rs565588237

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_001164405.2(BHLHA9):​c.74G>A​(p.Gly25Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00029 in 1,301,096 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000039 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00032 ( 0 hom. )

Consequence

BHLHA9
NM_001164405.2 missense

Scores

1
2
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.811

Publications

0 publications found
Variant links:
Genes affected
BHLHA9 (HGNC:35126): (basic helix-loop-helix family member a9) This gene is a member of the basic helix-loop-helix family. The encoded protein is a transcription factor involved in limb development. Mutations in this gene have been associated with mesoaxial synostotic syndactyly Malik-Percin type (MSSD). Copy number variation of a locus containing this gene has been linked to a form of split-hand/foot malformation with long bone deficiency (SHFLD3). [provided by RefSeq, Mar 2015]
BHLHA9 Gene-Disease associations (from GenCC):
  • mesoaxial synostotic syndactyly with phalangeal reduction
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • tibial aplasia-ectrodactyly syndrome
    Inheritance: AD Classification: STRONG Submitted by: Ambry Genetics
  • Camptosynpolydactyly, complex
    Inheritance: AR Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)
  • split-hand/foot malformation with long bone deficiency 1
    Inheritance: Unknown Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.07134196).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001164405.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BHLHA9
NM_001164405.2
MANE Select
c.74G>Ap.Gly25Asp
missense
Exon 1 of 1NP_001157877.1Q7RTU4

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BHLHA9
ENST00000391429.2
TSL:6 MANE Select
c.74G>Ap.Gly25Asp
missense
Exon 1 of 1ENSP00000375248.1Q7RTU4
ENSG00000300095
ENST00000768751.1
n.-133C>T
upstream_gene
N/A
ENSG00000300095
ENST00000768752.1
n.-136C>T
upstream_gene
N/A

Frequencies

GnomAD3 genomes
AF:
0.0000394
AC:
6
AN:
152134
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000483
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:
0.0000588
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.000323
AC:
371
AN:
1148856
Hom.:
0
Cov.:
31
AF XY:
0.000314
AC XY:
173
AN XY:
550566
show subpopulations
African (AFR)
AF:
0.0000862
AC:
2
AN:
23208
American (AMR)
AF:
0.00
AC:
0
AN:
8622
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
15524
East Asian (EAS)
AF:
0.00
AC:
0
AN:
26880
South Asian (SAS)
AF:
0.00
AC:
0
AN:
35332
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
25604
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3396
European-Non Finnish (NFE)
AF:
0.000379
AC:
365
AN:
963248
Other (OTH)
AF:
0.0000850
AC:
4
AN:
47042
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
17
34
52
69
86
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
20
40
60
80
100
<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:
0.0000394
AC:
6
AN:
152240
Hom.:
0
Cov.:
33
AF XY:
0.0000269
AC XY:
2
AN XY:
74436
show subpopulations
African (AFR)
AF:
0.0000481
AC:
2
AN:
41556
American (AMR)
AF:
0.00
AC:
0
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5166
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10610
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
290
European-Non Finnish (NFE)
AF:
0.0000588
AC:
4
AN:
67988
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
1
1
2
2
3
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:
0.000214
Hom.:
0
Bravo
AF:
0.0000378

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Inborn genetic diseases (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.084
BayesDel_addAF
Benign
-0.044
T
BayesDel_noAF
Benign
-0.30
CADD
Benign
5.3
DANN
Benign
0.90
DEOGEN2
Benign
0.013
T
Eigen
Benign
-0.59
Eigen_PC
Benign
-0.64
FATHMM_MKL
Benign
0.14
N
LIST_S2
Benign
0.32
T
M_CAP
Pathogenic
0.37
D
MetaRNN
Benign
0.071
T
MetaSVM
Uncertain
-0.19
T
MutationAssessor
Benign
0.55
N
PhyloP100
-0.81
PrimateAI
Uncertain
0.52
T
PROVEAN
Benign
-1.3
N
REVEL
Benign
0.21
Sift
Benign
0.071
T
Sift4G
Benign
0.35
T
Vest4
0.071
MutPred
0.21
Loss of catalytic residue at G25 (P = 0.0511)
MVP
0.17
ClinPred
0.14
T
GERP RS
0.43
PromoterAI
-0.0074
Neutral
Varity_R
0.11
gMVP
0.28
Mutation Taster
=95/5
polymorphism

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: rs565588237; hg19: chr17-1173931; API