Is DNAH5 p.Arg4158Trp (c.12472C>T) pathogenic?

DNAH5 p.Arg4158Trp (c.12472C>T) is classified Benign/Likely benign in DNAH5 (ClinVar, Multiple submitters, 10 submitters; last evaluated 2026-01-26). AlphaMissense: ambiguous (0.4812); Low-frequency (popmax 4.74%, eas); Associated with primary ciliary dyskinesia.

What condition is associated with DNAH5 p.Arg4158Trp (c.12472C>T)?

DNAH5 p.Arg4158Trp (c.12472C>T) is associated with primary ciliary dyskinesia, primary ciliary dyskinesia 3 (ClinVar).

How common is DNAH5 p.Arg4158Trp (c.12472C>T) in the general population?

DNAH5 p.Arg4158Trp (c.12472C>T) is low-frequency (popmax 4.74%, eas) (gnomAD).

How is Primary ciliary dyskinesia inherited?

Typically Autosomal dominant, Autosomal recessive (Orphanet). A genetic counselor can assess individual risk for a family.

What do computational predictors say about DNAH5 p.Arg4158Trp (c.12472C>T)?

AlphaMissense predicts ambiguous (score 0.4812) — an in-silico prediction, not a clinical call.

DNAH5 p.Arg4158Trp

c.12472C>T · rs3756672 · VCV238959

Benign/Likely benign Multiple submitters

Classification

Benign/Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 10 submitters

AlphaMissense

ambiguous

0.4812 · ACMG-weighted

gnomAD v4.1

Rare

low-frequency (popmax 4.74%, eas)

Conditions

primary ciliary dyskinesia

Computational evidence

Protein change
AlphaMissense	0.4812	ambiguous
REVEL	0.316	indeterminate
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 5.5	GERP 2.8, phastCons 1
Regional constraint	o/e 0.98	unconstrained · MANE · 228 kb · p 0.16 · regional, not allelic
Overall
CADD	27.5	PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 4.74% East Asian · 2,126/44,866 alleles

Filtering AF 4.57% ClinGen BA1/BS1 input FAF95, joint · FAF99 4.5%

Overall 0.222% 3,582/1,613,842 alleles · low-frequency

Ancestry group	Frequency	1 in
East Asiangrpmax	4.74%	21
South Asian	1.24%	81
Remaining individualsnot grpmax-eligible	0.381%	263
Ashkenazi Jewishnot grpmax-eligible	0.0642%	1,558
Middle Eastern	0.0495%	2,020
African / African-American	0.0173%	5,771
Admixed American	0.00833%	12,004
European (non-Finnish)	0.00415%	24,077

Rarity supports pathogenicity (ACMG PM2); frequency above a disease-specific BA1/BS1 threshold argues against it. A variant frequent in one ancestry group can be near-absent in others, so a single global figure can mislead.

Variant & gene context

Gene: DNAH5
Protein: p.Arg4158Trp
Coding: c.12472C>T
MANE Select: NM_001369
dbSNP: rs3756672
Type: single nucleotide variant
Location: chr5:13718909 (GRCh38)
Gene constraint: LOEUF 0.764 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Residue 4158: the 'aaa 6' region

Full DNAH5 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

primary ciliary dyskinesia — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: primary ciliary dyskinesia 3

For Primary ciliary dyskinesia (Orphanet):

Inheritance: Autosomal dominant, Autosomal recessive, X-linked recessive
Onset: Neonatal
Prevalence: 1-5 / 10 000 (Pakistan)

Similar variants

DNAH5 p.Arg4158Gln Conflicting classifications of pathogenicity ★ ⚠ same residue
DNAH5 c.10555+1G>C Likely pathogenic ★★ same condition
DNAH5 c.1089+1G>A Pathogenic ★★ same condition
DNAH5 c.11028+2T>C Pathogenic/Likely pathogenic ★★ same condition
DNAH5 c.11029-2A>T Pathogenic/Likely pathogenic ★★ same condition
DNAH5 c.11571-1G>A Pathogenic ★★ same condition
DNAH5 c.12910-1G>C Pathogenic/Likely pathogenic ★★ same condition
DNAH5 c.1320+1G>A Likely pathogenic ★★ same condition

Built on 18 open, versioned datasets — ClinVar, gnomAD, AlphaMissense, REVEL, ClinGen & more — plus Sugi Variant's own cross-source analysis. Source data 2026-01–2026-10, ClinVar 2026-10. Full sources & versions →

Cite Sugi Variant

Gür T. Sugi Variant: A Deterministic Per-Variant Germline Reference from a Knowledge Graph for Humans and AI Agents. 2026. doi:10.5281/zenodo.21509445. This variant: https://sugi.bio/variant/dnah5-p-arg4158trp (accessed [today's date]).

Preprint & method: sugi.bio/variant/method Machine-readable: this page as Markdown