rs35661168

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 3P and 1B. PM2PP5BP4

The ENST00000643122.1(HBD):​c.-28-98A>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000168 in 596,456 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars). There are indicators that this mutation may affect the branch point..

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000017 ( 0 hom. )

Consequence

HBD
ENST00000643122.1 intron

Scores

2

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: -3.12

Publications

2 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: Uncertain_significance. The variant received 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 11-5234559-T-A is Pathogenic according to our data. Variant chr11-5234559-T-A is described in ClinVar as Pathogenic. ClinVar VariationId is 15085.Status of the report is no_assertion_criteria_provided, 0 stars.
BP4
This position, referring to a specific DNA site, is a probable branch point but rather VUS (scored 4 / 10). The score ranges from 0 to 10, with values ≤3 considered benign and >5 classified as pathogenic. Computational evidence support a benign effect (BayesDel_noAF=-0.65). . Strength limited to SUPPORTING due to the PP5.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
HBDNM_000519.4 linkc.-126A>T upstream_gene_variant ENST00000650601.1 NP_000510.1 P02042A0N071

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
HBDENST00000650601.1 linkc.-126A>T upstream_gene_variant NM_000519.4 ENSP00000497529.1 P02042

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000168
AC:
1
AN:
596456
Hom.:
0
Cov.:
6
AF XY:
0.00000310
AC XY:
1
AN XY:
322524
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
16750
American (AMR)
AF:
0.00
AC:
0
AN:
36654
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
20164
East Asian (EAS)
AF:
0.00
AC:
0
AN:
33764
South Asian (SAS)
AF:
0.00
AC:
0
AN:
65036
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
44796
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2798
European-Non Finnish (NFE)
AF:
0.00000290
AC:
1
AN:
344602
Other (OTH)
AF:
0.00
AC:
0
AN:
31892
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.625
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

delta Thalassemia Pathogenic:1
Nov 01, 2002
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.65
CADD
Benign
0.74
DANN
Benign
0.74
PhyloP100
-3.1
BranchPoint Hunter
4.0
PromoterAI
0.034
Neutral
Mutation Taster
=293/7
disease causing (ClinVar)

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: rs35661168; hg19: chr11-5255789; API