rs4747194

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP6_Very_StrongBA1

The NM_022124.6(CDH23):​c.7073G>A​(p.Arg2358Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.291 in 1,613,004 control chromosomes in the GnomAD database, including 71,697 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/23 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R2358W) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.29 ( 6585 hom., cov: 33)
Exomes 𝑓: 0.29 ( 65112 hom. )

Consequence

CDH23
NM_022124.6 missense

Scores

1
2
14

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 0.850

Publications

38 publications found
Variant links:
Genes affected
CDH23 (HGNC:13733): (cadherin related 23) This gene is a member of the cadherin superfamily, whose genes encode calcium dependent cell-cell adhesion glycoproteins. The encoded protein is thought to be involved in stereocilia organization and hair bundle formation. The gene is located in a region containing the human deafness loci DFNB12 and USH1D. Usher syndrome 1D and nonsyndromic autosomal recessive deafness DFNB12 are caused by allelic mutations of this cadherin-like gene. Upregulation of this gene may also be associated with breast cancer. Alternative splice variants encoding different isoforms have been described. [provided by RefSeq, May 2013]
CDH23 Gene-Disease associations (from GenCC):
  • autosomal recessive nonsyndromic hearing loss 12
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P, PanelApp Australia
  • nonsyndromic genetic hearing loss
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Usher syndrome type 1
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
  • Usher syndrome type 1D
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), PanelApp Australia
  • hearing loss, autosomal recessive
    Inheritance: AR 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.

BP6
Variant 10-71799129-G-A is Benign according to our data. Variant chr10-71799129-G-A is described in ClinVar as Benign. ClinVar VariationId is 46026.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.516 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CDH23NM_022124.6 linkc.7073G>A p.Arg2358Gln missense_variant Exon 51 of 70 ENST00000224721.12 NP_071407.4
CDH23NM_001171933.1 linkc.353G>A p.Arg118Gln missense_variant Exon 4 of 23 NP_001165404.1
CDH23NM_001171934.1 linkc.353G>A p.Arg118Gln missense_variant Exon 4 of 22 NP_001165405.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CDH23ENST00000224721.12 linkc.7073G>A p.Arg2358Gln missense_variant Exon 51 of 70 5 NM_022124.6 ENSP00000224721.9

Frequencies

GnomAD3 genomes
AF:
0.288
AC:
43751
AN:
151980
Hom.:
6581
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.267
Gnomad AMI
AF:
0.384
Gnomad AMR
AF:
0.332
Gnomad ASJ
AF:
0.222
Gnomad EAS
AF:
0.532
Gnomad SAS
AF:
0.271
Gnomad FIN
AF:
0.346
Gnomad MID
AF:
0.130
Gnomad NFE
AF:
0.267
Gnomad OTH
AF:
0.269
GnomAD2 exomes
AF:
0.315
AC:
78310
AN:
248704
AF XY:
0.304
show subpopulations
Gnomad AFR exome
AF:
0.268
Gnomad AMR exome
AF:
0.431
Gnomad ASJ exome
AF:
0.221
Gnomad EAS exome
AF:
0.530
Gnomad FIN exome
AF:
0.347
Gnomad NFE exome
AF:
0.270
Gnomad OTH exome
AF:
0.286
GnomAD4 exome
AF:
0.292
AC:
426043
AN:
1460906
Hom.:
65112
Cov.:
36
AF XY:
0.288
AC XY:
209353
AN XY:
726744
show subpopulations
African (AFR)
AF:
0.268
AC:
8984
AN:
33464
American (AMR)
AF:
0.420
AC:
18759
AN:
44700
Ashkenazi Jewish (ASJ)
AF:
0.223
AC:
5834
AN:
26114
East Asian (EAS)
AF:
0.575
AC:
22836
AN:
39684
South Asian (SAS)
AF:
0.256
AC:
22111
AN:
86228
European-Finnish (FIN)
AF:
0.345
AC:
18408
AN:
53376
Middle Eastern (MID)
AF:
0.174
AC:
1005
AN:
5768
European-Non Finnish (NFE)
AF:
0.279
AC:
310514
AN:
1111218
Other (OTH)
AF:
0.291
AC:
17592
AN:
60354
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.461
Heterozygous variant carriers
0
14164
28329
42493
56658
70822
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10736
21472
32208
42944
53680
<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:
0.288
AC:
43770
AN:
152098
Hom.:
6585
Cov.:
33
AF XY:
0.292
AC XY:
21672
AN XY:
74332
show subpopulations
African (AFR)
AF:
0.267
AC:
11089
AN:
41488
American (AMR)
AF:
0.332
AC:
5084
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.222
AC:
770
AN:
3470
East Asian (EAS)
AF:
0.532
AC:
2743
AN:
5152
South Asian (SAS)
AF:
0.270
AC:
1304
AN:
4824
European-Finnish (FIN)
AF:
0.346
AC:
3663
AN:
10576
Middle Eastern (MID)
AF:
0.139
AC:
41
AN:
294
European-Non Finnish (NFE)
AF:
0.267
AC:
18165
AN:
67980
Other (OTH)
AF:
0.266
AC:
562
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
1616
3232
4849
6465
8081
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
448
896
1344
1792
2240
<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:
0.275
Hom.:
23525
Bravo
AF:
0.292
TwinsUK
AF:
0.291
AC:
1078
ALSPAC
AF:
0.281
AC:
1084
ESP6500AA
AF:
0.263
AC:
1060
ESP6500EA
AF:
0.261
AC:
2191
ExAC
AF:
0.307
AC:
37081
Asia WGS
AF:
0.364
AC:
1267
AN:
3478
EpiCase
AF:
0.256
EpiControl
AF:
0.258

ClinVar

Significance: Benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Feb 27, 2017
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Jun 12, 2009
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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

Jan 08, 2013
GeneDx
Significance: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.

Usher syndrome type 1D Benign:2
Jul 01, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Jan 13, 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.

not provided Benign:2
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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

Autosomal recessive nonsyndromic hearing loss 12 Benign:2
Jan 13, 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.

Jul 01, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Usher syndrome type 1 Benign:1
Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.066
BayesDel_addAF
Benign
-0.71
T
BayesDel_noAF
Benign
-0.65
CADD
Benign
15
DANN
Uncertain
0.99
DEOGEN2
Benign
0.010
T;T;.;.
Eigen
Benign
-0.56
Eigen_PC
Benign
-0.42
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Benign
0.71
T;T;T;T
MetaRNN
Benign
0.00033
T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
.;L;.;.
PhyloP100
0.85
PrimateAI
Benign
0.22
T
PROVEAN
Benign
0.0
.;.;.;N
REVEL
Benign
0.0
Sift
Pathogenic
0.0
.;.;.;T
Sift4G
Benign
0.16
T;.;T;T
Vest4
0.044
ClinPred
0.026
T
GERP RS
2.7
Varity_R
0.19
gMVP
0.34
Mutation Taster
=84/16
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.49
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.49
Position offset: 2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs4747194; hg19: chr10-73558886; COSMIC: COSV56452480; API