10-4995392-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 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
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.73

Publications

0 publications found
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]
AKR1C2 Gene-Disease associations (from GenCC):
  • 46,XY disorder of sex development due to testicular 17,20-desmolase deficiency
    Inheritance: AR Classification: SUPPORTIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

PP3
MetaRNN computational evidence supports a deleterious effect, 0.849

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001393392.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AKR1C2
NM_001393392.1
MANE Select
c.773G>Ap.Arg258His
missense
Exon 7 of 9NP_001380321.1P52895-1
AKR1C2
NM_001354.6
c.773G>Ap.Arg258His
missense
Exon 9 of 11NP_001345.1P52895-1
AKR1C2
NM_205845.3
c.773G>Ap.Arg258His
missense
Exon 8 of 10NP_995317.1P52895-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AKR1C2
ENST00000380753.9
TSL:1 MANE Select
c.773G>Ap.Arg258His
missense
Exon 7 of 9ENSP00000370129.4P52895-1
AKR1C2
ENST00000421196.7
TSL:1
c.695G>Ap.Arg232His
missense
Exon 6 of 8ENSP00000392694.2B4DK69
AKR1C2
ENST00000867375.1
c.896G>Ap.Arg299His
missense
Exon 8 of 10ENSP00000537434.1

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
GnomAD2 exomes
AF:
0.0000152
AC:
2
AN:
131312
AF XY:
0.0000291
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 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
African (AFR)
AF:
0.00
AC:
0
AN:
33230
American (AMR)
AF:
0.0000694
AC:
3
AN:
43216
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25810
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39318
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85086
European-Finnish (FIN)
AF:
0.0000377
AC:
2
AN:
53036
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4088
European-Non Finnish (NFE)
AF:
0.0000145
AC:
16
AN:
1105058
Other (OTH)
AF:
0.0000838
AC:
5
AN:
59696
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.435
Heterozygous variant carriers
0
1
2
4
5
6
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
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
African (AFR)
AF:
0.00
AC:
0
AN:
40506
American (AMR)
AF:
0.000135
AC:
2
AN:
14788
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3430
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4926
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4412
European-Finnish (FIN)
AF:
0.000193
AC:
2
AN:
10370
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.0000445
AC:
3
AN:
67418
Other (OTH)
AF:
0.00
AC:
0
AN:
2016
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.0000843
Hom.:
0
ExAC
AF:
0.00000904
AC:
1

ClinVar

ClinVar submissions as Germline
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

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
M_CAP
Benign
0.0094
T
MetaRNN
Pathogenic
0.85
D
MetaSVM
Benign
-0.43
T
MutationAssessor
Pathogenic
3.5
H
PhyloP100
4.7
PrimateAI
Uncertain
0.58
T
PROVEAN
Pathogenic
-4.7
D
REVEL
Uncertain
0.32
Sift
Uncertain
0.026
D
Sift4G
Uncertain
0.011
D
Polyphen
0.99
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
Mutation Taster
=65/35
polymorphism

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

Other links and lift over

dbSNP: rs782503043; hg19: chr10-5037584; API