rs374078317

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 2P and 18B. PM1BP4_ModerateBP6_Very_StrongBS1BS2

The NM_001029896.2(WDR45):​c.566A>G​(p.Asn189Ser) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00017 in 1,208,659 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 70 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. N189N) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00014 ( 0 hom., 3 hem., cov: 24)
Exomes 𝑓: 0.00017 ( 0 hom. 67 hem. )

Consequence

WDR45
NM_001029896.2 missense

Scores

3
14

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 7.58

Publications

0 publications found
Variant links:
Genes affected
WDR45 (HGNC:28912): (WD repeat domain 45) This gene encodes a member of the WD repeat protein family. WD repeats are minimally conserved regions of approximately 40 amino acids typically bracketed by gly-his and trp-asp (GH-WD), which may facilitate formation of heterotrimeric or multiprotein complexes. Members of this family are involved in a variety of cellular processes, including cell cycle progression, signal transduction, apoptosis, and gene regulation. This gene has a pseudogene at chromosome 4q31.3. Multiple alternatively spliced transcript variants encoding distinct isoforms have been found for this gene, but the biological validity and full-length nature of some variants have not been determined. [provided by RefSeq, Jul 2008]
WDR45 Gene-Disease associations (from GenCC):
  • neurodegeneration with brain iron accumulation 5
    Inheritance: XL Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Illumina, Labcorp Genetics (formerly Invitae), Ambry Genetics, Genomics England PanelApp, G2P
  • X-linked complex neurodevelopmental disorder
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • infantile spasms
    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 -16 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 6 uncertain in NM_001029896.2
BP4
Computational evidence support a benign effect (MetaRNN=0.17557627).
BP6
Variant X-49075704-T-C is Benign according to our data. Variant chrX-49075704-T-C is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 568990.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.000144 (16/111229) while in subpopulation NFE AF = 0.000246 (13/52950). AF 95% confidence interval is 0.000144. There are 0 homozygotes in GnomAd4. There are 3 alleles in the male GnomAd4 subpopulation. Median coverage is 24. This position passed quality control check.
BS2
High AC in GnomAd4 at 16 XL,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
WDR45NM_001029896.2 linkc.566A>G p.Asn189Ser missense_variant Exon 8 of 11 ENST00000376372.9 NP_001025067.1 Q9Y484-1A0A024QYX1
WDR45NM_007075.4 linkc.569A>G p.Asn190Ser missense_variant Exon 9 of 12 NP_009006.2 Q9Y484-3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
WDR45ENST00000376372.9 linkc.566A>G p.Asn189Ser missense_variant Exon 8 of 11 1 NM_001029896.2 ENSP00000365551.3 Q9Y484-1
ENSG00000288053ENST00000376358.4 linkc.260A>G p.Asn87Ser missense_variant Exon 5 of 8 2 ENSP00000365536.3 A6NM71

Frequencies

GnomAD3 genomes
AF:
0.000144
AC:
16
AN:
111229
Hom.:
0
Cov.:
24
show subpopulations
Gnomad AFR
AF:
0.0000981
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:
0.000246
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000105
AC:
19
AN:
180572
AF XY:
0.000123
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.000224
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000172
AC:
189
AN:
1097430
Hom.:
0
Cov.:
32
AF XY:
0.000185
AC XY:
67
AN XY:
362804
show subpopulations
African (AFR)
AF:
0.000114
AC:
3
AN:
26396
American (AMR)
AF:
0.00
AC:
0
AN:
35107
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19371
East Asian (EAS)
AF:
0.0000331
AC:
1
AN:
30191
South Asian (SAS)
AF:
0.0000371
AC:
2
AN:
53960
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40476
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4137
European-Non Finnish (NFE)
AF:
0.000210
AC:
177
AN:
841729
Other (OTH)
AF:
0.000130
AC:
6
AN:
46063
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
10
20
29
39
49
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.000144
AC:
16
AN:
111229
Hom.:
0
Cov.:
24
AF XY:
0.0000896
AC XY:
3
AN XY:
33497
show subpopulations
African (AFR)
AF:
0.0000981
AC:
3
AN:
30579
American (AMR)
AF:
0.00
AC:
0
AN:
10405
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2642
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3534
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2662
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6046
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
238
European-Non Finnish (NFE)
AF:
0.000246
AC:
13
AN:
52950
Other (OTH)
AF:
0.00
AC:
0
AN:
1494
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.471
Heterozygous variant carriers
0
1
2
4
5
6
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:
0.000130
Hom.:
1
Bravo
AF:
0.0000869
ESP6500AA
AF:
0.000261
AC:
1
ESP6500EA
AF:
0.000149
AC:
1
ExAC
AF:
0.0000989
AC:
12

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Inborn genetic diseases Benign:1
Apr 08, 2022
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. -

Neurodegeneration with brain iron accumulation 5 Benign:1
Nov 10, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
Jul 23, 2021
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.069
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
17
DANN
Benign
0.91
DEOGEN2
Benign
0.019
T;T;.;T;T;.;T;.;.;.;T;.;T;.;T;T;.
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Uncertain
0.89
D;.;D;D;D;D;D;D;.;D;D;D;D;D;T;T;D
M_CAP
Benign
0.077
D
MetaRNN
Benign
0.18
T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.83
T
MutationAssessor
Benign
0.51
.;N;.;N;.;.;.;.;.;.;.;.;.;.;.;.;.
PhyloP100
7.6
PrimateAI
Uncertain
0.61
T
PROVEAN
Benign
-1.2
N;N;.;.;.;.;.;N;N;N;N;N;.;.;.;N;.
REVEL
Benign
0.082
Sift
Benign
0.73
T;T;.;.;.;.;.;T;T;T;T;T;.;.;.;T;.
Sift4G
Benign
0.44
T;T;T;T;T;T;T;T;T;T;T;T;T;.;.;.;.
Polyphen
0.14
B;B;.;B;.;.;.;B;B;B;B;B;.;.;.;.;.
Vest4
0.52
MVP
0.49
MPC
1.2
ClinPred
0.074
T
GERP RS
3.8
PromoterAI
0.019
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.25
gMVP
0.27
Mutation Taster
=98/2
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs374078317; hg19: chrX-48933363; COSMIC: COSV59876165; COSMIC: COSV59876165; API