1-2509013-T-A
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Variant summary
Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate
The NM_018216.4(PANK4):c.2156A>T(p.Asp719Val) variant causes a missense change. The variant allele was found at a frequency of 0.00000125 in 1,605,150 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 6.9e-7 ( 0 hom. )
Consequence
PANK4
NM_018216.4 missense
NM_018216.4 missense
Scores
8
5
2
Clinical Significance
Conservation
PhyloP100: 5.60
Genes affected
PANK4 (HGNC:19366): (pantothenate kinase 4 (inactive)) This gene encodes a protein belonging to the pantothenate kinase family. Pantothenate kinase is a key regulatory enzyme in the biosynthesis of coenzyme A (CoA) in bacteria and mammalian cells. It catalyzes the first committed step in the universal biosynthetic pathway leading to CoA and is itself subject to regulation through feedback inhibition by CoA. This family member is most abundant in muscle but is expressed in all tissues. [provided by RefSeq, Jul 2008]
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ACMG classification
Classification made for transcript
Verdict is Uncertain_significance. Variant got 4 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.862
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
PANK4 | NM_018216.4 | c.2156A>T | p.Asp719Val | missense_variant | 19/19 | ENST00000378466.9 | NP_060686.3 | |
PANK4 | XM_047424306.1 | c.1715A>T | p.Asp572Val | missense_variant | 19/19 | XP_047280262.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
PANK4 | ENST00000378466.9 | c.2156A>T | p.Asp719Val | missense_variant | 19/19 | 1 | NM_018216.4 | ENSP00000367727.5 | ||
PANK4 | ENST00000435556.8 | c.2039A>T | p.Asp680Val | missense_variant | 19/19 | 2 | ENSP00000421433.3 | |||
PANK4 | ENST00000505228.5 | n.*274A>T | non_coding_transcript_exon_variant | 16/16 | 5 | ENSP00000425932.1 | ||||
PANK4 | ENST00000505228.5 | n.*274A>T | 3_prime_UTR_variant | 16/16 | 5 | ENSP00000425932.1 |
Frequencies
GnomAD3 genomes AF: 0.00000658 AC: 1AN: 152082Hom.: 0 Cov.: 32
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GnomAD4 exome AF: 6.88e-7 AC: 1AN: 1453068Hom.: 0 Cov.: 31 AF XY: 0.00000138 AC XY: 1AN XY: 723164
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GnomAD4 genome AF: 0.00000658 AC: 1AN: 152082Hom.: 0 Cov.: 32 AF XY: 0.0000135 AC XY: 1AN XY: 74286
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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 submitter | clinical testing | Ambry Genetics | Dec 19, 2022 | The c.2156A>T (p.D719V) alteration is located in exon 19 (coding exon 19) of the PANK4 gene. This alteration results from a A to T substitution at nucleotide position 2156, causing the aspartic acid (D) at amino acid position 719 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
BayesDel_addAF
Pathogenic
D
BayesDel_noAF
Uncertain
CADD
Pathogenic
DANN
Uncertain
Eigen
Pathogenic
Eigen_PC
Pathogenic
FATHMM_MKL
Uncertain
D
LIST_S2
Pathogenic
D;.
M_CAP
Uncertain
D
MetaRNN
Pathogenic
D;D
MetaSVM
Benign
T
PrimateAI
Uncertain
T
REVEL
Pathogenic
Sift4G
Pathogenic
D;D
Vest4
MVP
MPC
ClinPred
D
GERP RS
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at