rs9488992

Variant summary

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

The NM_001010892.3(RSPH4A):​c.2099C>T​(p.Ala700Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00522 in 1,613,762 control chromosomes in the GnomAD database, including 378 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.028 ( 196 hom., cov: 32)
Exomes 𝑓: 0.0029 ( 182 hom. )

Consequence

RSPH4A
NM_001010892.3 missense

Scores

2
15

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 0.129

Publications

8 publications found
Variant links:
Genes affected
RSPH4A (HGNC:21558): (radial spoke head component 4A) This gene encodes a protein that appears to be a component the radial spoke head, as determined by homology to similar proteins in the biflagellate alga Chlamydomonas reinhardtii and other ciliates. Radial spokes, which are regularly spaced along cilia, sperm, and flagella axonemes, consist of a thin 'stalk' and a bulbous 'head' that form a signal transduction scaffold between the central pair of microtubules and dynein. Mutations in this gene cause primary ciliary dyskinesia 1, a disease arising from dysmotility of motile cilia and sperm. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2009]
RSPH4A Gene-Disease associations (from GenCC):
  • primary ciliary dyskinesia 11
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia, Ambry Genetics, ClinGen
  • primary ciliary dyskinesia
    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=0.0017312765).
BP6
Variant 6-116632389-C-T is Benign according to our data. Variant chr6-116632389-C-T is described in ClinVar as Benign. ClinVar VariationId is 227055.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0916 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001010892.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RSPH4A
NM_001010892.3
MANE Select
c.2099C>Tp.Ala700Val
missense
Exon 6 of 6NP_001010892.1Q5TD94-1
RSPH4A
NM_001161664.2
c.*160C>T
3_prime_UTR
Exon 5 of 5NP_001155136.1Q5TD94-3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RSPH4A
ENST00000229554.10
TSL:1 MANE Select
c.2099C>Tp.Ala700Val
missense
Exon 6 of 6ENSP00000229554.5Q5TD94-1
RSPH4A
ENST00000368581.8
TSL:1
c.*160C>T
3_prime_UTR
Exon 5 of 5ENSP00000357570.4Q5TD94-3
RSPH4A
ENST00000368580.4
TSL:5
c.1358C>Tp.Ala453Val
missense
Exon 5 of 5ENSP00000357569.4Q5TD94-2

Frequencies

GnomAD3 genomes
AF:
0.0275
AC:
4173
AN:
151930
Hom.:
196
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0940
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0107
Gnomad ASJ
AF:
0.00979
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0127
Gnomad NFE
AF:
0.000544
Gnomad OTH
AF:
0.0245
GnomAD2 exomes
AF:
0.00740
AC:
1859
AN:
251150
AF XY:
0.00552
show subpopulations
Gnomad AFR exome
AF:
0.0931
Gnomad AMR exome
AF:
0.00548
Gnomad ASJ exome
AF:
0.00745
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000475
Gnomad OTH exome
AF:
0.00408
GnomAD4 exome
AF:
0.00290
AC:
4236
AN:
1461714
Hom.:
182
Cov.:
31
AF XY:
0.00251
AC XY:
1826
AN XY:
727152
show subpopulations
African (AFR)
AF:
0.0919
AC:
3076
AN:
33478
American (AMR)
AF:
0.00561
AC:
251
AN:
44704
Ashkenazi Jewish (ASJ)
AF:
0.00784
AC:
205
AN:
26132
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39688
South Asian (SAS)
AF:
0.000162
AC:
14
AN:
86238
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53412
Middle Eastern (MID)
AF:
0.00746
AC:
43
AN:
5764
European-Non Finnish (NFE)
AF:
0.000237
AC:
263
AN:
1111914
Other (OTH)
AF:
0.00636
AC:
384
AN:
60384
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
210
420
631
841
1051
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
102
204
306
408
510
<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:
0.0275
AC:
4187
AN:
152048
Hom.:
196
Cov.:
32
AF XY:
0.0268
AC XY:
1991
AN XY:
74332
show subpopulations
African (AFR)
AF:
0.0940
AC:
3898
AN:
41452
American (AMR)
AF:
0.0107
AC:
163
AN:
15272
Ashkenazi Jewish (ASJ)
AF:
0.00979
AC:
34
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5178
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4804
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10566
Middle Eastern (MID)
AF:
0.0136
AC:
4
AN:
294
European-Non Finnish (NFE)
AF:
0.000544
AC:
37
AN:
67994
Other (OTH)
AF:
0.0242
AC:
51
AN:
2104
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
181
362
542
723
904
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
46
92
138
184
230
<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:
0.0100
Hom.:
169
Bravo
AF:
0.0306
ESP6500AA
AF:
0.0935
AC:
412
ESP6500EA
AF:
0.00105
AC:
9
ExAC
AF:
0.00907
AC:
1101
Asia WGS
AF:
0.00520
AC:
18
AN:
3478
EpiCase
AF:
0.000654
EpiControl
AF:
0.000593

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
not specified (2)
-
-
2
Primary ciliary dyskinesia (2)
-
-
1
not provided (1)
-
-
1
Primary ciliary dyskinesia 11 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.68
T
BayesDel_noAF
Benign
-0.68
CADD
Benign
14
DANN
Uncertain
0.99
DEOGEN2
Benign
0.010
T
Eigen
Benign
-0.32
Eigen_PC
Benign
-0.35
FATHMM_MKL
Benign
0.26
N
LIST_S2
Benign
0.42
T
MetaRNN
Benign
0.0017
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.8
L
PhyloP100
0.13
PrimateAI
Benign
0.23
T
PROVEAN
Benign
-2.1
N
REVEL
Benign
0.16
Sift
Uncertain
0.024
D
Sift4G
Benign
0.12
T
Polyphen
0.52
P
Vest4
0.058
MVP
0.42
MPC
0.14
ClinPred
0.028
T
GERP RS
4.9
Varity_R
0.13
gMVP
0.26
Mutation Taster
=99/1
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: rs9488992; hg19: chr6-116953552; API