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GeneBe

10-4995392-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PP3_Moderate

The NM_001393392.1(AKR1C2):c.773G>A(p.Arg258His) variant causes a missense change. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R258C) has been classified as Benign.

Frequency

Genomes: 𝑓 0.000047 ( 0 hom., cov: 20)
Exomes 𝑓: 0.000018 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

AKR1C2
NM_001393392.1 missense

Scores

4
9
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.73
Variant links:
Genes affected
AKR1C2 (HGNC:385): (aldo-keto reductase family 1 member C2) 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 using NADH and/or NADPH as cofactors. The enzymes display overlapping but distinct substrate specificity. This enzyme binds bile acid with high affinity, and shows minimal 3-alpha-hydroxysteroid dehydrogenase activity. This gene shares high sequence identity with three other gene members and is clustered with those three genes at chromosome 10p15-p14. Three transcript variants encoding two different isoforms have been found for this gene. [provided by RefSeq, Dec 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.849

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
AKR1C2NM_001393392.1 linkuse as main transcriptc.773G>A p.Arg258His missense_variant 7/9 ENST00000380753.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
AKR1C2ENST00000380753.9 linkuse as main transcriptc.773G>A p.Arg258His missense_variant 7/91 NM_001393392.1 P1P52895-1
AKR1C2ENST00000421196.7 linkuse as main transcriptc.695G>A p.Arg232His missense_variant 6/81
AKR1C2ENST00000460124.5 linkuse as main transcriptn.2233G>A non_coding_transcript_exon_variant 6/85

Frequencies

GnomAD3 genomes
AF:
0.0000470
AC:
7
AN:
149082
Hom.:
0
Cov.:
20
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000135
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000193
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000445
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000152
AC:
2
AN:
131312
Hom.:
0
AF XY:
0.0000291
AC XY:
2
AN XY:
68802
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000552
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000178
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000179
AC:
26
AN:
1448538
Hom.:
0
Cov.:
31
AF XY:
0.0000195
AC XY:
14
AN XY:
719086
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000694
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000377
Gnomad4 NFE exome
AF:
0.0000145
Gnomad4 OTH exome
AF:
0.0000838
GnomAD4 genome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000470
AC:
7
AN:
149082
Hom.:
0
Cov.:
20
AF XY:
0.0000552
AC XY:
4
AN XY:
72466
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000135
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000193
Gnomad4 NFE
AF:
0.0000445
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000843
Hom.:
0
ExAC
AF:
0.00000904
AC:
1

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 GeneticsDec 31, 2023The c.773G>A (p.R258H) alteration is located in exon 9 (coding exon 7) of the AKR1C2 gene. This alteration results from a G to A substitution at nucleotide position 773, causing the arginine (R) at amino acid position 258 to be replaced by a histidine (H). 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
0.29
BayesDel_addAF
Uncertain
0.017
T
BayesDel_noAF
Benign
-0.19
Cadd
Pathogenic
26
Dann
Pathogenic
1.0
DEOGEN2
Benign
0.16
T;.
Eigen
Uncertain
0.57
Eigen_PC
Uncertain
0.38
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.94
D;D
M_CAP
Benign
0.0094
T
MetaRNN
Pathogenic
0.85
D;D
MetaSVM
Benign
-0.43
T
MutationAssessor
Pathogenic
3.5
H;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.58
T
PROVEAN
Pathogenic
-4.7
D;D
REVEL
Uncertain
0.32
Sift
Uncertain
0.026
D;D
Sift4G
Uncertain
0.011
D;D
Polyphen
0.99
D;D
Vest4
0.54
MutPred
0.88
Loss of MoRF binding (P = 0.0137);.;
MVP
0.50
MPC
3.5
ClinPred
0.99
D
GERP RS
3.0
Varity_R
0.74
gMVP
0.62

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: rs782503043; hg19: chr10-5037584; API