rs180719577

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_004006.3(DMD):​c.6614+7C>T variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000106 in 1,207,069 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 43 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.000036 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.00011 ( 0 hom. 42 hem. )

Consequence

DMD
NM_004006.3 splice_region, intron

Scores

2
Splicing: ADA: 0.00005737
2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:8

Conservation

PhyloP100: 0.229

Publications

1 publications found
Variant links:
Genes affected
DMD (HGNC:2928): (dystrophin) This gene spans a genomic range of greater than 2 Mb and encodes a large protein containing an N-terminal actin-binding domain and multiple spectrin repeats. The encoded protein forms a component of the dystrophin-glycoprotein complex (DGC), which bridges the inner cytoskeleton and the extracellular matrix. Deletions, duplications, and point mutations at this gene locus may cause Duchenne muscular dystrophy (DMD), Becker muscular dystrophy (BMD), or cardiomyopathy. Alternative promoter usage and alternative splicing result in numerous distinct transcript variants and protein isoforms for this gene. [provided by RefSeq, Dec 2016]
DMD Gene-Disease associations (from GenCC):
  • Becker muscular dystrophy
    Inheritance: XL Classification: DEFINITIVE, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet
  • dilated cardiomyopathy 3B
    Inheritance: XL Classification: DEFINITIVE Submitted by: Ambry Genetics
  • Duchenne and Becker muscular dystrophy
    Inheritance: XL Classification: DEFINITIVE Submitted by: Myriad Women’s Health
  • Duchenne muscular dystrophy
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P, Orphanet
  • progressive muscular dystrophy
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • familial isolated dilated cardiomyopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • non-syndromic X-linked intellectual disability
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
  • symptomatic form of muscular dystrophy of Duchenne and Becker in female carriers
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.86).
BP6
Variant X-31968332-G-A is Benign according to our data. Variant chrX-31968332-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 290925.
BS2
High AC in GnomAdExome4 at 124 XL,AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004006.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DMD
NM_004006.3
MANE Select
c.6614+7C>T
splice_region intron
N/ANP_003997.2
DMD
NM_004009.3
c.6602+7C>T
splice_region intron
N/ANP_004000.1
DMD
NM_000109.4
c.6590+7C>T
splice_region intron
N/ANP_000100.3

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DMD
ENST00000357033.9
TSL:1 MANE Select
c.6614+7C>T
splice_region intron
N/AENSP00000354923.3
DMD
ENST00000682183.1
n.282C>T
non_coding_transcript_exon
Exon 2 of 2
DMD
ENST00000378677.6
TSL:5
c.6602+7C>T
splice_region intron
N/AENSP00000367948.2

Frequencies

GnomAD3 genomes
AF:
0.0000360
AC:
4
AN:
111073
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.0000654
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000371
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000189
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000137
AC:
25
AN:
182719
AF XY:
0.000207
show subpopulations
Gnomad AFR exome
AF:
0.0000762
Gnomad AMR exome
AF:
0.000183
Gnomad ASJ exome
AF:
0.000134
Gnomad EAS exome
AF:
0.0000722
Gnomad FIN exome
AF:
0.000250
Gnomad NFE exome
AF:
0.000111
Gnomad OTH exome
AF:
0.000444
GnomAD4 exome
AF:
0.000113
AC:
124
AN:
1095945
Hom.:
0
Cov.:
31
AF XY:
0.000116
AC XY:
42
AN XY:
361975
show subpopulations
African (AFR)
AF:
0.0000760
AC:
2
AN:
26308
American (AMR)
AF:
0.000171
AC:
6
AN:
35120
Ashkenazi Jewish (ASJ)
AF:
0.000103
AC:
2
AN:
19326
East Asian (EAS)
AF:
0.000232
AC:
7
AN:
30181
South Asian (SAS)
AF:
0.000166
AC:
9
AN:
54103
European-Finnish (FIN)
AF:
0.000148
AC:
6
AN:
40509
Middle Eastern (MID)
AF:
0.00122
AC:
5
AN:
4113
European-Non Finnish (NFE)
AF:
0.0000916
AC:
77
AN:
840304
Other (OTH)
AF:
0.000217
AC:
10
AN:
45981
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.469
Heterozygous variant carriers
0
5
10
14
19
24
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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
GnomAD4 genome
AF:
0.0000360
AC:
4
AN:
111124
Hom.:
0
Cov.:
23
AF XY:
0.0000298
AC XY:
1
AN XY:
33524
show subpopulations
African (AFR)
AF:
0.0000653
AC:
2
AN:
30636
American (AMR)
AF:
0.00
AC:
0
AN:
10447
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2636
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3504
South Asian (SAS)
AF:
0.000373
AC:
1
AN:
2684
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5959
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
216
European-Non Finnish (NFE)
AF:
0.0000189
AC:
1
AN:
52850
Other (OTH)
AF:
0.00
AC:
0
AN:
1512
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Hom
Variant carriers
0
2
4
6
8
10
<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:
0.0000431
Hom.:
0
Bravo
AF:
0.0000756
EpiCase
AF:
0.000218
EpiControl
AF:
0.000237

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
3
not provided (4)
-
-
2
not specified (2)
-
-
1
DMD-related disorder (1)
-
-
1
Duchenne muscular dystrophy (1)
-
-
1
Duchenne muscular dystrophy;C0878544:Cardiomyopathy;C0917713:Becker muscular dystrophy;na:Dystrophin deficiency (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.86
CADD
Benign
0.28
DANN
Benign
0.41
PhyloP100
0.23
Mutation Taster
=100/0
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000057
dbscSNV1_RF
Benign
0.0
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: rs180719577; hg19: chrX-31986449; COSMIC: COSV58915783; API