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rs146298259

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_080860.4(RSPH1):c.637C>A(p.Gln213Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00088 in 1,612,602 control chromosomes in the GnomAD database, including 7 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 Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. Q213P) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00079 ( 0 hom., cov: 34)
Exomes 𝑓: 0.00089 ( 7 hom. )

Consequence

RSPH1
NM_080860.4 missense

Scores

19

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 0.672
Variant links:
Genes affected
RSPH1 (HGNC:12371): (radial spoke head component 1) This gene encodes a male meiotic metaphase chromosome-associated acidic protein. This gene is expressed in tissues with motile cilia or flagella, including the trachea, lungs, airway brushings, and testes. Mutations in this gene result in primary ciliary dyskinesia-24. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Sep 2014]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.004098326).
BP6
Variant 21-42477381-G-T is Benign according to our data. Variant chr21-42477381-G-T is described in ClinVar as [Likely_benign]. Clinvar id is 241787.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population sas. gnomad4_exome allele frequency = 0.000889 (1300/1461756) while in subpopulation SAS AF= 0.00289 (249/86252). AF 95% confidence interval is 0.00259. There are 7 homozygotes in gnomad4_exome. There are 671 alleles in male gnomad4_exome subpopulation. Median coverage is 34. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RSPH1NM_080860.4 linkuse as main transcriptc.637C>A p.Gln213Lys missense_variant 7/9 ENST00000291536.8
RSPH1NM_001286506.2 linkuse as main transcriptc.523C>A p.Gln175Lys missense_variant 6/8
RSPH1XM_011529786.2 linkuse as main transcriptc.565C>A p.Gln189Lys missense_variant 6/8
RSPH1XM_005261208.3 linkuse as main transcriptc.430C>A p.Gln144Lys missense_variant 5/7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RSPH1ENST00000291536.8 linkuse as main transcriptc.637C>A p.Gln213Lys missense_variant 7/91 NM_080860.4 P1Q8WYR4-1
RSPH1ENST00000398352.3 linkuse as main transcriptc.523C>A p.Gln175Lys missense_variant 6/85 Q8WYR4-2
RSPH1ENST00000493019.1 linkuse as main transcriptn.2255C>A non_coding_transcript_exon_variant 6/82

Frequencies

GnomAD3 genomes
AF:
0.000790
AC:
119
AN:
150728
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.000318
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000133
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00273
Gnomad FIN
AF:
0.00325
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000828
Gnomad OTH
AF:
0.000485
GnomAD3 exomes
AF:
0.000939
AC:
236
AN:
251414
Hom.:
2
AF XY:
0.00105
AC XY:
143
AN XY:
135910
show subpopulations
Gnomad AFR exome
AF:
0.000185
Gnomad AMR exome
AF:
0.000116
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00304
Gnomad FIN exome
AF:
0.00254
Gnomad NFE exome
AF:
0.000660
Gnomad OTH exome
AF:
0.000978
GnomAD4 exome
AF:
0.000889
AC:
1300
AN:
1461756
Hom.:
7
Cov.:
34
AF XY:
0.000923
AC XY:
671
AN XY:
727180
show subpopulations
Gnomad4 AFR exome
AF:
0.000179
Gnomad4 AMR exome
AF:
0.000112
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00289
Gnomad4 FIN exome
AF:
0.00251
Gnomad4 NFE exome
AF:
0.000759
Gnomad4 OTH exome
AF:
0.000944
GnomAD4 genome
AF:
0.000789
AC:
119
AN:
150846
Hom.:
0
Cov.:
34
AF XY:
0.000991
AC XY:
73
AN XY:
73680
show subpopulations
Gnomad4 AFR
AF:
0.000317
Gnomad4 AMR
AF:
0.000132
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00273
Gnomad4 FIN
AF:
0.00325
Gnomad4 NFE
AF:
0.000828
Gnomad4 OTH
AF:
0.000480
Alfa
AF:
0.000593
Hom.:
0
Bravo
AF:
0.000404
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00130
AC:
5
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00105
AC:
9
ExAC
AF:
0.000939
AC:
114
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.000927
EpiControl
AF:
0.00124

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Inborn genetic diseases Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsJan 27, 2022This alteration is classified as likely 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. -
Primary ciliary dyskinesia Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeJan 26, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.056
BayesDel_addAF
Benign
-0.60
T
BayesDel_noAF
Benign
-0.64
Cadd
Benign
1.4
Dann
Benign
0.81
DEOGEN2
Benign
0.021
T;.
Eigen
Benign
-1.6
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.0036
N
LIST_S2
Benign
0.0083
T;T
M_CAP
Benign
0.0073
T
MetaRNN
Benign
0.0041
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-1.4
N;.
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.43
T
PROVEAN
Benign
1.1
N;N
REVEL
Benign
0.069
Sift
Benign
1.0
T;T
Sift4G
Benign
1.0
T;T
Polyphen
0.0
B;.
Vest4
0.090
MVP
0.19
MPC
0.12
ClinPred
0.0018
T
GERP RS
1.8
Varity_R
0.053
gMVP
0.34

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

LitVar

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

Other links and lift over

dbSNP: rs146298259; hg19: chr21-43897491; COSMIC: COSV52318113; API