rs138007679

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_080860.4(RSPH1):​c.650T>G​(p.Leu217Trp) variant causes a missense change. The variant allele was found at a frequency of 0.00858 in 1,610,502 control chromosomes in the GnomAD database, including 76 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. L217F) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0070 ( 10 hom., cov: 34)
Exomes 𝑓: 0.0087 ( 66 hom. )

Consequence

RSPH1
NM_080860.4 missense

Scores

10
8

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 5.22

Publications

13 publications found
Variant links:
Genes affected
RSPH1 (HGNC:12371): (radial spoke head component 1) This gene encodes a male meiotic metaphase chromosome-associated acidic protein. This gene is expressed in tissues with motile cilia or flagella, including the trachea, lungs, airway brushings, and testes. Mutations in this gene result in primary ciliary dyskinesia-24. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Sep 2014]
RSPH1 Gene-Disease associations (from GenCC):
  • primary ciliary dyskinesia 24
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: ClinGen, Ambry Genetics, PanelApp Australia, G2P, Labcorp Genetics (formerly Invitae)
  • 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: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009697765).
BP6
Variant 21-42477368-A-C is Benign according to our data. Variant chr21-42477368-A-C is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 241788.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00704 (1048/148776) while in subpopulation NFE AF = 0.0108 (718/66742). AF 95% confidence interval is 0.0101. There are 10 homozygotes in GnomAd4. There are 482 alleles in the male GnomAd4 subpopulation. Median coverage is 34. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 10 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RSPH1NM_080860.4 linkc.650T>G p.Leu217Trp missense_variant Exon 7 of 9 ENST00000291536.8 NP_543136.1 Q8WYR4-1
RSPH1NM_001286506.2 linkc.536T>G p.Leu179Trp missense_variant Exon 6 of 8 NP_001273435.1 Q8WYR4-2
RSPH1XM_011529786.2 linkc.578T>G p.Leu193Trp missense_variant Exon 6 of 8 XP_011528088.1
RSPH1XM_005261208.3 linkc.443T>G p.Leu148Trp missense_variant Exon 5 of 7 XP_005261265.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RSPH1ENST00000291536.8 linkc.650T>G p.Leu217Trp missense_variant Exon 7 of 9 1 NM_080860.4 ENSP00000291536.3 Q8WYR4-1
RSPH1ENST00000398352.3 linkc.536T>G p.Leu179Trp missense_variant Exon 6 of 8 5 ENSP00000381395.3 Q8WYR4-2
RSPH1ENST00000493019.1 linkn.2268T>G non_coding_transcript_exon_variant Exon 6 of 8 2

Frequencies

GnomAD3 genomes
AF:
0.00705
AC:
1048
AN:
148660
Hom.:
10
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.00169
Gnomad AMI
AF:
0.0100
Gnomad AMR
AF:
0.00921
Gnomad ASJ
AF:
0.0201
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00300
Gnomad FIN
AF:
0.000681
Gnomad MID
AF:
0.0288
Gnomad NFE
AF:
0.0107
Gnomad OTH
AF:
0.00885
GnomAD2 exomes
AF:
0.00733
AC:
1843
AN:
251392
AF XY:
0.00781
show subpopulations
Gnomad AFR exome
AF:
0.00154
Gnomad AMR exome
AF:
0.00471
Gnomad ASJ exome
AF:
0.0176
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.00171
Gnomad NFE exome
AF:
0.0106
Gnomad OTH exome
AF:
0.00897
GnomAD4 exome
AF:
0.00874
AC:
12778
AN:
1461726
Hom.:
66
Cov.:
34
AF XY:
0.00882
AC XY:
6413
AN XY:
727156
show subpopulations
African (AFR)
AF:
0.00108
AC:
36
AN:
33476
American (AMR)
AF:
0.00445
AC:
199
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.0179
AC:
468
AN:
26134
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39700
South Asian (SAS)
AF:
0.00534
AC:
461
AN:
86256
European-Finnish (FIN)
AF:
0.00180
AC:
96
AN:
53372
Middle Eastern (MID)
AF:
0.0199
AC:
115
AN:
5768
European-Non Finnish (NFE)
AF:
0.00971
AC:
10800
AN:
1111912
Other (OTH)
AF:
0.00997
AC:
602
AN:
60388
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
689
1379
2068
2758
3447
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
380
760
1140
1520
1900
<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:
0.00704
AC:
1048
AN:
148776
Hom.:
10
Cov.:
34
AF XY:
0.00664
AC XY:
482
AN XY:
72580
show subpopulations
African (AFR)
AF:
0.00168
AC:
68
AN:
40448
American (AMR)
AF:
0.00920
AC:
137
AN:
14888
Ashkenazi Jewish (ASJ)
AF:
0.0201
AC:
69
AN:
3426
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5074
South Asian (SAS)
AF:
0.00300
AC:
14
AN:
4666
European-Finnish (FIN)
AF:
0.000681
AC:
7
AN:
10286
Middle Eastern (MID)
AF:
0.0310
AC:
9
AN:
290
European-Non Finnish (NFE)
AF:
0.0108
AC:
718
AN:
66742
Other (OTH)
AF:
0.00827
AC:
17
AN:
2056
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
60
120
179
239
299
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome 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
Alfa
AF:
0.00992
Hom.:
34
Bravo
AF:
0.00730
TwinsUK
AF:
0.00701
AC:
26
ALSPAC
AF:
0.00545
AC:
21
ESP6500AA
AF:
0.00227
AC:
10
ESP6500EA
AF:
0.0101
AC:
87
ExAC
AF:
0.00727
AC:
883
Asia WGS
AF:
0.00173
AC:
6
AN:
3478
EpiCase
AF:
0.0124
EpiControl
AF:
0.0129

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Aug 02, 2024
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

See Variant Classification Assertion Criteria. -

Apr 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

RSPH1: BS2 -

not specified Benign:1
Nov 24, 2014
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Leu217Trp in exon 7 of RSPH1: This variant is not expected to have clinical sign ificance because it has been identified in 1.0% (87/8600) of European American c hromosomes from a broad population by the NHLBI Exome Sequencing Project (http:/ /evs.gs.washington.edu/EVS; dbSNP rs138007679). -

Primary ciliary dyskinesia 24 Benign:1
Oct 23, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Primary ciliary dyskinesia Benign:1
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.44
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.22
CADD
Uncertain
24
DANN
Benign
0.96
DEOGEN2
Uncertain
0.52
D;.
Eigen
Uncertain
0.41
Eigen_PC
Uncertain
0.30
FATHMM_MKL
Benign
0.70
D
LIST_S2
Benign
0.81
T;T
MetaRNN
Benign
0.0097
T;T
MetaSVM
Benign
-0.58
T
MutationAssessor
Uncertain
2.2
M;.
PhyloP100
5.2
PrimateAI
Uncertain
0.59
T
PROVEAN
Uncertain
-4.2
D;D
REVEL
Uncertain
0.34
Sift
Uncertain
0.0010
D;D
Sift4G
Uncertain
0.0020
D;D
Polyphen
1.0
D;.
Vest4
0.69
MVP
0.65
MPC
0.64
ClinPred
0.045
T
GERP RS
4.3
Varity_R
0.18
gMVP
0.75
Mutation Taster
=90/10
polymorphism

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: rs138007679; hg19: chr21-43897478; COSMIC: COSV105822333; API