rs145457535

Variant summary

Our verdict is Likely pathogenic. The variant received 7 ACMG points: 8P and 1B. PP5_Very_StrongBP4

The NM_213607.3(DNAAF19):​c.461A>C​(p.His154Pro) variant causes a missense change. The variant allele was found at a frequency of 0.00182 in 1,614,228 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Synonymous variant affecting the same amino acid position (i.e. H154H) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0012 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0019 ( 1 hom. )

Consequence

DNAAF19
NM_213607.3 missense

Scores

6
12

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:24U:1

Conservation

PhyloP100: 4.28

Publications

27 publications found
Variant links:
Genes affected
DNAAF19 (HGNC:32700): (coiled-coil domain containing 103) Enables protein homodimerization activity. Involved in axonemal dynein complex assembly; cilium movement; and determination of left/right symmetry. Predicted to be located in axoneme. Predicted to be part of outer dynein arm. Implicated in primary ciliary dyskinesia 17. [provided by Alliance of Genome Resources, Apr 2022]
DNAAF19 Gene-Disease associations (from GenCC):
  • primary ciliary dyskinesia 17
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: ClinGen, Ambry Genetics, Labcorp Genetics (formerly Invitae), PanelApp Australia, G2P
  • 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: Likely_pathogenic. The variant received 7 ACMG points.

PP5
Variant 17-44902549-A-C is Pathogenic according to our data. Variant chr17-44902549-A-C is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 31698.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP4
Computational evidence support a benign effect (MetaRNN=0.019673496). . Strength limited to SUPPORTING due to the PP5.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_213607.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DNAAF19
NM_213607.3
MANE Select
c.461A>Cp.His154Pro
missense
Exon 4 of 4NP_998772.1
DNAAF19
NM_001258395.2
c.461A>Cp.His154Pro
missense
Exon 4 of 4NP_001245324.1
DNAAF19
NM_001258396.2
c.461A>Cp.His154Pro
missense
Exon 4 of 4NP_001245325.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DNAAF19
ENST00000417826.3
TSL:1 MANE Select
c.461A>Cp.His154Pro
missense
Exon 4 of 4ENSP00000391692.2
DNAAF19
ENST00000410006.6
TSL:2
c.461A>Cp.His154Pro
missense
Exon 4 of 4ENSP00000387252.1
DNAAF19
ENST00000357776.6
TSL:2
c.461A>Cp.His154Pro
missense
Exon 4 of 4ENSP00000350420.2

Frequencies

GnomAD3 genomes
AF:
0.00125
AC:
190
AN:
152220
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000386
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000851
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00248
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00215
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00119
AC:
300
AN:
251310
AF XY:
0.00136
show subpopulations
Gnomad AFR exome
AF:
0.000309
Gnomad AMR exome
AF:
0.000867
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00140
Gnomad OTH exome
AF:
0.00114
GnomAD4 exome
AF:
0.00188
AC:
2753
AN:
1461890
Hom.:
1
Cov.:
32
AF XY:
0.00193
AC XY:
1405
AN XY:
727246
show subpopulations
African (AFR)
AF:
0.000149
AC:
5
AN:
33480
American (AMR)
AF:
0.000760
AC:
34
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.00304
AC:
262
AN:
86258
European-Finnish (FIN)
AF:
0.000112
AC:
6
AN:
53416
Middle Eastern (MID)
AF:
0.000867
AC:
5
AN:
5768
European-Non Finnish (NFE)
AF:
0.00212
AC:
2356
AN:
1112012
Other (OTH)
AF:
0.00139
AC:
84
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
189
378
566
755
944
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
96
192
288
384
480
<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:
0.00125
AC:
190
AN:
152338
Hom.:
0
Cov.:
32
AF XY:
0.00126
AC XY:
94
AN XY:
74498
show subpopulations
African (AFR)
AF:
0.000385
AC:
16
AN:
41578
American (AMR)
AF:
0.000849
AC:
13
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5190
South Asian (SAS)
AF:
0.00249
AC:
12
AN:
4826
European-Finnish (FIN)
AF:
0.000188
AC:
2
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00215
AC:
146
AN:
68030
Other (OTH)
AF:
0.00
AC:
0
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
9
18
28
37
46
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.00148
Hom.:
4
Bravo
AF:
0.00117
TwinsUK
AF:
0.00351
AC:
13
ALSPAC
AF:
0.00234
AC:
9
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.00128
AC:
11
ExAC
AF:
0.00126
AC:
153
Asia WGS
AF:
0.00144
AC:
5
AN:
3478
EpiCase
AF:
0.00153
EpiControl
AF:
0.00196

ClinVar

ClinVar submissions as Germline

Significance:Pathogenic/Likely pathogenic
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
14
-
-
Primary ciliary dyskinesia 17 (14)
5
-
-
Primary ciliary dyskinesia (5)
3
-
-
not provided (3)
1
-
-
CCDC103-related disorder (1)
-
1
-
Infertility disorder (1)
1
-
-
Respiratory ciliopathies including non-CF bronchiectasis (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.36
BayesDel_addAF
Benign
-0.13
T
BayesDel_noAF
Uncertain
0.040
CADD
Benign
23
DANN
Benign
0.86
DEOGEN2
Benign
0.28
T
Eigen
Uncertain
0.20
Eigen_PC
Benign
0.14
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.59
T
M_CAP
Benign
0.046
D
MetaRNN
Benign
0.020
T
MetaSVM
Benign
-0.83
T
MutationAssessor
Uncertain
2.5
M
PhyloP100
4.3
PrimateAI
Benign
0.39
T
PROVEAN
Uncertain
-2.4
N
REVEL
Benign
0.24
Sift
Benign
0.053
T
Sift4G
Benign
0.18
T
Polyphen
0.93
P
Vest4
0.68
MVP
0.66
MPC
0.77
ClinPred
0.79
D
GERP RS
5.6
Varity_R
0.84
gMVP
0.72
Mutation Taster
=9/91
disease causing (ClinVar)

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: rs145457535; hg19: chr17-42979917; API