiquitination at K384 (P = 0.063);Loss of ubiquitination at K384 (P = 0.063);Loss of ubiquitination at K384 (P = 0.063);
MVP
0.55
MPC
1.1
ClinPred
1.0
D
GERP RS
5.9
Varity_R
0.93
gMVP
0.94

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.82
SpliceAI score (max)
0.040
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: rs121918589; hg19: chr6-49574634; API