rs751610886

Variant summary

Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong

The NM_130810.4(DNAAF4):​c.523del​(p.Ile175PhefsTer21) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000152 in 1,546,014 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (β˜…β˜…). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00017 ( 0 hom. )

Consequence

DNAAF4
NM_130810.4 frameshift

Scores

Not classified

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:3

Conservation

PhyloP100: 0.645
Variant links:
Genes affected
DNAAF4 (HGNC:21493): (dynein axonemal assembly factor 4) This gene encodes a tetratricopeptide repeat domain-containing protein. The encoded protein interacts with estrogen receptors and the heat shock proteins, Hsp70 and Hsp90. An homologous protein in rat has been shown to function in neuronal migration in the developing neocortex. A chromosomal translocation involving this gene is associated with a susceptibility to developmental dyslexia. Mutations in this gene are associated with deficits in reading and spelling. Alternative splicing results in multiple transcript variants. Read-through transcription also exists between this gene and the downstream cell cycle progression 1 (CCPG1) gene. [provided by RefSeq, Mar 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 18 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 15-55467043-AT-A is Pathogenic according to our data. Variant chr15-55467043-AT-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 505757.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DNAAF4NM_130810.4 linkuse as main transcriptc.523del p.Ile175PhefsTer21 frameshift_variant 5/10 ENST00000321149.7
DNAAF4-CCPG1NR_037923.1 linkuse as main transcriptn.778del non_coding_transcript_exon_variant 4/16
DNAAF4NM_001033560.2 linkuse as main transcriptc.523del p.Ile175PhefsTer21 frameshift_variant 5/9
DNAAF4NM_001033559.3 linkuse as main transcriptc.523del p.Ile175PhefsTer21 frameshift_variant 5/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DNAAF4ENST00000321149.7 linkuse as main transcriptc.523del p.Ile175PhefsTer21 frameshift_variant 5/101 NM_130810.4 P1Q8WXU2-1

Frequencies

GnomAD3 genomes
AF:
0.0000200
AC:
3
AN:
150032
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000735
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.000166
AC:
232
AN:
1395982
Hom.:
0
Cov.:
32
AF XY:
0.000184
AC XY:
127
AN XY:
690550
show subpopulations
Gnomad4 AFR exome
AF:
0.000197
Gnomad4 AMR exome
AF:
0.00154
Gnomad4 ASJ exome
AF:
0.000321
Gnomad4 EAS exome
AF:
0.000167
Gnomad4 SAS exome
AF:
0.000533
Gnomad4 FIN exome
AF:
0.000120
Gnomad4 NFE exome
AF:
0.0000917
Gnomad4 OTH exome
AF:
0.000209
GnomAD4 genome
AF:
0.0000200
AC:
3
AN:
150032
Hom.:
0
Cov.:
32
AF XY:
0.0000273
AC XY:
2
AN XY:
73190
show subpopulations
Gnomad4 AFR
AF:
0.0000735
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.00300
Hom.:
0
Bravo
AF:
0.00000756

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Primary ciliary dyskinesia Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMay 01, 2017The p.Ile175PhefsX21 (NM_130810.3 c.523delA) variant in DNAAF4 has not been prev iously reported in individuals with primary ciliary dyskinesia. This variant has been identified in 0.26% (50/19436) of Latino chromosomes by the Genome Aggrega tion Database (gnomAD, http://gnomad.broadinstitute.org; dbSNP rs778891601). Alt hough this variant has been seen in the general population, its frequency is low enough to be consistent with a recessive carrier frequency. This variant is pre dicted to cause a frameshift, which alters the protein?s amino acid sequence beg inning at position 175 and leads to a premature termination codon 21 amino acids downstream. This alteration is then predicted to lead to a truncated or absent protein. Biallelic loss of function of the DNAAF4 gene has been associated with primary ciliary dyskinesia. In summary, although additional studies are required to fully establish a null effect on the protein, the p.Ile175PhefsX21 variant i n DNAAF4 gene is likely pathogenic for primary ciliary dyskinesia in an autosoma l recessive manner based on a predicted null effect. -
not provided Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingInvitaeMar 13, 2016This sequence change deletes 1 nucleotide from exon 5 of the DYX1C1 mRNA (c.523delA), causing a frameshift at codon 175. This creates a premature translational stop signal (p.Ile175Phefs*21) and is expected to result in an absent or disrupted protein product. While this particular variant has not been reported in the literature, truncating variants in DYX1C1 are known to be pathogenic (PMID: 23872636). For these reasons, this variant has been classified as Pathogenic. -
Dyslexia, susceptibility to, 1;C3809641:Primary ciliary dyskinesia 25 Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsApr 29, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

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: rs751610886; hg19: chr15-55759241; API