rs775528807

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 0P and 3B. BP4_ModerateBS2_Supporting

The NM_016124.6(RHD):​c.608C>T​(p.Thr203Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000189 in 1,376,746 control chromosomes in the GnomAD database, including 9 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. T203T) has been classified as Benign.

Frequency

Genomes: 𝑓 0.000015 ( 0 hom., cov: 21)
Exomes 𝑓: 0.000019 ( 9 hom. )

Consequence

RHD
NM_016124.6 missense

Scores

3
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.692

Publications

1 publications found
Variant links:
Genes affected
RHD (HGNC:10009): (Rh blood group D antigen) The Rh blood group system is the second most clinically significant of the blood groups, second only to ABO. It is also the most polymorphic of the blood groups, with variations due to deletions, gene conversions, and missense mutations. The Rh blood group includes this gene, which encodes the RhD protein, and a second gene that encodes both the RhC and RhE antigens on a single polypeptide. The two genes, and a third unrelated gene, are found in a cluster on chromosome 1. The classification of Rh-positive and Rh-negative individuals is determined by the presence or absence of the highly immunogenic RhD protein on the surface of erythrocytes. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]
RSRP1 (HGNC:25234): (arginine and serine rich protein 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.14611313).
BS2
High Homozygotes in GnomAdExome4 at 9 AR geneVariant has number of homozygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_016124.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RHD
NM_016124.6
MANE Select
c.608C>Tp.Thr203Met
missense
Exon 4 of 10NP_057208.3
RHD
NM_001282871.2
c.608C>Tp.Thr203Met
missense
Exon 4 of 9NP_001269800.1Q02161-4
RHD
NM_001282870.1
c.608C>Tp.Thr203Met
missense
Exon 4 of 9NP_001269799.1Q5XLT0

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RHD
ENST00000328664.9
TSL:1 MANE Select
c.608C>Tp.Thr203Met
missense
Exon 4 of 10ENSP00000331871.4Q02161-1
RHD
ENST00000342055.9
TSL:1
c.608C>Tp.Thr203Met
missense
Exon 4 of 9ENSP00000339577.5Q02161-4
RHD
ENST00000568195.5
TSL:1
c.608C>Tp.Thr203Met
missense
Exon 4 of 9ENSP00000456966.1H3BT10

Frequencies

GnomAD3 genomes
AF:
0.0000153
AC:
2
AN:
130426
Hom.:
0
Cov.:
21
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:
0.0000361
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000312
AC:
7
AN:
224686
AF XY:
0.0000165
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000605
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000210
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000193
AC:
24
AN:
1246320
Hom.:
9
Cov.:
31
AF XY:
0.0000177
AC XY:
11
AN XY:
621618
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31942
American (AMR)
AF:
0.0000469
AC:
2
AN:
42610
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23768
East Asian (EAS)
AF:
0.0000253
AC:
1
AN:
39534
South Asian (SAS)
AF:
0.0000248
AC:
2
AN:
80530
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
46992
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5018
European-Non Finnish (NFE)
AF:
0.0000184
AC:
17
AN:
922772
Other (OTH)
AF:
0.0000376
AC:
2
AN:
53154
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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
GnomAD4 genome
AF:
0.0000153
AC:
2
AN:
130426
Hom.:
0
Cov.:
21
AF XY:
0.00
AC XY:
0
AN XY:
63642
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
37848
American (AMR)
AF:
0.00
AC:
0
AN:
13382
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3104
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5092
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4308
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
8484
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
268
European-Non Finnish (NFE)
AF:
0.0000361
AC:
2
AN:
55474
Other (OTH)
AF:
0.00
AC:
0
AN:
1800
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
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:
0.00
Hom.:
0
ExAC
AF:
0.0000179
AC:
2
Asia WGS
AF:
0.000296
AC:
1
AN:
3390

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.089
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
12
DANN
Uncertain
1.0
DEOGEN2
Benign
0.062
T
Eigen
Benign
-0.47
Eigen_PC
Benign
-0.71
FATHMM_MKL
Benign
0.011
N
LIST_S2
Benign
0.81
T
M_CAP
Benign
0.0067
T
MetaRNN
Benign
0.15
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.4
M
PhyloP100
-0.69
PrimateAI
Benign
0.32
T
PROVEAN
Uncertain
-2.9
D
REVEL
Benign
0.043
Sift
Benign
0.043
D
Sift4G
Benign
0.17
T
Polyphen
0.96
D
Vest4
0.37
MutPred
0.36
Loss of glycosylation at T203 (P = 0.0058)
MVP
0.11
MPC
0.31
ClinPred
0.25
T
GERP RS
-0.90
Varity_R
0.032
gMVP
0.34
Mutation Taster
=98/2
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs775528807; hg19: chr1-25627558; COSMIC: COSV59645451; COSMIC: COSV59645451; API