10-4972223-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001353.6(AKR1C1):ā€‹c.593A>Gā€‹(p.Asn198Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 30)
Exomes š‘“: 0.0000034 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

AKR1C1
NM_001353.6 missense

Scores

1
3
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.53
Variant links:
Genes affected
AKR1C1 (HGNC:384): (aldo-keto reductase family 1 member C1) This gene encodes a member of the aldo/keto reductase superfamily, which consists of more than 40 known enzymes and proteins. These enzymes catalyze the conversion of aldehydes and ketones to their corresponding alcohols by utilizing NADH and/or NADPH as cofactors. The enzymes display overlapping but distinct substrate specificity. This enzyme catalyzes the reaction of progesterone to the inactive form 20-alpha-hydroxy-progesterone. This gene shares high sequence identity with three other gene members and is clustered with those three genes at chromosome 10p15-p14. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

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

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AKR1C1NM_001353.6 linkuse as main transcriptc.593A>G p.Asn198Ser missense_variant 6/9 ENST00000380872.9 NP_001344.2 Q04828
LOC124902365XR_007062038.1 linkuse as main transcriptn.263+176T>C intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AKR1C1ENST00000380872.9 linkuse as main transcriptc.593A>G p.Asn198Ser missense_variant 6/91 NM_001353.6 ENSP00000370254.4 Q04828
AKR1C1ENST00000442997.5 linkuse as main transcriptc.491A>G p.Asn164Ser missense_variant 6/73 ENSP00000416415.1 H0Y804
AKR1C1ENST00000477661.1 linkuse as main transcriptn.2050A>G non_coding_transcript_exon_variant 5/85

Frequencies

GnomAD3 genomes
Cov.:
30
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00000342
AC:
5
AN:
1461836
Hom.:
0
Cov.:
31
AF XY:
0.00000550
AC XY:
4
AN XY:
727212
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000450
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
30

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 GeneticsOct 03, 2022The c.593A>G (p.N198S) alteration is located in exon 6 (coding exon 6) of the AKR1C1 gene. This alteration results from a A to G substitution at nucleotide position 593, causing the asparagine (N) at amino acid position 198 to be replaced by a serine (S). 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
0.087
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.15
T
Eigen
Benign
-0.20
Eigen_PC
Benign
-0.21
FATHMM_MKL
Benign
0.59
D
LIST_S2
Benign
0.84
T
M_CAP
Benign
0.0027
T
MetaRNN
Uncertain
0.47
T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
0.97
L
PROVEAN
Pathogenic
-4.9
D
REVEL
Benign
0.21
Sift
Uncertain
0.016
D
Sift4G
Benign
0.081
T
Polyphen
1.0
D
Vest4
0.28
MutPred
0.54
Loss of methylation at K201 (P = 0.0882);
MVP
0.45
MPC
1.9
ClinPred
0.98
D
GERP RS
1.8
Varity_R
0.67
gMVP
0.24

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr10-5014415; API