rs200121200

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS1

The NM_018139.3(DNAAF2):​c.1463G>A​(p.Gly488Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000663 in 1,606,692 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00050 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00068 ( 0 hom. )

Consequence

DNAAF2
NM_018139.3 missense

Scores

1
17

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:3

Conservation

PhyloP100: -0.243

Publications

4 publications found
Variant links:
Genes affected
DNAAF2 (HGNC:20188): (dynein axonemal assembly factor 2) This gene encodes a highly conserved protein involved in the preassembly of dynein arm complexes which power cilia. These complexes are found in some cilia and are assembled in the cytoplasm prior to transport for cilia formation. Mutations in this gene have been associated with primary ciliary dyskinesia. Multiple transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Oct 2009]
DNAAF2 Gene-Disease associations (from GenCC):
  • primary ciliary dyskinesia 10
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), PanelApp Australia, 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 -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.004810065).
BP6
Variant 14-49633687-C-T is Benign according to our data. Variant chr14-49633687-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 228602.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.000499 (76/152266) while in subpopulation NFE AF = 0.000779 (53/68010). AF 95% confidence interval is 0.000612. There are 0 homozygotes in GnomAd4. There are 37 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DNAAF2NM_018139.3 linkc.1463G>A p.Gly488Glu missense_variant Exon 1 of 3 ENST00000298292.13 NP_060609.2
DNAAF2NM_001083908.2 linkc.1463G>A p.Gly488Glu missense_variant Exon 1 of 2 NP_001077377.1
DNAAF2NM_001378453.1 linkc.-409G>A 5_prime_UTR_variant Exon 1 of 2 NP_001365382.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DNAAF2ENST00000298292.13 linkc.1463G>A p.Gly488Glu missense_variant Exon 1 of 3 1 NM_018139.3 ENSP00000298292.8
DNAAF2ENST00000406043.3 linkc.1463G>A p.Gly488Glu missense_variant Exon 1 of 2 1 ENSP00000384862.3

Frequencies

GnomAD3 genomes
AF:
0.000500
AC:
76
AN:
152148
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00491
Gnomad EAS
AF:
0.000386
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000377
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000779
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000713
AC:
176
AN:
246798
AF XY:
0.000716
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00777
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000285
Gnomad NFE exome
AF:
0.000761
Gnomad OTH exome
AF:
0.000504
GnomAD4 exome
AF:
0.000680
AC:
989
AN:
1454426
Hom.:
0
Cov.:
92
AF XY:
0.000691
AC XY:
499
AN XY:
722438
show subpopulations
African (AFR)
AF:
0.0000301
AC:
1
AN:
33232
American (AMR)
AF:
0.00
AC:
0
AN:
44318
Ashkenazi Jewish (ASJ)
AF:
0.00710
AC:
184
AN:
25922
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39560
South Asian (SAS)
AF:
0.000209
AC:
18
AN:
86048
European-Finnish (FIN)
AF:
0.000667
AC:
35
AN:
52498
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5740
European-Non Finnish (NFE)
AF:
0.000630
AC:
698
AN:
1107130
Other (OTH)
AF:
0.000884
AC:
53
AN:
59978
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
67
133
200
266
333
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
22
44
66
88
110
<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:
0.000499
AC:
76
AN:
152266
Hom.:
0
Cov.:
33
AF XY:
0.000497
AC XY:
37
AN XY:
74460
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41562
American (AMR)
AF:
0.00
AC:
0
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.00491
AC:
17
AN:
3464
East Asian (EAS)
AF:
0.000387
AC:
2
AN:
5164
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
European-Finnish (FIN)
AF:
0.000377
AC:
4
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000779
AC:
53
AN:
68010
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
4
7
11
14
18
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
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:
0.000921
Hom.:
0
Bravo
AF:
0.000404
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000582
AC:
5
ExAC
AF:
0.000758
AC:
92
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000872
EpiControl
AF:
0.000533

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Primary ciliary dyskinesia Benign:2
Jun 24, 2021
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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.

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

not specified Uncertain:1
Sep 02, 2015
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant classified as Uncertain Significance - Favor Benign. The p.Gly488Glu var iant in DNAAF2 has not been previously reported in individuals with pulmonary di sease, but has been identified in 0.13% (86/64746) of European chromosomes by th e Exome Aggregation Consortium (ExAC, http://exac.broadinstitute.org; dbSNP rs20 0121200). Glycine (Gly) at position 488 is not conserved evolution and 3 mammals (brush tailed rat, star nosed mole, opossum) carry a glutamic acid (Glu) at thi s position, supporting that this change may be tolerated. Additional computatio nal prediction tools suggest that the p.Gly488Glu variant may not impact the pro tein, though this information is not predictive enough to rule out pathogenicity . In summary, while the clinical significance of the p.Gly488Glu variant is unce rtain, its frequency suggests that it is more likely to be benign.

Primary ciliary dyskinesia 10 Uncertain:1
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease.

DNAAF2-related disorder Benign:1
Aug 07, 2019
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications).

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.61
T
BayesDel_noAF
Benign
-0.69
CADD
Benign
7.7
DANN
Uncertain
0.98
DEOGEN2
Benign
0.0039
T;.
Eigen
Benign
-0.84
Eigen_PC
Benign
-0.86
FATHMM_MKL
Benign
0.017
N
LIST_S2
Benign
0.47
T;T
M_CAP
Benign
0.020
T
MetaRNN
Benign
0.0048
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.9
L;L
PhyloP100
-0.24
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-1.4
N;N
REVEL
Benign
0.0060
Sift
Benign
0.077
T;D
Sift4G
Benign
0.087
T;T
Vest4
0.093
ClinPred
0.067
T
GERP RS
2.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.040
gMVP
0.43
Mutation Taster
=98/2
polymorphism

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

Other links and lift over

dbSNP: rs200121200; hg19: chr14-50100405; COSMIC: COSV106101254; COSMIC: COSV106101254; API