rs201968272
Variant names: 
Variant summary
Our verdict is Uncertain significance. The variant received 2 ACMG points: 3P and 1B. PP3PP5_ModerateBP4
The NM_030653.4(DDX11):c.788G>A(p.Arg263Gln) variant causes a missense change. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★).
Frequency
 Genomes: 𝑓 0.0   (  0   hom.,  cov: 33) 
 Exomes 𝑓:  0.000012   (  0   hom.  ) 
 Failed GnomAD Quality Control 
Consequence
 DDX11
NM_030653.4 missense
NM_030653.4 missense
Scores
 11
 5
 2
Clinical Significance
Conservation
 PhyloP100:  7.03  
Publications
28 publications found 
Genes affected
 DDX11  (HGNC:2736):  (DEAD/H-box helicase 11) DEAD box proteins, characterized by the conserved motif Asp-Glu-Ala-Asp (DEAD), are putative RNA helicases. They are implicated in a number of cellular processes involving alteration of RNA secondary structure such as translation initiation, nuclear and mitochondrial splicing, and ribosome and spliceosome assembly. Based on their distribution patterns, some members of this family are believed to be involved in embryogenesis, spermatogenesis, and cellular growth and division. This gene encodes a DEAD box protein, which is an enzyme that possesses both ATPase and DNA helicase activities. This gene is a homolog of the yeast CHL1 gene, and may function to maintain chromosome transmission fidelity and genome stability. Alternative splicing results in multiple transcript variants encoding distinct isoforms. [provided by RefSeq, Jul 2008] 
DDX11 Gene-Disease associations (from GenCC):
- Warsaw breakage syndromeInheritance: AR, AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Orphanet
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Uncertain_significance. The variant received 2 ACMG points.
PP3
Multiple lines of computational evidence support a deleterious effect 9: AlphaMissense, BayesDel_addAF, BayesDel_noAF, Cadd, Dann, Eigen, M_CAP, REVEL, REVEL [when max_spliceai, FATHMM_MKL, MetaRNN, MutationTaster was below the threshold]
PP5
Variant 12-31089147-G-A is Pathogenic according to our data. Variant chr12-31089147-G-A is described in ClinVar as Likely_pathogenic. ClinVar VariationId is 39995.Status of the report is criteria_provided_single_submitter, 1 stars. 
BP4
Computational evidence support a benign effect (MetaRNN=0.16807073). . Strength limited to SUPPORTING due to the PP5.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  0.00  AC: 0AN: 151318Hom.:  0  Cov.: 33 
GnomAD3 genomes 
 AF: 
AC: 
0
AN: 
151318
Hom.: 
Cov.: 
33
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
 AF: 
Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
 AF: 
Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD2 exomes  AF:  0.0000880  AC: 21AN: 238604 AF XY:  0.0000539   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
21
AN: 
238604
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
 AF: 
Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
 AF: 
Gnomad FIN exome 
 AF: 
Gnomad NFE exome 
 AF: 
Gnomad OTH exome 
 AF: 
GnomAD4 exome Data not reliable, filtered out with message: AS_VQSR AF:  0.0000123  AC: 18AN: 1460374Hom.:  0  Cov.: 32 AF XY:  0.0000110  AC XY: 8AN XY: 726504 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
GnomAD4 exome 
Data not reliable, filtered out with message: AS_VQSR
 AF: 
AC: 
18
AN: 
1460374
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
8
AN XY: 
726504
show subpopulations 
 ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
African (AFR) 
 AF: 
AC: 
0
AN: 
33456
American (AMR) 
 AF: 
AC: 
1
AN: 
44682
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26096
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39684
South Asian (SAS) 
 AF: 
AC: 
1
AN: 
86186
European-Finnish (FIN) 
 AF: 
AC: 
2
AN: 
53324
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5754
European-Non Finnish (NFE) 
 AF: 
AC: 
13
AN: 
1110880
Other (OTH) 
 AF: 
AC: 
1
AN: 
60312
 ⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals. 
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.278 
Heterozygous variant carriers
 0 
 2 
 4 
 6 
 8 
 10 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome 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
GnomAD4 genome  0.00  AC: 0AN: 151434Hom.:  0  Cov.: 33 AF XY:  0.00  AC XY: 0AN XY: 73936 
GnomAD4 genome 
Data not reliable, filtered out with message: AC0;AS_VQSR
 AF: 
AC: 
0
AN: 
151434
Hom.: 
Cov.: 
33
 AF XY: 
AC XY: 
0
AN XY: 
73936
African (AFR) 
 AF: 
AC: 
0
AN: 
41314
American (AMR) 
 AF: 
AC: 
0
AN: 
15158
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3464
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5166
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4740
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10494
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
67804
Other (OTH) 
 AF: 
AC: 
0
AN: 
2096
Alfa 
 AF: 
Hom.: 
ExAC 
 AF: 
AC: 
575
ClinVar
Significance: Likely pathogenic 
Submissions summary: Pathogenic:2 
Revision: criteria provided, single submitter
LINK: link 
Submissions by phenotype
Warsaw breakage syndrome    Pathogenic:2 
Jan 01, 2013
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only
- -
Mar 15, 2024
Fulgent Genetics, Fulgent Genetics
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 AlphaMissense 
 Pathogenic 
 BayesDel_addAF 
 Pathogenic 
D 
 BayesDel_noAF 
 Pathogenic 
 DANN 
 Pathogenic 
 DEOGEN2 
 Pathogenic 
.;.;D;D;. 
 Eigen 
 Pathogenic 
 Eigen_PC 
 Uncertain 
 FATHMM_MKL 
 Pathogenic 
D 
 LIST_S2 
 Pathogenic 
D;D;D;D;D 
 M_CAP 
 Pathogenic 
D 
 MetaRNN 
 Benign 
T;T;T;T;T 
 MetaSVM 
 Uncertain 
D 
 PhyloP100 
 PrimateAI 
 Uncertain 
T 
 PROVEAN 
 Uncertain 
D;D;D;D;D 
 REVEL 
 Pathogenic 
 Sift 
 Uncertain 
D;D;D;D;D 
 Sift4G 
 Pathogenic 
D;D;D;D;D 
 Polyphen 
D;.;.;D;D 
 Vest4 
 MVP 
 ClinPred 
D 
 GERP RS 
 RBP_binding_hub_radar 
 RBP_regulation_power_radar 
 Varity_R 
 gMVP 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
 You must be logged in to view publications. This limit was set because tens of millions (!) of queries from AI bots are generated daily.