# NM_001206927.2(DNAH8):c.5196T>C (p.Pro1732=)

https://sugi.bio/variant/dnah8-p-pro1732

## Summary

**DNAH8 p.Pro1732= (c.5196T>C)** is classified **Benign/Likely benign** in DNAH8 (ClinVar, Multiple submitters, 4 submitters; last evaluated 2026-02-03). Common (popmax 35.6%, afr) — too common for a highly-penetrant pathogenic allele; Associated with primary ciliary dyskinesia.

**At a glance:** Benign/Likely benign · review: Multiple submitters · rsID rs1678744 · 4 submitters · 1 linked condition · common (popmax 35.6%, afr) — too common for a highly-penetrant pathogenic allele

## For patients & families {#patients}

This is a change in the DNAH8 gene that is classified as benign/likely benign — not considered disease-causing, submitted by 4 submitters, and is linked to primary ciliary dyskinesia.

*Reference information, not medical advice, and not a prediction for any individual. A genetic counselor or clinician can interpret what it means for you and your family.*

|  |  |
| --- | --- |
| Typical inheritance (of this condition) | Autosomal dominant, Autosomal recessive, X-linked recessive |
| Age of onset (of this condition) | Neonatal |
| Prevalence | 1-5 / 10 000 (Pakistan) |
| Clinical trials | 76 registered for this condition — see ClinicalTrials.gov |

**Commonly reported features of Primary ciliary dyskinesia** (across patients with this condition; presentation varies — frequencies from Orphanet):

- Chronic otitis media — Frequent (79-30%)
- Recurrent otitis media — Frequent (79-30%)
- Nasal congestion — Frequent (79-30%)
- Chronic rhinitis — Frequent (79-30%)
- Neonatal respiratory distress — Frequent (79-30%)
- Male infertility — Frequent (79-30%)
- Recurrent sinopulmonary infections — Frequent (79-30%)
- Chronic sinusitis — Frequent (79-30%)

**Support & next steps:** [Condition overview & support (NIH GARD)](https://rarediseases.info.nih.gov/diseases/0004484/index) · [Find a genetic counselor (NSGC)](https://findageneticcounselor.nsgc.org/).

## Identity {#identity}

| Field | Value |
| --- | --- |
| Gene | [DNAH8](https://sugi.bio/atlas/gene/DNAH8/) |
| Protein change (HGVS p.) | p.Pro1732= |
| Coding change (HGVS c.) | c.5196T>C |
| MANE Select transcript | [NM_001206927](https://www.ncbi.nlm.nih.gov/nuccore/NM_001206927) |
| dbSNP | [rs1678744](https://www.ncbi.nlm.nih.gov/snp/rs1678744/) |
| Variant type | single nucleotide variant |
| Location | chr6:38848798-38848798 (GRCh38) |
| ClinVar | [VCV414401](https://www.ncbi.nlm.nih.gov/clinvar/variation/414401/) |

**All HGVS expressions:** `NC_000006.11:g.38816574T>C`, `NC_000006.12:g.38848798T>C`, `NG_041805.1:g.138458T>C`, `NM_001206927.2:c.5196T>C`, `NM_001371.4:c.4545T>C`

## Computational & population evidence {#evidence}

**Concordance:** Evidence sources **disagree** — common (popmax 35.6%, afr) — too common for a highly-penetrant pathogenic allele.

- **Missense predictors (AlphaMissense/REVEL/SaProt) do not apply** to this variant type — they score amino-acid substitutions only. For non-missense variants the computational signal comes from conservation (below), not from a missing predictor score.
- Conservation: phyloP 0.074, GERP -5.2, phastCons 0.967 — not a conserved position (phyloP < 0.1, ACGS BP7 cut)
- CADD: **PHRED 8.752**. No single ClinGen-calibrated threshold exists and the expert panels that use CADD disagree — GUCY2D/AIPL1 require ≥ 20.0 for an untranslated-region variant, ABCA4 ≥ 28.1 for a synonymous or indel variant, the Pulmonary Hypertension panel imports Pejaver 2022's missense-calibrated numbers, and the Antibody Deficiencies panel declines CADD entirely for PIK3CD. CADD v1.7 also incorporates Zoonomia phyloP, so it partly re-expresses the conservation above. *Descriptive; no threshold applied.*
- SpliceAI: **not assessed** — no allele at this position is in our SpliceAI release, either because it lies outside the scored MANE transcript scope or because every allele is below Δ0.2. We cannot tell which, so this claims neither; absence is not evidence against a splicing effect.
- Population frequency (gnomAD v4.1): grpmax **35.6%** (afr) · FAF95 35.2% · FAF99 35.1% · 26,624/74,820 in the highest group · 35,409/1,612,938 alleles overall — common (popmax 35.6%, afr) — too common for a highly-penetrant pathogenic allele.

| Ancestry group | Allele frequency | 1 in |
| --- | --- | --- |
| African / African-American (grpmax) | 35.6% | 3 |
| Middle Eastern | 4.8% | 21 |
| Admixed American | 3.42% | 29 |
| Remaining individuals (not grpmax-eligible) | 3.06% | 33 |
| Ashkenazi Jewish (not grpmax-eligible) | 2.82% | 35 |
| South Asian | 0.307% | 326 |
| European (non-Finnish) | 0.289% | 345 |
| Finnish (not grpmax-eligible) | 0.0156% | 6,402 |
| East Asian | 0.00223% | 44,860 |

*Computational predictors are not independent (ClinGen Variant Classification guidance): AlphaMissense (Cheng et al. 2023) carries the ACMG weight for missense and conservation (phyloP/GERP/phastCons) for non-missense; REVEL (Pejaver-2022 calibrated strength bands) and SaProt (Su et al. 2023, structure-aware, ClinVar-independent protein language model, raw LLR) are shown as orthogonal agreement signals, not additive. For frequency, the gnomAD v4.1 grpmax filtering allele frequency (FAF95) is ClinGen's designated BA1/BS1 input (gnomAD v4 guidance v3.0, June 2025); BA1/BS1 thresholds are disease-specific, not a blanket 5%. Predictions, not a clinical determination.*

## Gene constraint & dosage {#gene-context}

**DNAH8** population constraint: LOEUF 0.692, pLI 1.3946e-41, missense-Z 2.658. *Lower LOEUF and higher pLI indicate a gene that tolerates loss-of-function poorly; ClinGen dosage is the curated haploinsufficiency call.*

Curated gene–disease validity (ClinGen):

- **primary ciliary dyskinesia** — Disputed (AR)
- **spermatogenic failure 46** — Strong (AR)

## Protein context {#protein}

Residue **1732** lies in a UniProt-annotated variant site (found in a patient with primary ciliary dyskinesia; uncertain significance).

## What this gene does {#gene-function}

*Describes the biological roles of DNAH8 (the gene this variant disrupts) — not effects measured for this specific variant. A damaging variant is expected to affect these functions and pathways; the degree depends on the variant.*

**How this variant is thought to act:** DNAH8's established molecular role includes microtubule motor activity.


### Molecular function & processes (GO — experimentally supported) {#go}

**Molecular function:** microtubule motor activity.

## Clinical significance {#significance}

**Benign/Likely benign** — review status Multiple submitters *(criteria provided, multiple submitters, no conflicts)*, last evaluated 2026-02-03.

**Submitter consensus:** conflicting (3 Benign, 1 Likely benign).

**Submission history:** 4 submissions (2021–2026); classifications have differed over time.

### Submitter classifications {#submitters}

| Submitter | Classification | Review | Method | Date |
| --- | --- | --- | --- | --- |
| GeneDx | Benign | criteria provided, single submitter | clinical testing | 2021-05-04 |
| Mayo Clinic Laboratories, Mayo Clinic | Benign | criteria provided, single submitter | clinical testing | 2023-04-21 |
| Labcorp Genetics (formerly Invitae), Labcorp | Benign | criteria provided, single submitter | clinical testing | 2026-02-03 |
| Blueprint Genetics | Likely benign | criteria provided, single submitter | clinical testing | 2024-11-27 |

## Associated conditions {#conditions}

[primary ciliary dyskinesia](https://sugi.bio/atlas/disease/primary-ciliary-dyskinesia/).

**Reported phenotype names (ClinVar):** Primary ciliary dyskinesia, not provided, not specified, AllHighlyPenetrant, none provided, Ciliary dyskinesia.

## Similar variants {#similar}

Related DNAH8 variant pages (same residue, condition, or type): [DNAH8 c.10963-1G>A](/variant/dnah8-c-10963-minus-1g-a), [DNAH8 c.11563+1G>T](/variant/dnah8-c-11563-plus-1g-t), [DNAH8 c.2664+2T>C](/variant/dnah8-c-2664-plus-2t-c), [DNAH8 c.5734-1G>T](/variant/dnah8-c-5734-minus-1g-t), [DNAH8 p.Arg1090Ter](/variant/dnah8-p-arg1090ter), [DNAH8 p.Arg207Ter](/variant/dnah8-p-arg207ter), [DNAH8 p.Arg2878Ter](/variant/dnah8-p-arg2878ter), [DNAH8 p.Arg4166Ter](/variant/dnah8-p-arg4166ter).

### Data sources & attribution {#sources}

ClinVar (NCBI — public domain, built 2026-10-11); gnomAD v4.1 (Broad Institute, built 2026-10-06); AlphaMissense (Cheng et al. 2023, © Google DeepMind — CC BY 4.0, built 2026-01-27); REVEL (Ioannidis et al. 2016 — ODbL, built 2026-07-13); SaProt (Su et al. 2023 — MIT, built 2026-07-14); SpliceAI (Illumina — free for non-commercial use, built 2026-10-13); CADD (Rentzsch et al. 2019, University of Washington — free for non-commercial use, built 2026-10-10); Conservation (phyloP/phastCons/GERP) (UCSC hg38 470-way mammal (Hiller Lab) + Ensembl Compara, built 2026-07-12); gnomAD Non-coding Constraint (Gnocchi) (Chen et al. 2024, Broad Institute — CC0, built 2026-10-11); gnomAD Regional Missense Constraint (Broad Institute — CC0, built 2026-10-13); Pangolin (Zeng & Li 2022 — CC BY 4.0, built 2026-10-11); Repeat regions (UCSC — RepeatMasker, TRF, segmental duplications, built 2026-10-11); ClinGen (ClinGen, built 2026-09-22); UniProt (CC BY 4.0); Reactome / GO (CC BY 4.0, built 2026-09-23); MaveDB (per-record license, built 2026-10-11); CIViC (CC0, built 2026-09-22); Orphanet (Orphanet, built 2026-06-12)

*Primary record: NCBI ClinVar (variation 414401). Classifications reflect these databases as of the page's build date and may change. Free reference use — not medical advice; consult the primary submitters and a clinician.*