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rs61744047

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001369.3(DNAH5):c.13286G>A(p.Arg4429Gln) variant causes a missense change. The variant allele was found at a frequency of 0.00277 in 1,614,148 control chromosomes in the GnomAD database, including 139 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0025 ( 8 hom., cov: 32)
Exomes 𝑓: 0.0028 ( 131 hom. )

Consequence

DNAH5
NM_001369.3 missense

Scores

1
3
13

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 4.93
Variant links:
Genes affected
DNAH5 (HGNC:2950): (dynein axonemal heavy chain 5) This gene encodes a dynein protein, which is part of a microtubule-associated motor protein complex consisting of heavy, light, and intermediate chains. This protein is an axonemal heavy chain dynein. It functions as a force-generating protein with ATPase activity, whereby the release of ADP is thought to produce the force-producing power stroke. Mutations in this gene cause primary ciliary dyskinesia type 3, as well as Kartagener syndrome, which are both diseases due to ciliary defects. [provided by RefSeq, Oct 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 (MetaRNN=0.004851371).
BP6
Variant 5-13708175-C-T is Benign according to our data. Variant chr5-13708175-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 238962.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-13708175-C-T is described in Lovd as [Likely_benign].
BA1
GnomAdExome4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0629 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DNAH5NM_001369.3 linkuse as main transcriptc.13286G>A p.Arg4429Gln missense_variant 76/79 ENST00000265104.5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DNAH5ENST00000265104.5 linkuse as main transcriptc.13286G>A p.Arg4429Gln missense_variant 76/791 NM_001369.3 P4
DNAH5ENST00000681290.1 linkuse as main transcriptc.13241G>A p.Arg4414Gln missense_variant 76/79 A1
DNAH5ENST00000683611.1 linkuse as main transcriptn.619G>A non_coding_transcript_exon_variant 2/5

Frequencies

GnomAD3 genomes
AF:
0.00246
AC:
374
AN:
152170
Hom.:
7
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000265
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0534
Gnomad SAS
AF:
0.0157
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00287
GnomAD3 exomes
AF:
0.00495
AC:
1243
AN:
251338
Hom.:
25
AF XY:
0.00526
AC XY:
714
AN XY:
135824
show subpopulations
Gnomad AFR exome
AF:
0.000185
Gnomad AMR exome
AF:
0.000173
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0391
Gnomad SAS exome
AF:
0.0159
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000792
Gnomad OTH exome
AF:
0.00326
GnomAD4 exome
AF:
0.00280
AC:
4095
AN:
1461860
Hom.:
131
Cov.:
31
AF XY:
0.00316
AC XY:
2295
AN XY:
727240
show subpopulations
Gnomad4 AFR exome
AF:
0.000179
Gnomad4 AMR exome
AF:
0.000112
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0650
Gnomad4 SAS exome
AF:
0.0139
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000396
Gnomad4 OTH exome
AF:
0.00429
GnomAD4 genome
AF:
0.00247
AC:
376
AN:
152288
Hom.:
8
Cov.:
32
AF XY:
0.00277
AC XY:
206
AN XY:
74466
show subpopulations
Gnomad4 AFR
AF:
0.000265
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.0532
Gnomad4 SAS
AF:
0.0160
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00426
Alfa
AF:
0.000933
Hom.:
3
Bravo
AF:
0.00185
ExAC
AF:
0.00483
AC:
586
Asia WGS
AF:
0.0300
AC:
104
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Primary ciliary dyskinesia Benign:3
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -
Benign, no assertion criteria providedclinical testingNatera, Inc.Jan 08, 2020- -
Benign, criteria provided, single submitterclinical testingAmbry GeneticsSep 28, 2015This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenDec 01, 2023DNAH5: BP4, BS1, BS2 -
Likely benign, criteria provided, single submitterclinical testingGeneDxOct 28, 2020See Variant Classification Assertion Criteria. -
Primary ciliary dyskinesia 3 Benign:2
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This 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. -
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsNov 30, 2021- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesApr 07, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.63
T
BayesDel_noAF
Benign
-0.61
Cadd
Benign
19
Dann
Uncertain
1.0
DEOGEN2
Benign
0.29
T
Eigen
Benign
0.071
Eigen_PC
Benign
0.15
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.95
D
MetaRNN
Benign
0.0049
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.2
L
MutationTaster
Benign
1.0
D
PrimateAI
Benign
0.37
T
PROVEAN
Uncertain
-3.7
D
REVEL
Benign
0.17
Sift
Benign
0.059
T
Polyphen
0.40
B
Vest4
0.24
MVP
0.46
MPC
0.30
ClinPred
0.074
T
GERP RS
4.2
Varity_R
0.33
gMVP
0.69

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: rs61744047; hg19: chr5-13708284; COSMIC: COSV54227212; API