rs137878131

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BS1_SupportingBS2

The NM_001369.3(DNAH5):​c.1715T>G​(p.Leu572Trp) variant causes a missense change. The variant allele was found at a frequency of 0.000637 in 1,604,074 control chromosomes in the GnomAD database, including 2 homozygotes. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. L572L) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00075 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00063 ( 2 hom. )

Consequence

DNAH5
NM_001369.3 missense

Scores

9
6
2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:10B:2

Conservation

PhyloP100: 6.93

Publications

14 publications found
Variant links:
Genes affected
DNAH5 (HGNC:2950): (dynein axonemal heavy chain 5) This gene encodes a dynein protein, which is part of a microtubule-associated motor protein complex consisting of heavy, light, and intermediate chains. This protein is an axonemal heavy chain dynein. It functions as a force-generating protein with ATPase activity, whereby the release of ADP is thought to produce the force-producing power stroke. Mutations in this gene cause primary ciliary dyskinesia type 3, as well as Kartagener syndrome, which are both diseases due to ciliary defects. [provided by RefSeq, Oct 2009]
DNAH5 Gene-Disease associations (from GenCC):
  • primary ciliary dyskinesia 3
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae), G2P, ClinGen
  • primary ciliary dyskinesia
    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.

BS1
Variant frequency is greater than expected in population mid. GnomAdExome4 allele frequency = 0.000625 (908/1451726) while in subpopulation MID AF = 0.0098 (56/5712). AF 95% confidence interval is 0.00775. There are 2 homozygotes in GnomAdExome4. There are 486 alleles in the male GnomAdExome4 subpopulation. Median coverage is 29. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAdExome4 at 2 AD,AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001369.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DNAH5
NM_001369.3
MANE Select
c.1715T>Gp.Leu572Trp
missense
Exon 13 of 79NP_001360.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DNAH5
ENST00000265104.5
TSL:1 MANE Select
c.1715T>Gp.Leu572Trp
missense
Exon 13 of 79ENSP00000265104.4
DNAH5
ENST00000681290.1
c.1670T>Gp.Leu557Trp
missense
Exon 13 of 79ENSP00000505288.1

Frequencies

GnomAD3 genomes
AF:
0.000749
AC:
114
AN:
152230
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00131
Gnomad ASJ
AF:
0.00115
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.00109
Gnomad OTH
AF:
0.00144
GnomAD2 exomes
AF:
0.000814
AC:
196
AN:
240660
AF XY:
0.000931
show subpopulations
Gnomad AFR exome
AF:
0.000132
Gnomad AMR exome
AF:
0.000649
Gnomad ASJ exome
AF:
0.000935
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000337
Gnomad NFE exome
AF:
0.00127
Gnomad OTH exome
AF:
0.00169
GnomAD4 exome
AF:
0.000625
AC:
908
AN:
1451726
Hom.:
2
Cov.:
29
AF XY:
0.000673
AC XY:
486
AN XY:
721788
show subpopulations
African (AFR)
AF:
0.000240
AC:
8
AN:
33356
American (AMR)
AF:
0.000520
AC:
23
AN:
44228
Ashkenazi Jewish (ASJ)
AF:
0.00124
AC:
32
AN:
25774
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39506
South Asian (SAS)
AF:
0.000329
AC:
28
AN:
85230
European-Finnish (FIN)
AF:
0.000211
AC:
11
AN:
52198
Middle Eastern (MID)
AF:
0.00980
AC:
56
AN:
5712
European-Non Finnish (NFE)
AF:
0.000618
AC:
683
AN:
1105762
Other (OTH)
AF:
0.00112
AC:
67
AN:
59960
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.452
Heterozygous variant carriers
0
46
91
137
182
228
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.000748
AC:
114
AN:
152348
Hom.:
0
Cov.:
33
AF XY:
0.000792
AC XY:
59
AN XY:
74500
show subpopulations
African (AFR)
AF:
0.000120
AC:
5
AN:
41580
American (AMR)
AF:
0.00131
AC:
20
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.00115
AC:
4
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5194
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4828
European-Finnish (FIN)
AF:
0.000188
AC:
2
AN:
10626
Middle Eastern (MID)
AF:
0.0136
AC:
4
AN:
294
European-Non Finnish (NFE)
AF:
0.00109
AC:
74
AN:
68032
Other (OTH)
AF:
0.00142
AC:
3
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.518
Heterozygous variant carriers
0
6
12
18
24
30
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
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
Alfa
AF:
0.00107
Hom.:
3
Bravo
AF:
0.000842
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000466
AC:
4
ExAC
AF:
0.000709
AC:
86
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
5
-
Primary ciliary dyskinesia 3 (5)
-
2
2
Primary ciliary dyskinesia (4)
-
2
-
not provided (2)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.68
BayesDel_addAF
Uncertain
0.041
T
BayesDel_noAF
Pathogenic
0.25
CADD
Uncertain
24
DANN
Benign
0.96
DEOGEN2
Uncertain
0.68
D
Eigen
Pathogenic
0.75
Eigen_PC
Pathogenic
0.69
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.84
T
M_CAP
Uncertain
0.21
D
MetaRNN
Uncertain
0.47
T
MetaSVM
Uncertain
0.34
D
MutationAssessor
Pathogenic
3.7
H
PhyloP100
6.9
PrimateAI
Uncertain
0.70
T
PROVEAN
Pathogenic
-5.2
D
REVEL
Pathogenic
0.80
Sift
Pathogenic
0.0
D
Polyphen
0.82
P
Vest4
0.81
MVP
0.90
MPC
0.61
ClinPred
0.13
T
GERP RS
4.9
Varity_R
0.91
gMVP
0.84
Mutation Taster
=9/91
disease causing

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: rs137878131; hg19: chr5-13902177; COSMIC: COSV99035471; COSMIC: COSV99035471; API