rs372600090

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP6BS2

The NM_004006.3(DMD):​c.8212T>C​(p.Trp2738Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000198 in 1,209,545 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 6 hemizygotes in GnomAD. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00013 ( 0 hom., 6 hem., cov: 23)
Exomes 𝑓: 0.0000082 ( 0 hom. 0 hem. )

Consequence

DMD
NM_004006.3 missense

Scores

5
6
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: 9.10

Publications

0 publications found
Variant links:
Genes affected
DMD (HGNC:2928): (dystrophin) This gene spans a genomic range of greater than 2 Mb and encodes a large protein containing an N-terminal actin-binding domain and multiple spectrin repeats. The encoded protein forms a component of the dystrophin-glycoprotein complex (DGC), which bridges the inner cytoskeleton and the extracellular matrix. Deletions, duplications, and point mutations at this gene locus may cause Duchenne muscular dystrophy (DMD), Becker muscular dystrophy (BMD), or cardiomyopathy. Alternative promoter usage and alternative splicing result in numerous distinct transcript variants and protein isoforms for this gene. [provided by RefSeq, Dec 2016]
DMD Gene-Disease associations (from GenCC):
  • Becker muscular dystrophy
    Inheritance: XL Classification: DEFINITIVE, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet
  • dilated cardiomyopathy 3B
    Inheritance: XL Classification: DEFINITIVE Submitted by: Ambry Genetics
  • Duchenne and Becker muscular dystrophy
    Inheritance: XL Classification: DEFINITIVE Submitted by: Myriad Women’s Health
  • Duchenne muscular dystrophy
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P, Orphanet
  • progressive muscular dystrophy
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • familial isolated dilated cardiomyopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • non-syndromic X-linked intellectual disability
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
  • symptomatic form of muscular dystrophy of Duchenne and Becker in female carriers
    Inheritance: XL 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.

BP6
Variant X-31627678-A-G is Benign according to our data. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464. Variant chrX-31627678-A-G is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 264464.
BS2
High AC in GnomAd4 at 15 XL,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DMDNM_004006.3 linkc.8212T>C p.Trp2738Arg missense_variant Exon 55 of 79 ENST00000357033.9 NP_003997.2 P11532

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DMDENST00000357033.9 linkc.8212T>C p.Trp2738Arg missense_variant Exon 55 of 79 1 NM_004006.3 ENSP00000354923.3 A0A075B6G3

Frequencies

GnomAD3 genomes
AF:
0.000134
AC:
15
AN:
112196
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.000485
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000276
AC:
5
AN:
181388
AF XY:
0.0000150
show subpopulations
Gnomad AFR exome
AF:
0.000383
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000820
AC:
9
AN:
1097349
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
362877
show subpopulations
African (AFR)
AF:
0.000303
AC:
8
AN:
26389
American (AMR)
AF:
0.00
AC:
0
AN:
35202
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19374
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30168
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54087
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40405
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3964
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
841712
Other (OTH)
AF:
0.0000217
AC:
1
AN:
46048
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.436
Heterozygous variant carriers
0
1
2
2
3
4
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
AF:
0.000134
AC:
15
AN:
112196
Hom.:
0
Cov.:
23
AF XY:
0.000175
AC XY:
6
AN XY:
34360
show subpopulations
African (AFR)
AF:
0.000485
AC:
15
AN:
30913
American (AMR)
AF:
0.00
AC:
0
AN:
10513
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2641
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3598
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2711
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6059
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
239
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53321
Other (OTH)
AF:
0.00
AC:
0
AN:
1514
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.481
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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:
0.0000712
Hom.:
0
Bravo
AF:
0.000189
ESP6500AA
AF:
0.000261
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000330
AC:
4

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1
May 30, 2019
Revvity Omics, Revvity
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:1
Dec 06, 2017
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Duchenne muscular dystrophy Benign:1
Oct 24, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Cardiovascular phenotype Benign:1
Apr 07, 2025
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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.96
BayesDel_addAF
Uncertain
0.11
D
BayesDel_noAF
Pathogenic
0.23
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.30
.;T;T;.;.;T;.;.;T
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Uncertain
0.89
D;.;.;.;D;.;D;D;.
M_CAP
Pathogenic
0.48
D
MetaRNN
Uncertain
0.48
T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.70
T
PhyloP100
9.1
PrimateAI
Pathogenic
0.80
T
PROVEAN
Uncertain
-2.9
D;N;D;N;.;D;.;D;N
REVEL
Uncertain
0.47
Sift
Benign
0.047
D;T;T;T;.;D;.;D;T
Sift4G
Benign
0.13
T;T;T;T;T;T;T;T;T
Polyphen
0.72, 1.0, 0.64
.;P;D;P;.;D;.;.;P
Vest4
0.87, 0.89, 0.87, 0.83, 0.88, 0.83, 0.85, 0.87
MutPred
0.58
.;.;.;.;.;.;.;Gain of disorder (P = 0.0016);.;
MVP
0.86
MPC
0.088
ClinPred
0.45
T
GERP RS
5.8
gMVP
0.74
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: rs372600090; hg19: chrX-31645795; API