rs35406175

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBS2_Supporting

The NM_000519.4(HBD):​c.14C>T​(p.Thr5Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0016 in 1,612,808 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.0014 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0016 ( 4 hom. )

Consequence

HBD
NM_000519.4 missense

Scores

4
8
7

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 1.73

Publications

6 publications found
Variant links:
Genes affected
HBD (HGNC:4829): (hemoglobin subunit delta) The delta (HBD) and beta (HBB) genes are normally expressed in the adult: two alpha chains plus two beta chains constitute HbA, which in normal adult life comprises about 97% of the total hemoglobin. Two alpha chains plus two delta chains constitute HbA-2, which with HbF comprises the remaining 3% of adult hemoglobin. Five beta-like globin genes are found within a 45 kb cluster on chromosome 11 in the following order: 5'-epsilon--Ggamma--Agamma--delta--beta-3'. Mutations in the delta-globin gene are associated with beta-thalassemia. [provided by RefSeq, Jul 2008]
HBD Gene-Disease associations (from GenCC):
  • delta-beta-thalassemia
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.022682875).
BS2
High Homozygotes in GnomAdExome4 at 4 AR geneVariant has number of homozygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
HBDNM_000519.4 linkc.14C>T p.Thr5Ile missense_variant Exon 1 of 3 ENST00000650601.1 NP_000510.1 P02042A0N071

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
HBDENST00000650601.1 linkc.14C>T p.Thr5Ile missense_variant Exon 1 of 3 NM_000519.4 ENSP00000497529.1 P02042

Frequencies

GnomAD3 genomes
AF:
0.00139
AC:
211
AN:
152212
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000314
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00203
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00226
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00203
Gnomad OTH
AF:
0.00143
GnomAD2 exomes
AF:
0.00143
AC:
360
AN:
251150
AF XY:
0.00155
show subpopulations
Gnomad AFR exome
AF:
0.000308
Gnomad AMR exome
AF:
0.00159
Gnomad ASJ exome
AF:
0.000199
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00194
Gnomad NFE exome
AF:
0.00210
Gnomad OTH exome
AF:
0.00212
GnomAD4 exome
AF:
0.00163
AC:
2377
AN:
1460478
Hom.:
4
Cov.:
30
AF XY:
0.00164
AC XY:
1191
AN XY:
726686
show subpopulations
African (AFR)
AF:
0.000419
AC:
14
AN:
33438
American (AMR)
AF:
0.00181
AC:
81
AN:
44714
Ashkenazi Jewish (ASJ)
AF:
0.000115
AC:
3
AN:
26132
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39694
South Asian (SAS)
AF:
0.000232
AC:
20
AN:
86232
European-Finnish (FIN)
AF:
0.00204
AC:
109
AN:
53416
Middle Eastern (MID)
AF:
0.00243
AC:
14
AN:
5766
European-Non Finnish (NFE)
AF:
0.00185
AC:
2052
AN:
1110740
Other (OTH)
AF:
0.00139
AC:
84
AN:
60346
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.445
Heterozygous variant carriers
0
126
253
379
506
632
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
76
152
228
304
380
<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:
0.00139
AC:
211
AN:
152330
Hom.:
0
Cov.:
32
AF XY:
0.00130
AC XY:
97
AN XY:
74494
show subpopulations
African (AFR)
AF:
0.000313
AC:
13
AN:
41562
American (AMR)
AF:
0.00203
AC:
31
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.000288
AC:
1
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5190
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4822
European-Finnish (FIN)
AF:
0.00226
AC:
24
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00203
AC:
138
AN:
68034
Other (OTH)
AF:
0.00142
AC:
3
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
11
23
34
46
57
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:
0.00162
Hom.:
0
Bravo
AF:
0.00121
TwinsUK
AF:
0.00135
AC:
5
ALSPAC
AF:
0.00182
AC:
7
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00233
AC:
20
ExAC
AF:
0.00144
AC:
175
EpiCase
AF:
0.00196
EpiControl
AF:
0.00202

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Thalassemia Uncertain:1
Mar 25, 2022
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:research

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.64
BayesDel_addAF
Benign
-0.050
T
BayesDel_noAF
Pathogenic
0.15
CADD
Benign
14
DANN
Uncertain
1.0
DEOGEN2
Benign
0.34
T;T;T;T;.;T
Eigen
Benign
-0.21
Eigen_PC
Benign
-0.37
FATHMM_MKL
Benign
0.65
D
LIST_S2
Uncertain
0.88
D;.;.;D;D;D
M_CAP
Uncertain
0.17
D
MetaRNN
Benign
0.023
T;T;T;T;T;T
MetaSVM
Uncertain
0.26
D
MutationAssessor
Pathogenic
4.0
.;H;H;H;.;.
PhyloP100
1.7
PrimateAI
Uncertain
0.52
T
PROVEAN
Uncertain
-4.1
D;.;D;.;D;D
REVEL
Uncertain
0.55
Sift
Pathogenic
0.0
D;.;D;.;D;D
Sift4G
Uncertain
0.021
D;.;D;.;D;.
Polyphen
0.69
.;P;P;P;.;.
Vest4
0.77
MVP
0.92
MPC
0.021
ClinPred
0.13
T
GERP RS
1.6
PromoterAI
0.011
Neutral
Varity_R
0.85
gMVP
0.94
Mutation Taster
=33/67
disease causing

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: rs35406175; hg19: chr11-5255650; API