rs143362381

Variant summary

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

The NM_001277115.2(DNAH11):​c.13495G>A​(p.Glu4499Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00367 in 1,613,662 control chromosomes in the GnomAD database, including 50 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 (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E4499D) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0040 ( 7 hom., cov: 33)
Exomes 𝑓: 0.0036 ( 43 hom. )

Consequence

DNAH11
NM_001277115.2 missense

Scores

16

Clinical Significance

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

Conservation

PhyloP100: 1.04

Publications

10 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=0.002060622).
BP6
Variant 7-21901198-G-A is Benign according to our data. Variant chr7-21901198-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 226581.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population mid. GnomAdExome4 allele frequency = 0.00363 (5312/1461600) while in subpopulation MID AF = 0.00433 (25/5768). AF 95% confidence interval is 0.00308. There are 43 homozygotes in GnomAdExome4. There are 2634 alleles in the male GnomAdExome4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 7 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DNAH11NM_001277115.2 linkc.13495G>A p.Glu4499Lys missense_variant Exon 82 of 82 ENST00000409508.8 NP_001264044.1
CDCA7LNM_018719.5 linkc.*1124C>T 3_prime_UTR_variant Exon 10 of 10 ENST00000406877.8 NP_061189.2
CDCA7LNM_001127370.3 linkc.*1124C>T 3_prime_UTR_variant Exon 11 of 11 NP_001120842.1
CDCA7LNM_001127371.3 linkc.*1124C>T 3_prime_UTR_variant Exon 9 of 9 NP_001120843.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DNAH11ENST00000409508.8 linkc.13495G>A p.Glu4499Lys missense_variant Exon 82 of 82 5 NM_001277115.2 ENSP00000475939.1
CDCA7LENST00000406877.8 linkc.*1124C>T 3_prime_UTR_variant Exon 10 of 10 1 NM_018719.5 ENSP00000383986.3

Frequencies

GnomAD3 genomes
AF:
0.00398
AC:
604
AN:
151946
Hom.:
7
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000676
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00242
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00193
Gnomad SAS
AF:
0.00314
Gnomad FIN
AF:
0.0290
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00297
Gnomad OTH
AF:
0.00192
GnomAD2 exomes
AF:
0.00458
AC:
1131
AN:
247058
AF XY:
0.00450
show subpopulations
Gnomad AFR exome
AF:
0.000517
Gnomad AMR exome
AF:
0.00122
Gnomad ASJ exome
AF:
0.000298
Gnomad EAS exome
AF:
0.00217
Gnomad FIN exome
AF:
0.0269
Gnomad NFE exome
AF:
0.00330
Gnomad OTH exome
AF:
0.00298
GnomAD4 exome
AF:
0.00363
AC:
5312
AN:
1461600
Hom.:
43
Cov.:
33
AF XY:
0.00362
AC XY:
2634
AN XY:
727068
show subpopulations
African (AFR)
AF:
0.000777
AC:
26
AN:
33476
American (AMR)
AF:
0.00119
AC:
53
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.000383
AC:
10
AN:
26134
East Asian (EAS)
AF:
0.00166
AC:
66
AN:
39698
South Asian (SAS)
AF:
0.00249
AC:
215
AN:
86214
European-Finnish (FIN)
AF:
0.0232
AC:
1237
AN:
53402
Middle Eastern (MID)
AF:
0.00433
AC:
25
AN:
5768
European-Non Finnish (NFE)
AF:
0.00316
AC:
3518
AN:
1111816
Other (OTH)
AF:
0.00268
AC:
162
AN:
60368
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.485
Heterozygous variant carriers
0
308
617
925
1234
1542
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
130
260
390
520
650
<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:
0.00397
AC:
604
AN:
152062
Hom.:
7
Cov.:
33
AF XY:
0.00518
AC XY:
385
AN XY:
74340
show subpopulations
African (AFR)
AF:
0.000674
AC:
28
AN:
41522
American (AMR)
AF:
0.00242
AC:
37
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00194
AC:
10
AN:
5164
South Asian (SAS)
AF:
0.00314
AC:
15
AN:
4780
European-Finnish (FIN)
AF:
0.0290
AC:
307
AN:
10588
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.00297
AC:
202
AN:
67942
Other (OTH)
AF:
0.00190
AC:
4
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
30
61
91
122
152
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00258
Hom.:
3
Bravo
AF:
0.00193
TwinsUK
AF:
0.00216
AC:
8
ALSPAC
AF:
0.00415
AC:
16
ESP6500AA
AF:
0.000782
AC:
3
ESP6500EA
AF:
0.00253
AC:
21
ExAC
AF:
0.00400
AC:
484
Asia WGS
AF:
0.00115
AC:
4
AN:
3478
EpiCase
AF:
0.00207
EpiControl
AF:
0.00344

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

- -

Dec 09, 2015
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

p.Glu4499Lys in exon 82 of DNAH11: This variant has been identified in 2.48% (1 64/6614) of Finnish chromosomes by the Exome Aggregation Consortium (ExAC, http: //exac.broadinstitute.org; dbSNP rs143362381). -

Primary ciliary dyskinesia Benign:2
Jan 23, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 30, 2015
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

not provided Benign:2
May 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

DNAH11: BP4 -

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

- -

Primary ciliary dyskinesia 7 Benign:1
Oct 26, 2021
Fulgent Genetics, Fulgent Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.067
BayesDel_addAF
Benign
-0.63
T
BayesDel_noAF
Benign
-0.67
CADD
Benign
6.1
DANN
Benign
0.66
DEOGEN2
Benign
0.013
.;.;T
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.048
N
LIST_S2
Benign
0.52
T;T;T
MetaRNN
Benign
0.0021
T;T;T
MetaSVM
Benign
-0.90
T
PhyloP100
1.0
PrimateAI
Benign
0.28
T
PROVEAN
Benign
3.1
.;N;.
REVEL
Benign
0.032
Sift
Benign
1.0
.;T;.
Vest4
0.16
MVP
0.085
ClinPred
0.0019
T
GERP RS
0.46
Varity_R
0.025
gMVP
0.16
Mutation Taster
=100/0
polymorphism

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: rs143362381; hg19: chr7-21940816; COSMIC: COSV99050047; COSMIC: COSV99050047; API