10-22537275-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2

The NM_005028.5(PIP4K2A):​c.1147G>A​(p.Ala383Thr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000025 in 1,596,996 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000067 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

PIP4K2A
NM_005028.5 missense

Scores

4
7
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.57

Publications

0 publications found
Variant links:
Genes affected
PIP4K2A (HGNC:8997): (phosphatidylinositol-5-phosphate 4-kinase type 2 alpha) Phosphatidylinositol-5,4-bisphosphate, the precursor to second messengers of the phosphoinositide signal transduction pathways, is thought to be involved in the regulation of secretion, cell proliferation, differentiation, and motility. The protein encoded by this gene is one of a family of enzymes capable of catalyzing the phosphorylation of phosphatidylinositol-5-phosphate on the fourth hydroxyl of the myo-inositol ring to form phosphatidylinositol-5,4-bisphosphate. The amino acid sequence of this enzyme does not show homology to other kinases, but the recombinant protein does exhibit kinase activity. This gene is a member of the phosphatidylinositol-5-phosphate 4-kinase family. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PIP4K2ANM_005028.5 linkc.1147G>A p.Ala383Thr missense_variant Exon 10 of 10 ENST00000376573.9 NP_005019.2 P48426-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PIP4K2AENST00000376573.9 linkc.1147G>A p.Ala383Thr missense_variant Exon 10 of 10 1 NM_005028.5 ENSP00000365757.4 P48426-1
PIP4K2AENST00000545335.5 linkc.970G>A p.Ala324Thr missense_variant Exon 10 of 10 2 ENSP00000442098.1 P48426-2
PIP4K2AENST00000323883.11 linkc.727G>A p.Ala243Thr missense_variant Exon 8 of 8 2 ENSP00000326294.7 H7BXS3
PIP4K2AENST00000474335.1 linkn.177G>A non_coding_transcript_exon_variant Exon 2 of 2 2

Frequencies

GnomAD3 genomes
AF:
0.00000668
AC:
1
AN:
149650
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000247
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000207
AC:
3
AN:
1447346
Hom.:
0
Cov.:
31
AF XY:
0.00000417
AC XY:
3
AN XY:
718720
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33042
American (AMR)
AF:
0.00
AC:
0
AN:
43562
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25752
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39166
South Asian (SAS)
AF:
0.00
AC:
0
AN:
84000
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52688
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5752
European-Non Finnish (NFE)
AF:
0.00000272
AC:
3
AN:
1103584
Other (OTH)
AF:
0.00
AC:
0
AN:
59800
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.442
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00000668
AC:
1
AN:
149650
Hom.:
0
Cov.:
32
AF XY:
0.0000137
AC XY:
1
AN XY:
73152
show subpopulations
African (AFR)
AF:
0.0000247
AC:
1
AN:
40460
American (AMR)
AF:
0.00
AC:
0
AN:
15096
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3426
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5060
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4662
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10526
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
312
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67150
Other (OTH)
AF:
0.00
AC:
0
AN:
2054
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Mar 18, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.1147G>A (p.A383T) alteration is located in exon 10 (coding exon 10) of the PIP4K2A gene. This alteration results from a G to A substitution at nucleotide position 1147, causing the alanine (A) at amino acid position 383 to be replaced by a threonine (T). 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
Pathogenic
0.94
BayesDel_addAF
Uncertain
0.079
D
BayesDel_noAF
Benign
-0.12
CADD
Pathogenic
30
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.20
T;.;.
Eigen
Uncertain
0.41
Eigen_PC
Uncertain
0.36
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Pathogenic
0.98
D;D;D
M_CAP
Benign
0.027
D
MetaRNN
Uncertain
0.65
D;D;D
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
1.2
L;.;.
PhyloP100
7.6
PrimateAI
Pathogenic
0.82
D
PROVEAN
Uncertain
-2.5
N;D;N
REVEL
Benign
0.18
Sift
Uncertain
0.0060
D;D;D
Sift4G
Benign
0.26
T;T;T
Polyphen
1.0
D;.;.
Vest4
0.65
MutPred
0.46
Gain of disorder (P = 0.1274);.;.;
MVP
0.22
MPC
1.2
ClinPred
0.92
D
GERP RS
5.7
Varity_R
0.26
gMVP
0.62
Mutation Taster
=39/61
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs1835959616; hg19: chr10-22826204; API