chr7-21901250-C-T

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001277115.2(DNAH11):​c.13547C>T​(p.Ala4516Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00536 in 1,601,468 control chromosomes in the GnomAD database, including 310 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. A4516A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.026 ( 170 hom., cov: 32)
Exomes 𝑓: 0.0032 ( 140 hom. )

Consequence

DNAH11
NM_001277115.2 missense

Scores

15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 2.62

Publications

2 publications found
Variant links:
Genes affected
DNAH11 (HGNC:2942): (dynein axonemal heavy chain 11) This gene encodes a ciliary outer dynein arm protein and is a member of the dynein heavy chain family. It is a microtubule-dependent motor ATPase and has been reported to be involved in the movement of respiratory cilia. Mutations in this gene have been implicated in causing Kartagener Syndrome (a combination of situs inversus totalis and Primary Ciliary Dyskinesia (PCD), also called Immotile Cilia Syndrome 1 (ICS1)) and male sterility. [provided by RefSeq, Mar 2013]
CDCA7L (HGNC:30777): (cell division cycle associated 7 like) Acts upstream of or within positive regulation of cell population proliferation. Located in cytosol; fibrillar center; and nucleoplasm. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0014667213).
BP6
Variant 7-21901250-C-T is Benign according to our data. Variant chr7-21901250-C-T is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 226582.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0862 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001277115.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DNAH11
NM_001277115.2
MANE Select
c.13547C>Tp.Ala4516Val
missense
Exon 82 of 82NP_001264044.1
CDCA7L
NM_018719.5
MANE Select
c.*1072G>A
3_prime_UTR
Exon 10 of 10NP_061189.2
CDCA7L
NM_001127370.3
c.*1072G>A
3_prime_UTR
Exon 11 of 11NP_001120842.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DNAH11
ENST00000409508.8
TSL:5 MANE Select
c.13547C>Tp.Ala4516Val
missense
Exon 82 of 82ENSP00000475939.1
CDCA7L
ENST00000406877.8
TSL:1 MANE Select
c.*1072G>A
3_prime_UTR
Exon 10 of 10ENSP00000383986.3
CDCA7L
ENST00000488845.1
TSL:2
n.1594G>A
non_coding_transcript_exon
Exon 4 of 4

Frequencies

GnomAD3 genomes
AF:
0.0262
AC:
3847
AN:
146778
Hom.:
169
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0888
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00951
Gnomad ASJ
AF:
0.00180
Gnomad EAS
AF:
0.000609
Gnomad SAS
AF:
0.00193
Gnomad FIN
AF:
0.000194
Gnomad MID
AF:
0.00323
Gnomad NFE
AF:
0.000931
Gnomad OTH
AF:
0.0189
GnomAD2 exomes
AF:
0.00685
AC:
1641
AN:
239448
AF XY:
0.00522
show subpopulations
Gnomad AFR exome
AF:
0.0867
Gnomad AMR exome
AF:
0.00476
Gnomad ASJ exome
AF:
0.00157
Gnomad EAS exome
AF:
0.000113
Gnomad FIN exome
AF:
0.000142
Gnomad NFE exome
AF:
0.000818
Gnomad OTH exome
AF:
0.00462
GnomAD4 exome
AF:
0.00325
AC:
4724
AN:
1454598
Hom.:
140
Cov.:
33
AF XY:
0.00282
AC XY:
2040
AN XY:
722758
show subpopulations
African (AFR)
AF:
0.0855
AC:
2845
AN:
33268
American (AMR)
AF:
0.00532
AC:
236
AN:
44348
Ashkenazi Jewish (ASJ)
AF:
0.00171
AC:
44
AN:
25768
East Asian (EAS)
AF:
0.000355
AC:
14
AN:
39458
South Asian (SAS)
AF:
0.000758
AC:
64
AN:
84428
European-Finnish (FIN)
AF:
0.000226
AC:
12
AN:
53202
Middle Eastern (MID)
AF:
0.00418
AC:
24
AN:
5740
European-Non Finnish (NFE)
AF:
0.000950
AC:
1053
AN:
1108328
Other (OTH)
AF:
0.00719
AC:
432
AN:
60058
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
238
476
715
953
1191
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
116
232
348
464
580
<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
AF:
0.0262
AC:
3855
AN:
146870
Hom.:
170
Cov.:
32
AF XY:
0.0247
AC XY:
1775
AN XY:
71742
show subpopulations
African (AFR)
AF:
0.0886
AC:
3587
AN:
40478
American (AMR)
AF:
0.00949
AC:
143
AN:
15064
Ashkenazi Jewish (ASJ)
AF:
0.00180
AC:
6
AN:
3326
East Asian (EAS)
AF:
0.000610
AC:
3
AN:
4918
South Asian (SAS)
AF:
0.00145
AC:
6
AN:
4138
European-Finnish (FIN)
AF:
0.000194
AC:
2
AN:
10332
Middle Eastern (MID)
AF:
0.00345
AC:
1
AN:
290
European-Non Finnish (NFE)
AF:
0.000931
AC:
61
AN:
65530
Other (OTH)
AF:
0.0227
AC:
46
AN:
2026
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
184
368
552
736
920
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
36
72
108
144
180
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0218
Hom.:
103
Bravo
AF:
0.0285
TwinsUK
AF:
0.00135
AC:
5
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.0761
AC:
301
ESP6500EA
AF:
0.00144
AC:
12
ExAC
AF:
0.00768
AC:
928
Asia WGS
AF:
0.0240
AC:
84
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Feb 21, 2013
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Ala4516Val in exon 82 of DNAH11: This variant is not expected to have clinical s ignificance because it has been identified in 7.6% (301/3954) of African America n chromosomes from a broad population by the NHLBI Exome Sequencing Project (htt p://evs.gs.washington.edu/EVS; dbSNP rs72658840).

PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Primary ciliary dyskinesia Benign:2
Jan 29, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not provided Benign:2
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Feb 17, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Primary ciliary dyskinesia 7 Benign:1
Oct 18, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Benign
-0.62
T
BayesDel_noAF
Benign
-0.60
CADD
Benign
15
DANN
Benign
0.97
DEOGEN2
Benign
0.012
T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.052
N
LIST_S2
Benign
0.79
T
MetaRNN
Benign
0.0015
T
MetaSVM
Benign
-1.0
T
PhyloP100
2.6
PrimateAI
Benign
0.40
T
PROVEAN
Benign
1.7
N
REVEL
Benign
0.15
Sift
Benign
0.17
T
Vest4
0.12
MVP
0.014
ClinPred
0.0098
T
GERP RS
3.8
Varity_R
0.047
gMVP
0.17
Mutation Taster
=99/1
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

Publications

Other links and lift over

dbSNP: rs72658840; hg19: chr7-21940868; API