rs140308808

Variant names:

• chr2-19978832-G-A
• rs140308808
• NM_001006657.2:c.355C>T

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_Strong BP6 BS1 BS2

The NM_001006657.2(WDR35):​c.355C>T​(p.Arg119Cys) variant causes a missense change. The variant allele was found at a frequency of 0.00252 in 1,613,756 control chromosomes in the GnomAD database, including 8 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R119H) has been classified as Uncertain significance.

• Frequency:
  • Genomes: 𝑓 0.0022 (1 hom., cov: 32)
  • Exomes 𝑓: 0.0026 (7 hom.)
• Consequence: WDR35 NM_001006657.2 missense
• Clinical Significance: Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3 B:5
• Conservation: PhyloP100: 6.16
• Publications: 6 publications found

Genes affected

WDR35 (HGNC:29250): (WD repeat domain 35) 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. Multiple alternatively spliced transcript variants encoding distinct isoforms have been found for this gene. Two patients with Sensenbrenner syndrome / cranioectodermal dysplasia (CED) were identified with mutations in this gene, consistent with a possible ciliary function.[provided by RefSeq, Sep 2010]

WDR35 Gene-Disease associations (from GenCC):

• cranioectodermal dysplasia 2

  Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, PanelApp Australia, ClinGen, Ambry Genetics
• short-rib thoracic dysplasia 7 with or without polydactyly

  Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Orphanet, Labcorp Genetics (formerly Invitae)
• cranioectodermal dysplasia

  Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
• short rib-polydactyly syndrome, Verma-Naumoff type

  Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

ACMG classification

Our verdict: Benign. The variant received -13 ACMG points.

• BP4: Computational evidence support a benign effect (MetaRNN=0.032111466).
• BP6: Variant 2-19978832-G-A is Benign according to our data. Variant chr2-19978832-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 281109.
• BS1: Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00218 (332/152228) while in subpopulation NFE AF = 0.00312 (212/68020). AF 95% confidence interval is 0.00277. There are 1 homozygotes in GnomAd4. There are 151 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
• BS2: High Homozygotes in GnomAdExome4 at 7 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001006657.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	WDR35	NM_001006657.2	MANE Plus Clinical	c.355C>T	p.Arg119Cys	missense	Exon 5 of 28	NP_001006658.1
	WDR35	NM_020779.4	MANE Select	c.355C>T	p.Arg119Cys	missense	Exon 5 of 27	NP_065830.2

Ensembl Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	WDR35	ENST00000345530.8	TSL:1 MANE Plus Clinical	c.355C>T	p.Arg119Cys	missense	Exon 5 of 28	ENSP00000314444.5
	WDR35	ENST00000281405.9	TSL:1 MANE Select	c.355C>T	p.Arg119Cys	missense	Exon 5 of 27	ENSP00000281405.5
	WDR35	ENST00000414212.5	TSL:5	n.355C>T		non_coding_transcript_exon	Exon 5 of 28	ENSP00000390802.1

Frequencies

GnomAD3 genomes AF: 0.00218 AC: 332 AN: 152110 Hom.: 1 Cov.: 32

Gnomad AFR AF: 0.000459

Gnomad AMI AF: 0.0241

Gnomad AMR AF: 0.00282

Gnomad ASJ AF: 0.000288

Gnomad EAS AF: 0.000193

Gnomad SAS AF: 0.00186

Gnomad FIN AF: 0.00170

Gnomad MID AF: 0.00

Gnomad NFE AF: 0.00312

Gnomad OTH AF: 0.00335

GnomAD2 exomes AF: 0.00164 AC: 411 AN: 251250 AF XY: 0.00169

Gnomad AFR exome AF: 0.000554

Gnomad AMR exome AF: 0.000868

Gnomad ASJ exome AF: 0.000198

Gnomad EAS exome AF: 0.000109

Gnomad FIN exome AF: 0.00190

Gnomad NFE exome AF: 0.00250

Gnomad OTH exome AF: 0.00163

GnomAD4 exome AF: 0.00256 AC: 3740 AN: 1461528 Hom.: 7 Cov.: 30 AF XY: 0.00254 AC XY: 1850 AN XY: 727072

African (AFR) AF: 0.000389 AC: 13 AN: 33456

American (AMR) AF: 0.00119 AC: 53 AN: 44716

Ashkenazi Jewish (ASJ) AF: 0.000383 AC: 10 AN: 26122

East Asian (EAS) AF: 0.00 AC: 0 AN: 39652

South Asian (SAS) AF: 0.000997 AC: 86 AN: 86246

European-Finnish (FIN) AF: 0.00197 AC: 105 AN: 53356

Middle Eastern (MID) AF: 0.000347 AC: 2 AN: 5766

European-Non Finnish (NFE) AF: 0.00296 AC: 3292 AN: 1111828

Other (OTH) AF: 0.00296 AC: 179 AN: 60386

GnomAD4 genome AF: 0.00218 AC: 332 AN: 152228 Hom.: 1 Cov.: 32 AF XY: 0.00203 AC XY: 151 AN XY: 74430

African (AFR) AF: 0.000457 AC: 19 AN: 41556

American (AMR) AF: 0.00281 AC: 43 AN: 15286

Ashkenazi Jewish (ASJ) AF: 0.000288 AC: 1 AN: 3468

East Asian (EAS) AF: 0.000193 AC: 1 AN: 5174

South Asian (SAS) AF: 0.00187 AC: 9 AN: 4822

European-Finnish (FIN) AF: 0.00170 AC: 18 AN: 10582

Middle Eastern (MID) AF: 0.00 AC: 0 AN: 294

European-Non Finnish (NFE) AF: 0.00312 AC: 212 AN: 68020

Other (OTH) AF: 0.00331 AC: 7 AN: 2114

Alfa AF: 0.00236 Hom.: 0

Bravo AF: 0.00263

TwinsUK AF: 0.00351 AC: 13

ALSPAC AF: 0.00208 AC: 8

ESP6500AA AF: 0.000227 AC: 1

ESP6500EA AF: 0.00407 AC: 35

ExAC AF: 0.00157 AC: 191

EpiCase AF: 0.00305

EpiControl AF: 0.00202

ClinVar

ClinVar submissions as Germline

Significance: Conflicting classifications of pathogenicity

Revision: criteria provided, conflicting classifications

Pathogenic	VUS	Benign	Condition
-	-	2	not provided (2)
-	1	1	not specified (2)
-	1	-	Cranioectodermal dysplasia 2 (1)
-	-	1	Cranioectodermal dysplasia 2;C3279792:Short-rib thoracic dysplasia 7 with or without polydactyly (1)
-	1	-	Short-rib thoracic dysplasia 7 with or without polydactyly (1)
-	-	1	WDR35-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Benign	0.12
BayesDel_addAF	Benign	-0.082	T
BayesDel_noAF	Uncertain	0.11
CADD	Pathogenic	28
DANN	Uncertain	1.0
DEOGEN2	Benign	0.14	T
Eigen	Uncertain	0.46
Eigen_PC	Uncertain	0.55
FATHMM_MKL	Uncertain	0.96	D
LIST_S2	Uncertain	0.93	D
M_CAP	Benign	0.050	D
MetaRNN	Benign	0.032	T
MetaSVM	Benign	-1.0	T
MutationAssessor	Uncertain	2.2	M
PhyloP100		6.2
PrimateAI	Pathogenic	0.82	D
PROVEAN	Pathogenic	-4.9	D
REVEL	Uncertain	0.46
Sift	Uncertain	0.0050	D
Sift4G	Uncertain	0.060	T
Polyphen		0.97	D
Vest4		0.93
MVP		0.50
MPC		0.64
ClinPred		0.055	T
GERP RS		5.7
Varity_R		0.41
gMVP		0.59
Mutation Taster		=96/4	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

Other links and lift over

dbSNP: rs140308808; hg19: chr2-20178593;