rs144808884

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBS1_Supporting

The NM_001206927.2(DNAH8):​c.12656G>A​(p.Arg4219Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000366 in 1,603,952 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 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. R4219G) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00036 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00037 ( 1 hom. )

Consequence

DNAH8
NM_001206927.2 missense

Scores

1
17

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 2.62

Publications

3 publications found
Variant links:
Genes affected
DNAH8 (HGNC:2952): (dynein axonemal heavy chain 8) The protein encoded by this gene is a heavy chain of an axonemal dynein involved in sperm and respiratory cilia motility. Axonemal dyneins generate force through hydrolysis of ATP and binding to microtubules. [provided by RefSeq, Jan 2012]
DNAH8 Gene-Disease associations (from GenCC):
  • spermatogenic failure 46
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), ClinGen
  • spermatogenic failure 5
    Inheritance: AR Classification: MODERATE Submitted by: Franklin by Genoox
  • primary ciliary dyskinesia
    Inheritance: AR Classification: NO_KNOWN Submitted by: ClinGen

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=0.032395393).
BS1
Variant frequency is greater than expected in population afr. GnomAdExome4 allele frequency = 0.000366 (532/1451754) while in subpopulation AFR AF = 0.000976 (32/32772). AF 95% confidence interval is 0.000711. There are 1 homozygotes in GnomAdExome4. There are 233 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

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DNAH8NM_001206927.2 linkc.12656G>A p.Arg4219Gln missense_variant Exon 84 of 93 ENST00000327475.11 NP_001193856.1 Q96JB1Q8IU65A0A075B6F3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DNAH8ENST00000327475.11 linkc.12656G>A p.Arg4219Gln missense_variant Exon 84 of 93 5 NM_001206927.2 ENSP00000333363.7 A0A075B6F3
DNAH8ENST00000359357.7 linkc.12005G>A p.Arg4002Gln missense_variant Exon 82 of 91 2 ENSP00000352312.3 Q96JB1-1

Frequencies

GnomAD3 genomes
AF:
0.000362
AC:
55
AN:
152080
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000749
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
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:
0.000323
Gnomad OTH
AF:
0.000479
GnomAD2 exomes
AF:
0.000194
AC:
46
AN:
237330
AF XY:
0.000156
show subpopulations
Gnomad AFR exome
AF:
0.000953
Gnomad AMR exome
AF:
0.0000979
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000219
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000366
AC:
532
AN:
1451754
Hom.:
1
Cov.:
29
AF XY:
0.000323
AC XY:
233
AN XY:
722002
show subpopulations
African (AFR)
AF:
0.000976
AC:
32
AN:
32772
American (AMR)
AF:
0.0000714
AC:
3
AN:
42028
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25690
East Asian (EAS)
AF:
0.0000254
AC:
1
AN:
39380
South Asian (SAS)
AF:
0.000155
AC:
13
AN:
83840
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53336
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5724
European-Non Finnish (NFE)
AF:
0.000404
AC:
448
AN:
1108976
Other (OTH)
AF:
0.000583
AC:
35
AN:
60008
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.466
Heterozygous variant carriers
0
24
48
72
96
120
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
22
44
66
88
110
<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:
0.000361
AC:
55
AN:
152198
Hom.:
0
Cov.:
32
AF XY:
0.000282
AC XY:
21
AN XY:
74402
show subpopulations
African (AFR)
AF:
0.000747
AC:
31
AN:
41520
American (AMR)
AF:
0.0000654
AC:
1
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4820
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10590
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.000323
AC:
22
AN:
68014
Other (OTH)
AF:
0.000474
AC:
1
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
3
5
8
10
13
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:
0.000268
Hom.:
0
Bravo
AF:
0.000393
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.000165
AC:
20
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000276
EpiControl
AF:
0.000120

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Uncertain:1
Jun 11, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.12656G>A (p.R4219Q) alteration is located in exon 84 (coding exon 83) of the DNAH8 gene. This alteration results from a G to A substitution at nucleotide position 12656, causing the arginine (R) at amino acid position 4219 to be replaced by a glutamine (Q). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Primary ciliary dyskinesia Uncertain:1
Sep 01, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 4219 of the DNAH8 protein (p.Arg4219Gln). This variant is present in population databases (rs144808884, gnomAD 0.08%). This missense change has been observed in individual(s) with features of primary ciliary dyskinesia (Invitae). ClinVar contains an entry for this variant (Variation ID: 407304). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Not Available"; Align-GVGD: "Class C0"). 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
0.080
BayesDel_addAF
Benign
-0.47
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
20
DANN
Benign
0.49
DEOGEN2
Benign
0.0022
T;T
Eigen
Benign
-0.65
Eigen_PC
Benign
-0.39
FATHMM_MKL
Benign
0.22
N
LIST_S2
Uncertain
0.95
D;D
M_CAP
Benign
0.0058
T
MetaRNN
Benign
0.032
T;T
MetaSVM
Benign
-0.88
T
MutationAssessor
Benign
-1.0
.;N
PhyloP100
2.6
PrimateAI
Benign
0.33
T
PROVEAN
Benign
0.040
.;N
REVEL
Benign
0.13
Sift
Benign
1.0
.;T
Polyphen
0.0020
.;B
Vest4
0.32
MVP
0.59
MPC
0.15
ClinPred
0.020
T
GERP RS
5.0
Varity_R
0.061
gMVP
0.19
Mutation Taster
=89/11
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs144808884; hg19: chr6-38941567; COSMIC: COSV59486408; COSMIC: COSV59486408; API