rs56181447

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_022124.6(CDH23):​c.4310G>A​(p.Arg1437Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0305 in 1,613,762 control chromosomes in the GnomAD database, including 1,255 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R1437K) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.038 ( 159 hom., cov: 33)
Exomes 𝑓: 0.030 ( 1096 hom. )

Consequence

CDH23
NM_022124.6 missense

Scores

2
13

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:13O:1

Conservation

PhyloP100: 1.45

Publications

20 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
  • nonsyndromic genetic hearing loss
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Usher syndrome type 1D
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • Usher syndrome type 1
    Inheritance: Unknown, AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
  • 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 -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0017529726).
BP6
Variant 10-71738598-G-A is Benign according to our data. Variant chr10-71738598-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 45944.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0794 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_022124.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CDH23
NM_022124.6
MANE Select
c.4310G>Ap.Arg1437Gln
missense
Exon 35 of 70NP_071407.4

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CDH23
ENST00000224721.12
TSL:5 MANE Select
c.4310G>Ap.Arg1437Gln
missense
Exon 35 of 70ENSP00000224721.9Q9H251-1
CDH23
ENST00000398792.3
TSL:2
n.999G>A
non_coding_transcript_exon
Exon 6 of 9

Frequencies

GnomAD3 genomes
AF:
0.0378
AC:
5753
AN:
152220
Hom.:
157
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0569
Gnomad AMI
AF:
0.0318
Gnomad AMR
AF:
0.0298
Gnomad ASJ
AF:
0.105
Gnomad EAS
AF:
0.0860
Gnomad SAS
AF:
0.0467
Gnomad FIN
AF:
0.00395
Gnomad MID
AF:
0.0411
Gnomad NFE
AF:
0.0255
Gnomad OTH
AF:
0.0397
GnomAD2 exomes
AF:
0.0361
AC:
8985
AN:
249066
AF XY:
0.0375
show subpopulations
Gnomad AFR exome
AF:
0.0552
Gnomad AMR exome
AF:
0.0184
Gnomad ASJ exome
AF:
0.107
Gnomad EAS exome
AF:
0.0875
Gnomad FIN exome
AF:
0.00367
Gnomad NFE exome
AF:
0.0273
Gnomad OTH exome
AF:
0.0334
GnomAD4 exome
AF:
0.0297
AC:
43378
AN:
1461424
Hom.:
1096
Cov.:
32
AF XY:
0.0306
AC XY:
22270
AN XY:
726988
show subpopulations
African (AFR)
AF:
0.0540
AC:
1807
AN:
33480
American (AMR)
AF:
0.0193
AC:
863
AN:
44700
Ashkenazi Jewish (ASJ)
AF:
0.108
AC:
2821
AN:
26134
East Asian (EAS)
AF:
0.105
AC:
4175
AN:
39696
South Asian (SAS)
AF:
0.0481
AC:
4150
AN:
86256
European-Finnish (FIN)
AF:
0.00497
AC:
264
AN:
53172
Middle Eastern (MID)
AF:
0.0818
AC:
472
AN:
5768
European-Non Finnish (NFE)
AF:
0.0240
AC:
26634
AN:
1111850
Other (OTH)
AF:
0.0363
AC:
2192
AN:
60368
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
2335
4670
7005
9340
11675
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1096
2192
3288
4384
5480
<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:
0.0379
AC:
5767
AN:
152338
Hom.:
159
Cov.:
33
AF XY:
0.0369
AC XY:
2751
AN XY:
74492
show subpopulations
African (AFR)
AF:
0.0572
AC:
2377
AN:
41562
American (AMR)
AF:
0.0297
AC:
454
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.105
AC:
365
AN:
3472
East Asian (EAS)
AF:
0.0860
AC:
446
AN:
5184
South Asian (SAS)
AF:
0.0468
AC:
226
AN:
4834
European-Finnish (FIN)
AF:
0.00395
AC:
42
AN:
10630
Middle Eastern (MID)
AF:
0.0408
AC:
12
AN:
294
European-Non Finnish (NFE)
AF:
0.0255
AC:
1733
AN:
68032
Other (OTH)
AF:
0.0393
AC:
83
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
287
575
862
1150
1437
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
70
140
210
280
350
<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:
0.0321
Hom.:
338
Bravo
AF:
0.0418
TwinsUK
AF:
0.0248
AC:
92
ALSPAC
AF:
0.0252
AC:
97
ESP6500AA
AF:
0.0487
AC:
203
ESP6500EA
AF:
0.0287
AC:
243
ExAC
AF:
0.0371
AC:
4488
Asia WGS
AF:
0.0630
AC:
220
AN:
3478
EpiCase
AF:
0.0333
EpiControl
AF:
0.0354

ClinVar

ClinVar submissions
Significance:Benign/Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
4
not provided (5)
-
-
4
not specified (4)
-
-
2
Autosomal recessive nonsyndromic hearing loss 12 (2)
-
-
2
Usher syndrome type 1D (2)
-
-
1
Usher syndrome type 1 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.084
BayesDel_addAF
Benign
-0.62
T
BayesDel_noAF
Benign
-0.57
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.0079
T
Eigen
Benign
-0.61
Eigen_PC
Benign
-0.52
FATHMM_MKL
Benign
0.72
D
LIST_S2
Benign
0.62
T
MetaRNN
Benign
0.0018
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.76
N
PhyloP100
1.5
PrimateAI
Benign
0.24
T
REVEL
Benign
0.017
Sift4G
Uncertain
0.019
D
Polyphen
0.13
B
Vest4
0.31
ClinPred
0.0097
T
GERP RS
1.5
Varity_R
0.24
gMVP
0.41
Mutation Taster
=93/7
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: rs56181447; hg19: chr10-73498355; COSMIC: COSV56455366; COSMIC: COSV56455366; API