1-204149722-G-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_018208.4(ETNK2):​c.499C>T​(p.Arg167Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000598 in 1,594,152 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00053 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00061 ( 2 hom. )

Consequence

ETNK2
NM_018208.4 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.50
Variant links:
Genes affected
ETNK2 (HGNC:25575): (ethanolamine kinase 2) The protein encoded by this gene is a member of choline/ethanolamine kinase family which catalyzes the first step of phosphatidylethanolamine (PtdEtn) biosynthesis via the cytidine diphosphate (CDP) ethanolamine pathway. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.10966951).
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ETNK2NM_018208.4 linkuse as main transcriptc.499C>T p.Arg167Cys missense_variant 2/8 ENST00000367202.9 NP_060678.2
ETNK2NM_001297760.2 linkuse as main transcriptc.499C>T p.Arg167Cys missense_variant 2/8 NP_001284689.1
ETNK2NM_001297762.2 linkuse as main transcriptc.499C>T p.Arg167Cys missense_variant 2/7 NP_001284691.1
ETNK2NM_001297761.2 linkuse as main transcriptc.-17+1873C>T intron_variant NP_001284690.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ETNK2ENST00000367202.9 linkuse as main transcriptc.499C>T p.Arg167Cys missense_variant 2/81 NM_018208.4 ENSP00000356170 P1Q9NVF9-1
ETNK2ENST00000367201.7 linkuse as main transcriptc.499C>T p.Arg167Cys missense_variant 2/82 ENSP00000356169 Q9NVF9-2
ETNK2ENST00000444817.1 linkuse as main transcriptc.160C>T p.Arg54Cys missense_variant 1/45 ENSP00000406241

Frequencies

GnomAD3 genomes
AF:
0.000526
AC:
80
AN:
152226
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
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:
0.00109
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000273
AC:
60
AN:
219508
Hom.:
0
AF XY:
0.000253
AC XY:
30
AN XY:
118440
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000634
Gnomad ASJ exome
AF:
0.000107
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000374
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000567
Gnomad OTH exome
AF:
0.000181
GnomAD4 exome
AF:
0.000605
AC:
873
AN:
1441926
Hom.:
2
Cov.:
35
AF XY:
0.000554
AC XY:
396
AN XY:
715246
show subpopulations
Gnomad4 AFR exome
AF:
0.0000303
Gnomad4 AMR exome
AF:
0.0000474
Gnomad4 ASJ exome
AF:
0.0000389
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000604
Gnomad4 FIN exome
AF:
0.0000390
Gnomad4 NFE exome
AF:
0.000754
Gnomad4 OTH exome
AF:
0.000503
GnomAD4 genome
AF:
0.000526
AC:
80
AN:
152226
Hom.:
0
Cov.:
32
AF XY:
0.000484
AC XY:
36
AN XY:
74364
show subpopulations
Gnomad4 AFR
AF:
0.0000724
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00109
Gnomad4 OTH
AF:
0.000478
Alfa
AF:
0.000819
Hom.:
0
Bravo
AF:
0.000264
TwinsUK
AF:
0.00162
AC:
6
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.000231
AC:
28
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMar 02, 2023The c.499C>T (p.R167C) alteration is located in exon 2 (coding exon 2) of the ETNK2 gene. This alteration results from a C to T substitution at nucleotide position 499, causing the arginine (R) at amino acid position 167 to be replaced by a cysteine (C). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.36
T
BayesDel_noAF
Benign
-0.29
CADD
Benign
22
DANN
Uncertain
0.98
DEOGEN2
Benign
0.20
.;T;.
Eigen
Benign
0.013
Eigen_PC
Benign
0.061
FATHMM_MKL
Uncertain
0.81
D
LIST_S2
Uncertain
0.91
D;D;D
M_CAP
Benign
0.039
D
MetaRNN
Benign
0.11
T;T;T
MetaSVM
Benign
-0.75
T
MutationAssessor
Uncertain
2.0
M;M;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Benign
0.39
T
PROVEAN
Uncertain
-2.8
D;D;D
REVEL
Benign
0.18
Sift
Benign
0.16
T;T;T
Sift4G
Benign
0.095
T;T;.
Polyphen
1.0
D;B;.
Vest4
0.43
MVP
0.72
MPC
1.1
ClinPred
0.13
T
GERP RS
2.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.18
gMVP
0.71

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs141281450; hg19: chr1-204118850; API