rs35865357

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_001277115.2(DNAH11):​c.8990G>A​(p.Arg2997Gln) variant causes a missense change. The variant allele was found at a frequency of 0.0165 in 1,613,800 control chromosomes in the GnomAD database, including 277 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R2997W) has been classified as Benign.

Frequency

Genomes: 𝑓 0.011 ( 17 hom., cov: 31)
Exomes 𝑓: 0.017 ( 260 hom. )

Consequence

DNAH11
NM_001277115.2 missense

Scores

3
6
7

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:5

Conservation

PhyloP100: 5.49

Publications

14 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 -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009184986).
BP6
Variant 7-21765477-G-A is Benign according to our data. Variant chr7-21765477-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 163116.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0113 (1720/152198) while in subpopulation NFE AF = 0.0184 (1254/68006). AF 95% confidence interval is 0.0176. There are 17 homozygotes in GnomAd4. There are 820 alleles in the male GnomAd4 subpopulation. Median coverage is 31. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 17 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DNAH11NM_001277115.2 linkc.8990G>A p.Arg2997Gln missense_variant Exon 55 of 82 ENST00000409508.8 NP_001264044.1 Q96DT5Q96NT7H9NAJ8H9NAJ7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DNAH11ENST00000409508.8 linkc.8990G>A p.Arg2997Gln missense_variant Exon 55 of 82 5 NM_001277115.2 ENSP00000475939.1 Q96DT5

Frequencies

GnomAD3 genomes
AF:
0.0113
AC:
1719
AN:
152080
Hom.:
17
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00360
Gnomad AMI
AF:
0.0132
Gnomad AMR
AF:
0.00970
Gnomad ASJ
AF:
0.00979
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00685
Gnomad FIN
AF:
0.00650
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0184
Gnomad OTH
AF:
0.00958
GnomAD2 exomes
AF:
0.0112
AC:
2798
AN:
249018
AF XY:
0.0111
show subpopulations
Gnomad AFR exome
AF:
0.00400
Gnomad AMR exome
AF:
0.00684
Gnomad ASJ exome
AF:
0.0110
Gnomad EAS exome
AF:
0.0000557
Gnomad FIN exome
AF:
0.00650
Gnomad NFE exome
AF:
0.0175
Gnomad OTH exome
AF:
0.0144
GnomAD4 exome
AF:
0.0170
AC:
24886
AN:
1461602
Hom.:
260
Cov.:
31
AF XY:
0.0166
AC XY:
12042
AN XY:
727084
show subpopulations
African (AFR)
AF:
0.00305
AC:
102
AN:
33480
American (AMR)
AF:
0.00715
AC:
320
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0106
AC:
278
AN:
26132
East Asian (EAS)
AF:
0.0000756
AC:
3
AN:
39698
South Asian (SAS)
AF:
0.00576
AC:
497
AN:
86252
European-Finnish (FIN)
AF:
0.00751
AC:
401
AN:
53388
Middle Eastern (MID)
AF:
0.00485
AC:
28
AN:
5768
European-Non Finnish (NFE)
AF:
0.0201
AC:
22311
AN:
1111788
Other (OTH)
AF:
0.0157
AC:
946
AN:
60372
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.465
Heterozygous variant carriers
0
1408
2816
4223
5631
7039
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
842
1684
2526
3368
4210
<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:
0.0113
AC:
1720
AN:
152198
Hom.:
17
Cov.:
31
AF XY:
0.0110
AC XY:
820
AN XY:
74420
show subpopulations
African (AFR)
AF:
0.00359
AC:
149
AN:
41524
American (AMR)
AF:
0.00969
AC:
148
AN:
15272
Ashkenazi Jewish (ASJ)
AF:
0.00979
AC:
34
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00707
AC:
34
AN:
4812
European-Finnish (FIN)
AF:
0.00650
AC:
69
AN:
10612
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0184
AC:
1254
AN:
68006
Other (OTH)
AF:
0.00948
AC:
20
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
87
174
260
347
434
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
26
52
78
104
130
<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:
0.0127
Hom.:
18
Bravo
AF:
0.0110
TwinsUK
AF:
0.0218
AC:
81
ALSPAC
AF:
0.0197
AC:
76
ESP6500AA
AF:
0.00445
AC:
18
ESP6500EA
AF:
0.0186
AC:
156
ExAC
AF:
0.0109
AC:
1321
Asia WGS
AF:
0.00115
AC:
4
AN:
3476
EpiCase
AF:
0.0161
EpiControl
AF:
0.0151

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:5
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Primary ciliary dyskinesia Uncertain:1Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

not specified Benign:2
Feb 21, 2013
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Arg2997Gln in exon 55 of DNAH11: This variant is not expected to have clinical s ignificance because it has been identified in 1.9% (156/8366) of European Americ an chromosomes from a broad population by the NHLBI Exome Sequencing Project (ht tp://evs.gs.washington.edu/EVS; dbSNP rs35865357). -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
Feb 22, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 31213628, 24450482, 12142464) -

Jun 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

DNAH11: BP4, BS1, BS2 -

Primary ciliary dyskinesia 7 Uncertain:1
Oct 01, 2021
Laboratory of Medical Genetics, National & Kapodistrian University of Athens
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PM1, PP3, PP5, BS1, BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.28
CADD
Pathogenic
27
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.51
.;.;D
Eigen
Pathogenic
0.71
Eigen_PC
Pathogenic
0.73
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.97
D;D;D
MetaRNN
Benign
0.0092
T;T;T
MetaSVM
Benign
-0.46
T
PhyloP100
5.5
PrimateAI
Benign
0.35
T
PROVEAN
Uncertain
-3.7
.;D;.
REVEL
Uncertain
0.30
Sift
Uncertain
0.026
.;D;.
Vest4
0.18
ClinPred
0.046
T
GERP RS
5.8
Varity_R
0.64
gMVP
0.53
Mutation Taster
=91/9
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: rs35865357; hg19: chr7-21805095; COSMIC: COSV60985341; API