rs189821372

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 1P and 9B. PP3BP6BS1BS2

The NM_001277115.2(DNAH11):​c.8798-5G>A variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00412 in 1,590,046 control chromosomes in the GnomAD database, including 30 homozygotes. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0032 ( 3 hom., cov: 32)
Exomes 𝑓: 0.0042 ( 27 hom. )

Consequence

DNAH11
NM_001277115.2 splice_region, intron

Scores

2
Splicing: ADA: 0.9741
1
1

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:4

Conservation

PhyloP100: 0.295

Publications

3 publications found
Variant links:
Genes affected
DNAH11 (HGNC:2942): (dynein axonemal heavy chain 11) This gene encodes a ciliary outer dynein arm protein and is a member of the dynein heavy chain family. It is a microtubule-dependent motor ATPase and has been reported to be involved in the movement of respiratory cilia. Mutations in this gene have been implicated in causing Kartagener Syndrome (a combination of situs inversus totalis and Primary Ciliary Dyskinesia (PCD), also called Immotile Cilia Syndrome 1 (ICS1)) and male sterility. [provided by RefSeq, Mar 2013]
DNAH11 Gene-Disease associations (from GenCC):
  • primary ciliary dyskinesia 7
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: PanelApp Australia, Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae), ClinGen
  • 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: Benign. The variant received -8 ACMG points.

PP3
Splicing predictors support a deleterious effect. Scorers claiming Pathogenic: dbscSNV1_ADA, max_spliceai. No scorers claiming Uncertain. Scorers claiming Benign: dbscSNV1_RF.
BP6
Variant 7-21750217-G-A is Benign according to our data. Variant chr7-21750217-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 163114.
BS1
Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.00316 (481/152138) while in subpopulation SAS AF = 0.0083 (40/4818). AF 95% confidence interval is 0.00627. There are 3 homozygotes in GnomAd4. There are 210 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 3 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DNAH11NM_001277115.2 linkc.8798-5G>A splice_region_variant, intron_variant Intron 53 of 81 ENST00000409508.8 NP_001264044.1 Q96DT5Q96NT7H9NAJ8H9NAJ7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DNAH11ENST00000409508.8 linkc.8798-5G>A splice_region_variant, intron_variant Intron 53 of 81 5 NM_001277115.2 ENSP00000475939.1 Q96DT5

Frequencies

GnomAD3 genomes
AF:
0.00317
AC:
482
AN:
152020
Hom.:
3
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000797
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.00203
Gnomad ASJ
AF:
0.00952
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00850
Gnomad FIN
AF:
0.00104
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00472
Gnomad OTH
AF:
0.00480
GnomAD2 exomes
AF:
0.00391
AC:
868
AN:
221866
AF XY:
0.00420
show subpopulations
Gnomad AFR exome
AF:
0.000286
Gnomad AMR exome
AF:
0.00168
Gnomad ASJ exome
AF:
0.00819
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00227
Gnomad NFE exome
AF:
0.00416
Gnomad OTH exome
AF:
0.00453
GnomAD4 exome
AF:
0.00422
AC:
6069
AN:
1437908
Hom.:
27
Cov.:
31
AF XY:
0.00447
AC XY:
3188
AN XY:
712654
show subpopulations
African (AFR)
AF:
0.000733
AC:
24
AN:
32728
American (AMR)
AF:
0.00173
AC:
69
AN:
39962
Ashkenazi Jewish (ASJ)
AF:
0.00937
AC:
239
AN:
25500
East Asian (EAS)
AF:
0.0000255
AC:
1
AN:
39256
South Asian (SAS)
AF:
0.0102
AC:
811
AN:
79830
European-Finnish (FIN)
AF:
0.00265
AC:
140
AN:
52872
Middle Eastern (MID)
AF:
0.00472
AC:
27
AN:
5720
European-Non Finnish (NFE)
AF:
0.00408
AC:
4499
AN:
1102384
Other (OTH)
AF:
0.00434
AC:
259
AN:
59656
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.470
Heterozygous variant carriers
0
267
533
800
1066
1333
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
178
356
534
712
890
<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:
0.00316
AC:
481
AN:
152138
Hom.:
3
Cov.:
32
AF XY:
0.00282
AC XY:
210
AN XY:
74350
show subpopulations
African (AFR)
AF:
0.000795
AC:
33
AN:
41506
American (AMR)
AF:
0.00203
AC:
31
AN:
15274
Ashkenazi Jewish (ASJ)
AF:
0.00952
AC:
33
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.00830
AC:
40
AN:
4818
European-Finnish (FIN)
AF:
0.00104
AC:
11
AN:
10570
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.00472
AC:
321
AN:
68006
Other (OTH)
AF:
0.00475
AC:
10
AN:
2104
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
23
45
68
90
113
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
10
20
30
40
50
<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:
0.00386
Hom.:
1
Bravo
AF:
0.00291
Asia WGS
AF:
0.00462
AC:
16
AN:
3476

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:4
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Benign:2
-
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 21, 2013
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

8798-5G>A in intron 53 of DNAH11: This variant is not expected to have clinical significance because it has been identified in 0.4% (34/8186) of European Americ an chromosomes from a broad population by the NHLBI Exome Sequencing Project (ht tp://evs.gs.washington.edu/EVS; dbSNP rs189821372). -

Primary ciliary dyskinesia 7 Uncertain:1
Nov 03, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The DNAH11 c.8798-5G>A variant (rs189821372) is reported in the literature in an individual affected with primary ciliary dyskinesia who harbored another DNAH11 variant (c.3544C>T; p.Arg1182Ter) in trans (Shoemark 2018). The c.8798-5G>A variant is reported in ClinVar (Variation ID: 163114) and is found in the general population with an overall allele frequency of 0.3759% (952/253,256 alleles, including 9 homozygotes) in the Genome Aggregation Database. This is an intronic variant in a weakly conserved nucleotide, but computational analyses (Alamut Visual Plus v.1.5.1) predict that this variant may impact splicing by creating a novel cryptic acceptor splice site. However, the splicing impact of this variant would need to be determined by functional studies. Due to limited information, the clinical significance of this variant is uncertain at this time. References: Shoemark A et al C. Primary ciliary dyskinesia with normal ultrastructure: three-dimensional tomography detects absence of DNAH11. Eur Respir J. 2018 Feb 21;51(2):1701809. PMID: 29467202. -

Primary ciliary dyskinesia Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
Oct 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

DNAH11: PP3, BS1, BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.68
CADD
Benign
18
DANN
Benign
0.67
PhyloP100
0.29
Mutation Taster
=83/17
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.97
dbscSNV1_RF
Benign
0.68
SpliceAI score (max)
0.63
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.63
Position offset: 2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs189821372; hg19: chr7-21789835; API