rs41290844

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001010892.3(RSPH4A):​c.1798+11G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0117 in 1,601,184 control chromosomes in the GnomAD database, including 155 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0080 ( 11 hom., cov: 32)
Exomes 𝑓: 0.012 ( 144 hom. )

Consequence

RSPH4A
NM_001010892.3 intron

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: -0.224
Variant links:
Genes affected
RSPH4A (HGNC:21558): (radial spoke head component 4A) This gene encodes a protein that appears to be a component the radial spoke head, as determined by homology to similar proteins in the biflagellate alga Chlamydomonas reinhardtii and other ciliates. Radial spokes, which are regularly spaced along cilia, sperm, and flagella axonemes, consist of a thin 'stalk' and a bulbous 'head' that form a signal transduction scaffold between the central pair of microtubules and dynein. Mutations in this gene cause primary ciliary dyskinesia 1, a disease arising from dysmotility of motile cilia and sperm. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.83).
BP6
Variant 6-116629713-G-A is Benign according to our data. Variant chr6-116629713-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 227054.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-116629713-G-A is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00804 (1225/152278) while in subpopulation NFE AF= 0.0141 (959/68024). AF 95% confidence interval is 0.0134. There are 11 homozygotes in gnomad4. There are 535 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 11 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RSPH4ANM_001010892.3 linkc.1798+11G>A intron_variant Intron 4 of 5 ENST00000229554.10 NP_001010892.1 Q5TD94-1B3KTA9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RSPH4AENST00000229554.10 linkc.1798+11G>A intron_variant Intron 4 of 5 1 NM_001010892.3 ENSP00000229554.5 Q5TD94-1
RSPH4AENST00000368581.8 linkc.1663-722G>A intron_variant Intron 3 of 4 1 ENSP00000357570.4 Q5TD94-3
RSPH4AENST00000368580.4 linkc.1057+11G>A intron_variant Intron 3 of 4 5 ENSP00000357569.4 Q5TD94-2

Frequencies

GnomAD3 genomes
AF:
0.00805
AC:
1225
AN:
152160
Hom.:
11
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00220
Gnomad AMI
AF:
0.0340
Gnomad AMR
AF:
0.00563
Gnomad ASJ
AF:
0.00231
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00166
Gnomad FIN
AF:
0.00245
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0141
Gnomad OTH
AF:
0.00718
GnomAD3 exomes
AF:
0.00739
AC:
1836
AN:
248432
Hom.:
17
AF XY:
0.00726
AC XY:
977
AN XY:
134534
show subpopulations
Gnomad AFR exome
AF:
0.00204
Gnomad AMR exome
AF:
0.00307
Gnomad ASJ exome
AF:
0.00308
Gnomad EAS exome
AF:
0.000109
Gnomad SAS exome
AF:
0.00183
Gnomad FIN exome
AF:
0.00330
Gnomad NFE exome
AF:
0.0136
Gnomad OTH exome
AF:
0.00524
GnomAD4 exome
AF:
0.0121
AC:
17541
AN:
1448906
Hom.:
144
Cov.:
29
AF XY:
0.0119
AC XY:
8582
AN XY:
721856
show subpopulations
Gnomad4 AFR exome
AF:
0.00220
Gnomad4 AMR exome
AF:
0.00293
Gnomad4 ASJ exome
AF:
0.00326
Gnomad4 EAS exome
AF:
0.0000253
Gnomad4 SAS exome
AF:
0.00223
Gnomad4 FIN exome
AF:
0.00430
Gnomad4 NFE exome
AF:
0.0148
Gnomad4 OTH exome
AF:
0.00955
GnomAD4 genome
AF:
0.00804
AC:
1225
AN:
152278
Hom.:
11
Cov.:
32
AF XY:
0.00718
AC XY:
535
AN XY:
74468
show subpopulations
Gnomad4 AFR
AF:
0.00219
Gnomad4 AMR
AF:
0.00562
Gnomad4 ASJ
AF:
0.00231
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00166
Gnomad4 FIN
AF:
0.00245
Gnomad4 NFE
AF:
0.0141
Gnomad4 OTH
AF:
0.00710
Alfa
AF:
0.00733
Hom.:
5
Bravo
AF:
0.00836
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Feb 21, 2013
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

1798+11G>A in intron 4 of RSPH4A: This variant is not expected to have clinical significance because it is not located within the conserved splice consensus seq uence. It has been identified in 1.5% (127/8600) of European American chromosome s from a broad population by the NHLBI Exome Sequencing Project (http://evs.gs.w ashington.edu/EVS; dbSNP rs41290844). -

not provided Benign:2
Apr 20, 2020
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Primary ciliary dyskinesia 11 Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance: Likely 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 likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -

Primary ciliary dyskinesia Benign:1
Jan 28, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.83
CADD
Benign
0.87
DANN
Benign
0.87

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs41290844; hg19: chr6-116950876; API