rs147718607
Variant summary
Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PP3_StrongPP5_Very_Strong
The NM_001364171.2(ODAD1):c.853G>A(p.Ala285Thr) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000248 in 1,613,342 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/24 in silico tools predict a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Pathogenic (★★). Synonymous variant affecting the same amino acid position (i.e. A285A) has been classified as Likely benign.
Frequency
Consequence
NM_001364171.2 missense, splice_region
Scores
Clinical Significance
Conservation
Publications
- primary ciliary dyskinesia 20Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P, ClinGen
- primary ciliary dyskinesiaInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Pathogenic. The variant received 12 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| ODAD1 | NM_001364171.2 | c.853G>A | p.Ala285Thr | missense_variant, splice_region_variant | Exon 9 of 16 | ENST00000674294.1 | NP_001351100.1 | |
| ODAD1 | NM_144577.4 | c.742G>A | p.Ala248Thr | missense_variant, splice_region_variant | Exon 7 of 14 | NP_653178.3 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| ODAD1 | ENST00000674294.1 | c.853G>A | p.Ala285Thr | missense_variant, splice_region_variant | Exon 9 of 16 | NM_001364171.2 | ENSP00000501363.1 |
Frequencies
GnomAD3 genomes AF: 0.000204 AC: 31AN: 152238Hom.: 0 Cov.: 33 show subpopulations
GnomAD2 exomes AF: 0.000243 AC: 61AN: 250886 AF XY: 0.000207 show subpopulations
GnomAD4 exome AF: 0.000253 AC: 369AN: 1461104Hom.: 1 Cov.: 33 AF XY: 0.000228 AC XY: 166AN XY: 726716 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000204 AC: 31AN: 152238Hom.: 0 Cov.: 33 AF XY: 0.000175 AC XY: 13AN XY: 74374 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Pathogenic:5
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Reported as a common pathogenic variant among individuals of Dutch Volendam background (Onoufriadis et al., 2013; Kos et al., 2022); Non-canonical splice site variant demonstrated to result in loss of function (Onoufriadis et al., 2013); This variant is associated with the following publications: (PMID: 23261303, 20301301, 23261302, 35163670, 35343062) -
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Primary ciliary dyskinesia 20 Pathogenic:4
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The ODAD1 c.742G>A; p.Ala248Thr variant (rs147718607) is reported in the literature in several compound heterozygous and homozygous individuals and families affected with primary ciliary dyskinesia (Boaretto 2016, Knowles 2013, Kos 2022, Onoufriadis 2013). This variant is a known founder variant in the Dutch - Volendam population (Kos 2022, Onoufriadis 2013). This variant is reported as pathogenic in ClinVar (Variation ID: 39637), and is found in the non-Finnish European population with an allele frequency of 0.05% (60/128,802 alleles) in the Genome Aggregation Database (v2.1.1). This missense variant disrupts the consensus donor splice site of exon 7, and RNA analysis of homozygous individuals showed the use of a cryptic splice site and introduction of a premature termination codon (Knowles 2013, Onoufriadis 2013). Based on available information, this variant is considered to be pathogenic. References: Boaretto F et al. Diagnosis of Primary Ciliary Dyskinesia by a Targeted Next-Generation Sequencing Panel: Molecular and Clinical Findings in Italian Patients. J Mol Diagn. 2016 Nov;18(6):912-922. PMID: 27637300. Knowles MR et al. Exome sequencing identifies mutations in CCDC114 as a cause of primary ciliary dyskinesia. Am J Hum Genet. 2013 Jan 10;92(1):99-106. PMID: 23261302. Kos R et al. Primary ciliary dyskinesia in Volendam: Diagnostic and phenotypic features in patients with a CCDC114 mutation. Am J Med Genet C Semin Med Genet. 2022 Mar;190(1):89-101. PMID: 35343062. Onoufriadis A et al. Splice-site mutations in the axonemal outer dynein arm docking complex gene CCDC114 cause primary ciliary dyskinesia. Am J Hum Genet. 2013 Jan 10;92(1):88-98. PMID: 23261303. -
Primary ciliary dyskinesia Pathogenic:3
The c.742G>A pathogenic mutation (also known as p.A248T), located in coding exon 6 of the CCDC114 gene, results from a G to A substitution at nucleotide position 742. The amino acid change results in alanine to threonine at codon 248, an amino acid with similar properties. However, this change occurs in the last base pair of coding exon 6, which makes it likely to have some effect on normal mRNA splicing. This mutation was identified in muliple individuals with primary ciliary dyskinesia in both the homozygous and compound heterozygous state (Knowles MR et al. Am. J. Hum. Genet., 2013 Jan;92:99-106; Onoufriadis A et al. Am. J. Hum. Genet., 2013 Jan;92:88-98; Boaretto F et al. J Mol Diagn, 2016 Nov;18:912-922). In addition, analysis of RNA from affected individuals homozygous for this alteration showed an insertion of 79 nucleotides, resulting in premature protein truncation (Knowles MR et al. Am. J. Hum. Genet., 2013 Jan;92:99-106; Onoufriadis A et al. Am. J. Hum. Genet., 2013 Jan;92:88-98). Based on the supporting evidence, this alteration is interpreted as a disease-causing mutation. -
This sequence change replaces alanine, which is neutral and non-polar, with threonine, which is neutral and polar, at codon 248 of the CCDC114 protein (p.Ala248Thr). RNA analysis indicates that this missense change induces altered splicing and may result in an absent or altered protein product. This variant is present in population databases (rs147718607, gnomAD 0.05%). This missense change has been observed in individual(s) with primary ciliary dyskinesia (PMID: 23261302, 23261303). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 39637). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be tolerated. Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing (PMID: 17576681, 9536098). Studies have shown that this missense change results in the use of a cryptic splice donor site, and produces a non-functional protein and/or introduces a premature termination codon (PMID: 23261302). For these reasons, this variant has been classified as Pathogenic. -
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ODAD1-related disorder Pathogenic:1
The ODAD1 c.742G>A variant is predicted to result in the amino acid substitution p.Ala248Thr. This variant has been reported to segregate in multiple families with primary ciliary dyskinesia and laterality defects in the Dutch Volendam population, and is believed to be a founder mutation (Onoufriadis et al. 2013. PubMed ID: 23261303; Knowles et al. 2013. PubMed ID: 23261302). The c.742G base is the terminal nucleotide of exon 7 and alterations of this base have been shown to disrupt the adjacent GT donor site, resulting in a frameshift and premature protein termination (Onoufriadis et al. 2013. PubMed ID: 23261303; Knowles et al. 2013. PubMed ID: 23261302). This variant is reported in 0.047% of alleles in individuals of European (Non-Finnish) descent in gnomAD. This variant is interpreted as pathogenic. -
Kartagener syndrome Other:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at