rs1326742832

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4BS2

The NM_001029896.2(WDR45):​c.136G>A​(p.Glu46Lys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000751 in 1,198,687 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 3 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E46Q) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.0000064 ( 0 hom. 3 hem. )

Consequence

WDR45
NM_001029896.2 missense

Scores

2
2
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.21

Publications

0 publications found
Variant links:
Genes affected
WDR45 (HGNC:28912): (WD repeat domain 45) This gene encodes a member of the WD repeat protein family. WD repeats are minimally conserved regions of approximately 40 amino acids typically bracketed by gly-his and trp-asp (GH-WD), which may facilitate formation of heterotrimeric or multiprotein complexes. Members of this family are involved in a variety of cellular processes, including cell cycle progression, signal transduction, apoptosis, and gene regulation. This gene has a pseudogene at chromosome 4q31.3. Multiple alternatively spliced transcript variants encoding distinct isoforms have been found for this gene, but the biological validity and full-length nature of some variants have not been determined. [provided by RefSeq, Jul 2008]
WDR45 Gene-Disease associations (from GenCC):
  • neurodegeneration with brain iron accumulation 5
    Inheritance: XL Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Illumina, Labcorp Genetics (formerly Invitae), Ambry Genetics, Genomics England PanelApp, G2P
  • X-linked complex neurodevelopmental disorder
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • infantile spasms
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.36060816).
BS2
High AC in GnomAdExome4 at 7 XL,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
WDR45NM_001029896.2 linkc.136G>A p.Glu46Lys missense_variant Exon 4 of 11 ENST00000376372.9 NP_001025067.1
WDR45NM_007075.4 linkc.136G>A p.Glu46Lys missense_variant Exon 5 of 12 NP_009006.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
WDR45ENST00000376372.9 linkc.136G>A p.Glu46Lys missense_variant Exon 4 of 11 1 NM_001029896.2 ENSP00000365551.3
ENSG00000288053ENST00000376358.4 linkc.130+95G>A intron_variant Intron 3 of 7 2 ENSP00000365536.3

Frequencies

GnomAD3 genomes
AF:
0.0000178
AC:
2
AN:
112123
Hom.:
0
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000376
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000644
AC:
7
AN:
1086564
Hom.:
0
Cov.:
30
AF XY:
0.00000846
AC XY:
3
AN XY:
354564
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26148
American (AMR)
AF:
0.00
AC:
0
AN:
33631
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19091
East Asian (EAS)
AF:
0.0000338
AC:
1
AN:
29614
South Asian (SAS)
AF:
0.00
AC:
0
AN:
52397
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
39786
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4122
European-Non Finnish (NFE)
AF:
0.00000718
AC:
6
AN:
836080
Other (OTH)
AF:
0.00
AC:
0
AN:
45695
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.438
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<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:
0.0000178
AC:
2
AN:
112123
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
34279
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30885
American (AMR)
AF:
0.00
AC:
0
AN:
10568
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2653
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3572
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2703
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6141
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
238
European-Non Finnish (NFE)
AF:
0.0000376
AC:
2
AN:
53170
Other (OTH)
AF:
0.00
AC:
0
AN:
1508
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.550
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000756

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Neurodegeneration with brain iron accumulation 5 Uncertain:1
Nov 03, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces glutamic acid, which is acidic and polar, with lysine, which is basic and polar, at codon 46 of the WDR45 protein (p.Glu46Lys). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with WDR45-related conditions. ClinVar contains an entry for this variant (Variation ID: 540349). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt WDR45 protein function with a negative predictive value of 80%. 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.32
BayesDel_addAF
Benign
-0.080
T
BayesDel_noAF
Benign
-0.35
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.071
T;T;T;.;T;.;.;T;.;T;.;T;T;.;T;T;.
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.92
.;D;D;D;D;D;.;D;D;D;D;D;D;D;D;D;D
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.36
T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.90
T
MutationAssessor
Benign
0.92
L;L;.;.;.;L;L;.;L;.;.;.;.;.;.;.;.
PhyloP100
7.2
PrimateAI
Pathogenic
0.88
D
PROVEAN
Benign
-1.5
N;.;.;.;.;N;N;N;N;.;N;N;N;N;N;.;.
REVEL
Benign
0.18
Sift
Benign
0.83
T;.;.;.;.;T;T;T;T;.;T;T;T;T;T;.;.
Sift4G
Benign
0.82
T;T;T;T;T;T;T;T;T;.;.;.;.;T;.;.;T
Polyphen
0.0
B;B;.;.;.;B;B;B;B;.;.;.;.;.;.;.;.
Vest4
0.39
MutPred
0.42
Gain of ubiquitination at E46 (P = 0.0128);Gain of ubiquitination at E46 (P = 0.0128);Gain of ubiquitination at E46 (P = 0.0128);Gain of ubiquitination at E46 (P = 0.0128);Gain of ubiquitination at E46 (P = 0.0128);Gain of ubiquitination at E46 (P = 0.0128);Gain of ubiquitination at E46 (P = 0.0128);Gain of ubiquitination at E46 (P = 0.0128);Gain of ubiquitination at E46 (P = 0.0128);.;Gain of ubiquitination at E46 (P = 0.0128);Gain of ubiquitination at E46 (P = 0.0128);Gain of ubiquitination at E46 (P = 0.0128);Gain of ubiquitination at E46 (P = 0.0128);Gain of ubiquitination at E46 (P = 0.0128);.;.;
MVP
0.51
MPC
0.69
ClinPred
0.90
D
GERP RS
3.7
PromoterAI
0.020
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.3
Varity_R
0.33
gMVP
0.82
Mutation Taster
=47/53
disease causing

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

Other links and lift over

dbSNP: rs1326742832; hg19: chrX-48935401; API