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rs17263496

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001369.3(DNAH5):c.11372C>T(p.Thr3791Ile) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.121 in 1,613,910 control chromosomes in the GnomAD database, including 13,130 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.10 ( 1030 hom., cov: 32)
Exomes 𝑓: 0.12 ( 12100 hom. )

Consequence

DNAH5
NM_001369.3 missense

Scores

6
6
5

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 8.04
Variant links:
Genes affected
DNAH5 (HGNC:2950): (dynein axonemal heavy chain 5) This gene encodes a dynein protein, which is part of a microtubule-associated motor protein complex consisting of heavy, light, and intermediate chains. This protein is an axonemal heavy chain dynein. It functions as a force-generating protein with ATPase activity, whereby the release of ADP is thought to produce the force-producing power stroke. Mutations in this gene cause primary ciliary dyskinesia type 3, as well as Kartagener syndrome, which are both diseases due to ciliary defects. [provided by RefSeq, Oct 2009]

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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=0.001767695).
BP6
Variant 5-13737335-G-A is Benign according to our data. Variant chr5-13737335-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 178744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-13737335-G-A is described in Lovd as [Benign]. Variant chr5-13737335-G-A is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.131 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DNAH5NM_001369.3 linkuse as main transcriptc.11372C>T p.Thr3791Ile missense_variant 66/79 ENST00000265104.5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DNAH5ENST00000265104.5 linkuse as main transcriptc.11372C>T p.Thr3791Ile missense_variant 66/791 NM_001369.3 P4
DNAH5ENST00000681290.1 linkuse as main transcriptc.11327C>T p.Thr3776Ile missense_variant 66/79 A1

Frequencies

GnomAD3 genomes
AF:
0.102
AC:
15522
AN:
152022
Hom.:
1030
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0336
Gnomad AMI
AF:
0.156
Gnomad AMR
AF:
0.0923
Gnomad ASJ
AF:
0.150
Gnomad EAS
AF:
0.0493
Gnomad SAS
AF:
0.0423
Gnomad FIN
AF:
0.215
Gnomad MID
AF:
0.0854
Gnomad NFE
AF:
0.133
Gnomad OTH
AF:
0.109
GnomAD3 exomes
AF:
0.104
AC:
26255
AN:
251364
Hom.:
1719
AF XY:
0.103
AC XY:
14007
AN XY:
135840
show subpopulations
Gnomad AFR exome
AF:
0.0299
Gnomad AMR exome
AF:
0.0619
Gnomad ASJ exome
AF:
0.148
Gnomad EAS exome
AF:
0.0403
Gnomad SAS exome
AF:
0.0378
Gnomad FIN exome
AF:
0.204
Gnomad NFE exome
AF:
0.133
Gnomad OTH exome
AF:
0.116
GnomAD4 exome
AF:
0.123
AC:
179440
AN:
1461770
Hom.:
12100
Cov.:
33
AF XY:
0.121
AC XY:
87866
AN XY:
727200
show subpopulations
Gnomad4 AFR exome
AF:
0.0285
Gnomad4 AMR exome
AF:
0.0658
Gnomad4 ASJ exome
AF:
0.149
Gnomad4 EAS exome
AF:
0.0503
Gnomad4 SAS exome
AF:
0.0377
Gnomad4 FIN exome
AF:
0.198
Gnomad4 NFE exome
AF:
0.134
Gnomad4 OTH exome
AF:
0.111
GnomAD4 genome
AF:
0.102
AC:
15519
AN:
152140
Hom.:
1030
Cov.:
32
AF XY:
0.104
AC XY:
7719
AN XY:
74356
show subpopulations
Gnomad4 AFR
AF:
0.0336
Gnomad4 AMR
AF:
0.0921
Gnomad4 ASJ
AF:
0.150
Gnomad4 EAS
AF:
0.0490
Gnomad4 SAS
AF:
0.0425
Gnomad4 FIN
AF:
0.215
Gnomad4 NFE
AF:
0.133
Gnomad4 OTH
AF:
0.109
Alfa
AF:
0.122
Hom.:
2565
Bravo
AF:
0.0910
TwinsUK
AF:
0.137
AC:
509
ALSPAC
AF:
0.139
AC:
536
ESP6500AA
AF:
0.0306
AC:
135
ESP6500EA
AF:
0.127
AC:
1092
ExAC
AF:
0.101
AC:
12283
Asia WGS
AF:
0.0500
AC:
173
AN:
3478
EpiCase
AF:
0.126
EpiControl
AF:
0.125

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Primary ciliary dyskinesia Benign:3
Benign, criteria provided, single submitterclinical testingAmbry GeneticsDec 11, 2014This alteration is classified as 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. -
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -
Benign, no assertion criteria providedclinical testingNatera, Inc.Sep 16, 2020- -
not specified Benign:2
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineFeb 21, 2013Thr3791Ile in exon 66 of DNAH5: This variant is not expected to have clinical si gnificance because it has been identified in 12.7% (1092/8600) of European Ameri can chromosomes from a broad population by the NHLBI Exome Sequencing Project (h ttp://evs.gs.washington.edu/EVS; dbSNP rs17263496). -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Primary ciliary dyskinesia 3 Benign:2
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -
Benign, criteria provided, single submitterclinical testingPars Genome LabJun 15, 2021- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxNov 10, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.42
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.23
Cadd
Uncertain
24
Dann
Pathogenic
1.0
DEOGEN2
Uncertain
0.58
D
Eigen
Pathogenic
0.94
Eigen_PC
Pathogenic
0.89
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.97
D
MetaRNN
Benign
0.0018
T
MetaSVM
Benign
-0.93
T
MutationAssessor
Pathogenic
3.4
M
MutationTaster
Benign
5.4e-10
P
PrimateAI
Uncertain
0.63
T
PROVEAN
Pathogenic
-5.3
D
REVEL
Uncertain
0.40
Sift
Uncertain
0.0010
D
Polyphen
0.99
D
Vest4
0.35
MPC
0.41
ClinPred
0.053
T
GERP RS
5.4
Varity_R
0.89
gMVP
0.58

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: rs17263496; hg19: chr5-13737444; COSMIC: COSV54227233; API