rs145040665

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_000377.3(WAS):​c.538C>A​(p.His180Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00134 in 1,210,927 control chromosomes in the GnomAD database, including 1 homozygotes. There are 546 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0010 ( 0 hom., 36 hem., cov: 23)
Exomes 𝑓: 0.0014 ( 1 hom. 510 hem. )

Consequence

WAS
NM_000377.3 missense

Scores

2
2
13

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:7O:1

Conservation

PhyloP100: 1.44
Variant links:
Genes affected
WAS (HGNC:12731): (WASP actin nucleation promoting factor) The Wiskott-Aldrich syndrome (WAS) family of proteins share similar domain structure, and are involved in transduction of signals from receptors on the cell surface to the actin cytoskeleton. The presence of a number of different motifs suggests that they are regulated by a number of different stimuli, and interact with multiple proteins. Recent studies have demonstrated that these proteins, directly or indirectly, associate with the small GTPase, Cdc42, known to regulate formation of actin filaments, and the cytoskeletal organizing complex, Arp2/3. Wiskott-Aldrich syndrome is a rare, inherited, X-linked, recessive disease characterized by immune dysregulation and microthrombocytopenia, and is caused by mutations in the WAS gene. The WAS gene product is a cytoplasmic protein, expressed exclusively in hematopoietic cells, which show signalling and cytoskeletal abnormalities in WAS patients. A transcript variant arising as a result of alternative promoter usage, and containing a different 5' UTR sequence, has been described, however, its full-length nature is not known. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.012371749).
BP6
Variant X-48686113-C-A is Benign according to our data. Variant chrX-48686113-C-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 36912.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=4, Benign=1, Uncertain_significance=1, not_provided=1}. Variant chrX-48686113-C-A is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00103 (116/112767) while in subpopulation NFE AF= 0.0018 (96/53303). AF 95% confidence interval is 0.00151. There are 0 homozygotes in gnomad4. There are 36 alleles in male gnomad4 subpopulation. Median coverage is 23. This position pass quality control queck.
BS2
High Hemizygotes in GnomAd4 at 36 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
WASNM_000377.3 linkc.538C>A p.His180Asn missense_variant Exon 6 of 12 ENST00000376701.5 NP_000368.1 P42768A0A024QYX8

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
WASENST00000376701.5 linkc.538C>A p.His180Asn missense_variant Exon 6 of 12 1 NM_000377.3 ENSP00000365891.4 P42768

Frequencies

GnomAD3 genomes
AF:
0.00103
AC:
116
AN:
112713
Hom.:
0
Cov.:
23
AF XY:
0.00103
AC XY:
36
AN XY:
34855
show subpopulations
Gnomad AFR
AF:
0.000129
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000281
Gnomad ASJ
AF:
0.00451
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000161
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00180
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00101
AC:
186
AN:
183265
Hom.:
1
AF XY:
0.00103
AC XY:
70
AN XY:
67741
show subpopulations
Gnomad AFR exome
AF:
0.000228
Gnomad AMR exome
AF:
0.000255
Gnomad ASJ exome
AF:
0.00548
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000262
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00155
Gnomad OTH exome
AF:
0.000663
GnomAD4 exome
AF:
0.00137
AC:
1506
AN:
1098160
Hom.:
1
Cov.:
33
AF XY:
0.00140
AC XY:
510
AN XY:
363518
show subpopulations
Gnomad4 AFR exome
AF:
0.0000758
Gnomad4 AMR exome
AF:
0.000426
Gnomad4 ASJ exome
AF:
0.00495
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000499
Gnomad4 FIN exome
AF:
0.0000247
Gnomad4 NFE exome
AF:
0.00153
Gnomad4 OTH exome
AF:
0.00158
GnomAD4 genome
AF:
0.00103
AC:
116
AN:
112767
Hom.:
0
Cov.:
23
AF XY:
0.00103
AC XY:
36
AN XY:
34919
show subpopulations
Gnomad4 AFR
AF:
0.000129
Gnomad4 AMR
AF:
0.000281
Gnomad4 ASJ
AF:
0.00451
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000161
Gnomad4 NFE
AF:
0.00180
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.00169
Hom.:
69
Bravo
AF:
0.00110
TwinsUK
AF:
0.00162
AC:
6
ALSPAC
AF:
0.00138
AC:
4
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00208
AC:
14
ExAC
AF:
0.000840
AC:
102
EpiCase
AF:
0.00338
EpiControl
AF:
0.00196

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:7Other:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:2
Dec 01, 2020
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Feb 15, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jul 15, 2016
Eurofins Ntd Llc (ga)
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not specified Benign:2Other:1
Sep 19, 2013
ITMI
Significance: not provided
Review Status: no classification provided
Collection Method: reference population

- -

Jan 19, 2017
Genetic Services Laboratory, University of Chicago
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jun 04, 2015
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Thrombocytopenia 1 Benign:1
Oct 02, 2015
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

WAS-related disorder Benign:1
Jul 02, 2020
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Wiskott-Aldrich syndrome;C1839163:Thrombocytopenia 1;C1845987:X-linked severe congenital neutropenia Benign:1
Jan 29, 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
Benign
0.077
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.19
CADD
Benign
15
DANN
Benign
0.95
DEOGEN2
Benign
0.0077
T;T
FATHMM_MKL
Benign
0.34
N
LIST_S2
Benign
0.61
T;T
M_CAP
Pathogenic
0.70
D
MetaRNN
Benign
0.012
T;T
MetaSVM
Pathogenic
0.86
D
MutationAssessor
Benign
1.8
.;L
PrimateAI
Uncertain
0.62
T
PROVEAN
Benign
-0.16
N;N
REVEL
Uncertain
0.41
Sift
Benign
0.48
T;T
Sift4G
Benign
0.32
T;T
Polyphen
0.48
.;P
Vest4
0.088
MVP
0.84
MPC
0.77
ClinPred
0.0080
T
GERP RS
4.3
Varity_R
0.15
gMVP
0.38

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs145040665; hg19: chrX-48544502; API