rs6688832

Variant summary

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

The NM_004285.4(H6PD):​c.1358G>A​(p.Arg453Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.254 in 1,613,468 control chromosomes in the GnomAD database, including 55,605 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.31 ( 8155 hom., cov: 33)
Exomes 𝑓: 0.25 ( 47450 hom. )

Consequence

H6PD
NM_004285.4 missense

Scores

17

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts U:1B:3

Conservation

PhyloP100: -0.0830

Publications

52 publications found
Variant links:
Genes affected
H6PD (HGNC:4795): (hexose-6-phosphate dehydrogenase/glucose 1-dehydrogenase) There are 2 forms of glucose-6-phosphate dehydrogenase. G form is X-linked and H form, encoded by this gene, is autosomally linked. This H form shows activity with other hexose-6-phosphates, especially galactose-6-phosphate, whereas the G form is specific for glucose-6-phosphate. Both forms are present in most tissues, but H form is not found in red cells. [provided by RefSeq, Jul 2008]
H6PD Gene-Disease associations (from GenCC):
  • cortisone reductase deficiency 1
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • cortisone reductase deficiency
    Inheritance: AD 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=5.1385164E-4).
BP6
Variant 1-9263851-G-A is Benign according to our data. Variant chr1-9263851-G-A is described in ClinVar as Benign. ClinVar VariationId is 16131.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.455 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004285.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
H6PD
NM_004285.4
MANE Select
c.1358G>Ap.Arg453Gln
missense
Exon 5 of 5NP_004276.2
H6PD
NM_001282587.2
c.1391G>Ap.Arg464Gln
missense
Exon 5 of 5NP_001269516.1O95479-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
H6PD
ENST00000377403.7
TSL:1 MANE Select
c.1358G>Ap.Arg453Gln
missense
Exon 5 of 5ENSP00000366620.2O95479-1
H6PD
ENST00000602477.1
TSL:1
c.1391G>Ap.Arg464Gln
missense
Exon 5 of 5ENSP00000473348.1O95479-2
H6PD
ENST00000891474.1
c.1358G>Ap.Arg453Gln
missense
Exon 5 of 5ENSP00000561533.1

Frequencies

GnomAD3 genomes
AF:
0.312
AC:
47384
AN:
152016
Hom.:
8121
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.458
Gnomad AMI
AF:
0.238
Gnomad AMR
AF:
0.317
Gnomad ASJ
AF:
0.263
Gnomad EAS
AF:
0.471
Gnomad SAS
AF:
0.294
Gnomad FIN
AF:
0.220
Gnomad MID
AF:
0.215
Gnomad NFE
AF:
0.229
Gnomad OTH
AF:
0.303
GnomAD2 exomes
AF:
0.284
AC:
71377
AN:
250914
AF XY:
0.277
show subpopulations
Gnomad AFR exome
AF:
0.464
Gnomad AMR exome
AF:
0.333
Gnomad ASJ exome
AF:
0.277
Gnomad EAS exome
AF:
0.472
Gnomad FIN exome
AF:
0.219
Gnomad NFE exome
AF:
0.229
Gnomad OTH exome
AF:
0.264
GnomAD4 exome
AF:
0.248
AC:
362167
AN:
1461334
Hom.:
47450
Cov.:
38
AF XY:
0.248
AC XY:
180035
AN XY:
727004
show subpopulations
African (AFR)
AF:
0.463
AC:
15489
AN:
33474
American (AMR)
AF:
0.333
AC:
14885
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.282
AC:
7379
AN:
26132
East Asian (EAS)
AF:
0.467
AC:
18553
AN:
39700
South Asian (SAS)
AF:
0.276
AC:
23825
AN:
86256
European-Finnish (FIN)
AF:
0.219
AC:
11639
AN:
53196
Middle Eastern (MID)
AF:
0.251
AC:
1446
AN:
5768
European-Non Finnish (NFE)
AF:
0.228
AC:
252981
AN:
1111700
Other (OTH)
AF:
0.264
AC:
15970
AN:
60384
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.481
Heterozygous variant carriers
0
18034
36068
54103
72137
90171
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
9012
18024
27036
36048
45060
<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:
0.312
AC:
47458
AN:
152134
Hom.:
8155
Cov.:
33
AF XY:
0.311
AC XY:
23157
AN XY:
74388
show subpopulations
African (AFR)
AF:
0.458
AC:
19035
AN:
41518
American (AMR)
AF:
0.317
AC:
4842
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.263
AC:
912
AN:
3468
East Asian (EAS)
AF:
0.470
AC:
2424
AN:
5154
South Asian (SAS)
AF:
0.293
AC:
1413
AN:
4826
European-Finnish (FIN)
AF:
0.220
AC:
2328
AN:
10594
Middle Eastern (MID)
AF:
0.214
AC:
63
AN:
294
European-Non Finnish (NFE)
AF:
0.229
AC:
15586
AN:
67972
Other (OTH)
AF:
0.303
AC:
639
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
1644
3289
4933
6578
8222
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
462
924
1386
1848
2310
<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:
0.251
Hom.:
12962
Bravo
AF:
0.324
TwinsUK
AF:
0.231
AC:
858
ALSPAC
AF:
0.242
AC:
932
ESP6500AA
AF:
0.458
AC:
2017
ESP6500EA
AF:
0.229
AC:
1971
ExAC
AF:
0.284
AC:
34526
Asia WGS
AF:
0.406
AC:
1409
AN:
3478
EpiCase
AF:
0.235
EpiControl
AF:
0.240

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
3
not provided (3)
-
1
-
Cortisone reductase deficiency 1 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.29
CADD
Benign
2.2
DANN
Benign
0.67
DEOGEN2
Benign
0.39
T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.050
N
LIST_S2
Benign
0.13
T
MetaRNN
Benign
0.00051
T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
1.7
L
PhyloP100
-0.083
PrimateAI
Benign
0.20
T
PROVEAN
Benign
0.48
N
REVEL
Benign
0.18
Sift
Benign
0.57
T
Sift4G
Benign
0.57
T
Polyphen
0.0010
B
Vest4
0.049
MPC
0.12
ClinPred
0.00059
T
GERP RS
-2.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.017
gMVP
0.36
Mutation Taster
=100/0
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: rs6688832; hg19: chr1-9323910; COSMIC: COSV66231098; COSMIC: COSV66231098; API