rs3731881

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_002181.4(IHH):​c.753T>C​(p.Pro251Pro) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.634 in 1,613,762 control chromosomes in the GnomAD database, including 330,924 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.58 ( 26809 hom., cov: 34)
Exomes 𝑓: 0.64 ( 304115 hom. )

Consequence

IHH
NM_002181.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: -1.12

Publications

25 publications found
Variant links:
Genes affected
IHH (HGNC:5956): (Indian hedgehog signaling molecule) This gene encodes a member of the hedgehog family of proteins. The encoded preproprotein is proteolytically processed to generate multiple protein products, including an N-terminal fragment that is involved in signaling. Hedgehog family proteins are essential secreted signaling molecules that regulate a variety of developmental processes including growth, patterning and morphogenesis. The protein encoded by this gene specifically plays a role in bone growth and differentiation. Mutations in this gene are the cause of brachydactyly type A1, which is characterized by shortening or malformation of the fingers and toes. Mutations in this gene are also the cause of acrocapitofemoral dysplasia. [provided by RefSeq, Nov 2015]
IHH Gene-Disease associations (from GenCC):
  • brachydactyly type A1
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
  • acrocapitofemoral dysplasia
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE, LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.87).
BP6
Variant 2-219055690-A-G is Benign according to our data. Variant chr2-219055690-A-G is described in ClinVar as Benign. ClinVar VariationId is 334440.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-1.12 with no splicing effect.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.661 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002181.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
IHH
NM_002181.4
MANE Select
c.753T>Cp.Pro251Pro
synonymous
Exon 3 of 3NP_002172.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
IHH
ENST00000295731.7
TSL:1 MANE Select
c.753T>Cp.Pro251Pro
synonymous
Exon 3 of 3ENSP00000295731.5

Frequencies

GnomAD3 genomes
AF:
0.582
AC:
88538
AN:
152034
Hom.:
26812
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.461
Gnomad AMI
AF:
0.525
Gnomad AMR
AF:
0.536
Gnomad ASJ
AF:
0.625
Gnomad EAS
AF:
0.301
Gnomad SAS
AF:
0.541
Gnomad FIN
AF:
0.737
Gnomad MID
AF:
0.595
Gnomad NFE
AF:
0.666
Gnomad OTH
AF:
0.560
GnomAD2 exomes
AF:
0.596
AC:
149572
AN:
250806
AF XY:
0.604
show subpopulations
Gnomad AFR exome
AF:
0.455
Gnomad AMR exome
AF:
0.510
Gnomad ASJ exome
AF:
0.632
Gnomad EAS exome
AF:
0.312
Gnomad FIN exome
AF:
0.742
Gnomad NFE exome
AF:
0.669
Gnomad OTH exome
AF:
0.595
GnomAD4 exome
AF:
0.640
AC:
935206
AN:
1461610
Hom.:
304115
Cov.:
77
AF XY:
0.638
AC XY:
464204
AN XY:
727124
show subpopulations
African (AFR)
AF:
0.450
AC:
15082
AN:
33480
American (AMR)
AF:
0.510
AC:
22802
AN:
44706
Ashkenazi Jewish (ASJ)
AF:
0.634
AC:
16575
AN:
26130
East Asian (EAS)
AF:
0.296
AC:
11755
AN:
39686
South Asian (SAS)
AF:
0.559
AC:
48234
AN:
86256
European-Finnish (FIN)
AF:
0.735
AC:
39135
AN:
53274
Middle Eastern (MID)
AF:
0.566
AC:
3265
AN:
5766
European-Non Finnish (NFE)
AF:
0.667
AC:
741579
AN:
1111926
Other (OTH)
AF:
0.609
AC:
36779
AN:
60386
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.489
Heterozygous variant carriers
0
23901
47802
71703
95604
119505
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
19010
38020
57030
76040
95050
<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:
0.582
AC:
88555
AN:
152152
Hom.:
26809
Cov.:
34
AF XY:
0.583
AC XY:
43341
AN XY:
74384
show subpopulations
African (AFR)
AF:
0.460
AC:
19099
AN:
41500
American (AMR)
AF:
0.536
AC:
8200
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.625
AC:
2168
AN:
3470
East Asian (EAS)
AF:
0.301
AC:
1558
AN:
5174
South Asian (SAS)
AF:
0.542
AC:
2614
AN:
4826
European-Finnish (FIN)
AF:
0.737
AC:
7814
AN:
10598
Middle Eastern (MID)
AF:
0.575
AC:
169
AN:
294
European-Non Finnish (NFE)
AF:
0.666
AC:
45284
AN:
67974
Other (OTH)
AF:
0.555
AC:
1170
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1906
3813
5719
7626
9532
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
744
1488
2232
2976
3720
<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:
0.626
Hom.:
73810
Bravo
AF:
0.557
Asia WGS
AF:
0.340
AC:
1186
AN:
3478
EpiCase
AF:
0.652
EpiControl
AF:
0.657

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Jul 27, 2018
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not provided Benign:3
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Dec 02, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 12525541, 14651602)

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

Acrocapitofemoral dysplasia Benign:1
Aug 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Brachydactyly type A1 Benign:1
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease.

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.87
CADD
Benign
1.3
DANN
Benign
0.60
PhyloP100
-1.1
Mutation Taster
=100/0
polymorphism (auto)

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: rs3731881; hg19: chr2-219920412; COSMIC: COSV55392737; COSMIC: COSV55392737; API