rs577045722

Variant summary

Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PP3_StrongPP5_Moderate

The NM_001256307.2(HPGD):​c.-256A>T variant causes a 5 prime UTR premature start codon gain change. The variant allele was found at a frequency of 0.00000444 in 1,575,694 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000042 ( 0 hom. )

Consequence

HPGD
NM_001256307.2 5_prime_UTR_premature_start_codon_gain

Scores

6
7
2

Clinical Significance

Pathogenic criteria provided, single submitter P:2

Conservation

PhyloP100: 6.01

Publications

5 publications found
Variant links:
Genes affected
HPGD (HGNC:5154): (15-hydroxyprostaglandin dehydrogenase) This gene encodes a member of the short-chain nonmetalloenzyme alcohol dehydrogenase protein family. The encoded enzyme is responsible for the metabolism of prostaglandins, which function in a variety of physiologic and cellular processes such as inflammation. Mutations in this gene result in primary autosomal recessive hypertrophic osteoarthropathy and cranioosteoarthropathy. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2009]
HPGD Gene-Disease associations (from GenCC):
  • hypertrophic osteoarthropathy, primary, autosomal recessive, 1
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
  • cranio-osteoarthropathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • pachydermoperiostosis
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • isolated congenital digital clubbing
    Inheritance: Unknown, AD, AR Classification: SUPPORTIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 6 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.991
PP5
Variant 4-174522451-T-A is Pathogenic according to our data. Variant chr4-174522451-T-A is described in ClinVar as Pathogenic. ClinVar VariationId is 156026.Status of the report is criteria_provided_single_submitter, 1 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001256307.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HPGD
NM_000860.6
MANE Select
c.1A>Tp.Met1?
initiator_codon
Exon 1 of 7NP_000851.2
HPGD
NM_001256307.2
c.-256A>T
5_prime_UTR_premature_start_codon_gain
Exon 1 of 6NP_001243236.1P15428-3
HPGD
NM_001256306.2
c.1A>Tp.Met1?
initiator_codon
Exon 1 of 5NP_001243235.1P15428-5

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HPGD
ENST00000296522.11
TSL:1 MANE Select
c.1A>Tp.Met1?
initiator_codon
Exon 1 of 7ENSP00000296522.6P15428-1
HPGD
ENST00000296521.11
TSL:1
c.1A>Tp.Met1?
initiator_codon
Exon 1 of 6ENSP00000296521.7P15428-2
HPGD
ENST00000542498.5
TSL:1
c.1A>Tp.Met1?
initiator_codon
Exon 1 of 5ENSP00000443644.1P15428-4

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152110
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000551
AC:
1
AN:
181474
AF XY:
0.0000101
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:
0.0000137
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000421
AC:
6
AN:
1423584
Hom.:
0
Cov.:
31
AF XY:
0.00000426
AC XY:
3
AN XY:
704832
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32736
American (AMR)
AF:
0.00
AC:
0
AN:
40202
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25476
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37992
South Asian (SAS)
AF:
0.00
AC:
0
AN:
81820
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49078
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4142
European-Non Finnish (NFE)
AF:
0.00000549
AC:
6
AN:
1093450
Other (OTH)
AF:
0.00
AC:
0
AN:
58688
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152110
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74298
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41452
American (AMR)
AF:
0.00
AC:
0
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5140
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10612
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
68002
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.0000283
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.0000171
AC:
2

ClinVar

ClinVar submissions
Significance:Pathogenic
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
-
-
Hypertrophic osteoarthropathy, primary, autosomal recessive, 1 (1)
1
-
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.42
D
BayesDel_noAF
Pathogenic
0.37
CADD
Pathogenic
26
DANN
Benign
0.97
DEOGEN2
Uncertain
0.48
T
Eigen
Uncertain
0.24
Eigen_PC
Uncertain
0.28
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Uncertain
0.90
D
M_CAP
Pathogenic
0.88
D
MetaRNN
Pathogenic
0.99
D
MetaSVM
Uncertain
0.57
D
PhyloP100
6.0
PROVEAN
Uncertain
-2.4
N
REVEL
Pathogenic
0.74
Sift
Pathogenic
0.0
D
Sift4G
Benign
0.094
T
Polyphen
0.85
P
Vest4
0.80
MutPred
0.99
Loss of methylation at K6 (P = 0.0681)
MVP
0.83
ClinPred
0.95
D
GERP RS
5.0
PromoterAI
-0.20
Neutral
Varity_R
0.93
gMVP
0.55
Mutation Taster
=1/199
disease causing (ClinVar)

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: rs577045722; hg19: chr4-175443602; API