1-155290592-G-T

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BA1

The NM_000298.6(PKLR):​c.1705C>A​(p.Arg569=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.294 in 1,605,358 control chromosomes in the GnomAD database, including 77,404 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.35 ( 10448 hom., cov: 30)
Exomes 𝑓: 0.29 ( 66956 hom. )

Consequence

PKLR
NM_000298.6 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: 3.08
Variant links:
Genes affected
PKLR (HGNC:9020): (pyruvate kinase L/R) The protein encoded by this gene is a pyruvate kinase that catalyzes the transphosphorylation of phohsphoenolpyruvate into pyruvate and ATP, which is the rate-limiting step of glycolysis. Defects in this enzyme, due to gene mutations or genetic variations, are the common cause of chronic hereditary nonspherocytic hemolytic anemia (CNSHA or HNSHA). Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.43).
BP6
Variant 1-155290592-G-T is Benign according to our data. Variant chr1-155290592-G-T is described in ClinVar as [Benign]. Clinvar id is 255798.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-155290592-G-T is described in Lovd as [Benign]. Variant chr1-155290592-G-T is described in Lovd as [Likely_benign].
BP7
Synonymous conserved (PhyloP=3.08 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.682 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PKLRNM_000298.6 linkuse as main transcriptc.1705C>A p.Arg569= synonymous_variant 11/11 ENST00000342741.6 NP_000289.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PKLRENST00000342741.6 linkuse as main transcriptc.1705C>A p.Arg569= synonymous_variant 11/111 NM_000298.6 ENSP00000339933 P3P30613-1
PKLRENST00000392414.7 linkuse as main transcriptc.1612C>A p.Arg538= synonymous_variant 11/111 ENSP00000376214 A1P30613-2

Frequencies

GnomAD3 genomes
AF:
0.351
AC:
53260
AN:
151634
Hom.:
10413
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.490
Gnomad AMI
AF:
0.110
Gnomad AMR
AF:
0.333
Gnomad ASJ
AF:
0.211
Gnomad EAS
AF:
0.702
Gnomad SAS
AF:
0.341
Gnomad FIN
AF:
0.318
Gnomad MID
AF:
0.226
Gnomad NFE
AF:
0.262
Gnomad OTH
AF:
0.334
GnomAD3 exomes
AF:
0.337
AC:
84394
AN:
250236
Hom.:
16297
AF XY:
0.326
AC XY:
44188
AN XY:
135374
show subpopulations
Gnomad AFR exome
AF:
0.499
Gnomad AMR exome
AF:
0.411
Gnomad ASJ exome
AF:
0.221
Gnomad EAS exome
AF:
0.702
Gnomad SAS exome
AF:
0.333
Gnomad FIN exome
AF:
0.311
Gnomad NFE exome
AF:
0.251
Gnomad OTH exome
AF:
0.300
GnomAD4 exome
AF:
0.289
AC:
419413
AN:
1453606
Hom.:
66956
Cov.:
30
AF XY:
0.287
AC XY:
207575
AN XY:
723622
show subpopulations
Gnomad4 AFR exome
AF:
0.496
Gnomad4 AMR exome
AF:
0.406
Gnomad4 ASJ exome
AF:
0.222
Gnomad4 EAS exome
AF:
0.724
Gnomad4 SAS exome
AF:
0.328
Gnomad4 FIN exome
AF:
0.304
Gnomad4 NFE exome
AF:
0.259
Gnomad4 OTH exome
AF:
0.304
GnomAD4 genome
AF:
0.352
AC:
53347
AN:
151752
Hom.:
10448
Cov.:
30
AF XY:
0.354
AC XY:
26252
AN XY:
74134
show subpopulations
Gnomad4 AFR
AF:
0.491
Gnomad4 AMR
AF:
0.334
Gnomad4 ASJ
AF:
0.211
Gnomad4 EAS
AF:
0.701
Gnomad4 SAS
AF:
0.341
Gnomad4 FIN
AF:
0.318
Gnomad4 NFE
AF:
0.262
Gnomad4 OTH
AF:
0.330
Alfa
AF:
0.258
Hom.:
7761
Bravo
AF:
0.364
Asia WGS
AF:
0.540
AC:
1880
AN:
3478
EpiCase
AF:
0.246
EpiControl
AF:
0.238

ClinVar

Significance: Benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineDec 21, 2021The p.Arg569Arg variant in PKLP is classified as benign because it has been identified in 70% (13958/19872) of East Asian chromosomes by gnomAD (http://gnomad.broadinstitute.org). ACMG/AMP Criteria applied: BA1, BP7. -
not provided Benign:4
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 30, 2023- -
Benign, criteria provided, single submitterclinical testingGeneDxNov 12, 2018- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Pyruvate kinase deficiency of red cells Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.43
CADD
Benign
8.9
DANN
Benign
0.85

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: rs1052176; hg19: chr1-155260383; API