10-5102485-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM1PM2

The NM_003739.6(AKR1C3):​c.681G>T​(p.Trp227Cys) variant causes a missense, splice region change. The variant was absent in control chromosomes in GnomAD project. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 28)
Failed GnomAD Quality Control

Consequence

AKR1C3
NM_003739.6 missense, splice_region

Scores

2
6
11
Splicing: ADA: 0.04147
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.83
Variant links:
Genes affected
AKR1C3 (HGNC:386): (aldo-keto reductase family 1 member C3) 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 reduction of prostaglandin (PG) D2, PGH2 and phenanthrenequinone (PQ), and the oxidation of 9alpha,11beta-PGF2 to PGD2. It may play an important role in the pathogenesis of allergic diseases such as asthma, and may also have a role in controlling cell growth and/or differentiation. 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 different isoforms have been found for this gene. [provided by RefSeq, Dec 2011]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM1
In a site Involved in ligand recognition and product release (size 0) in uniprot entity AK1C3_HUMAN
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
AKR1C3NM_003739.6 linkuse as main transcriptc.681G>T p.Trp227Cys missense_variant, splice_region_variant 7/9 ENST00000380554.5
AKR1C3NM_001253908.2 linkuse as main transcriptc.681G>T p.Trp227Cys missense_variant, splice_region_variant 7/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
AKR1C3ENST00000380554.5 linkuse as main transcriptc.681G>T p.Trp227Cys missense_variant, splice_region_variant 7/91 NM_003739.6 P4P42330-1
AKR1C3ENST00000439082.7 linkuse as main transcriptc.681G>T p.Trp227Cys missense_variant, splice_region_variant 7/95 A1
AKR1C3ENST00000605149.5 linkuse as main transcriptc.612G>T p.Trp204Cys missense_variant, splice_region_variant 7/92

Frequencies

GnomAD3 genomes
AF:
0.00
AC:
1
AN:
151480
Hom.:
0
Cov.:
28
FAILED QC
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
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
Cov.:
32
GnomAD4 genome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00000660
AC:
1
AN:
151480
Hom.:
0
Cov.:
28
AF XY:
0.0000135
AC XY:
1
AN XY:
73920
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00

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 GeneticsFeb 07, 2023The c.681G>T (p.W227C) alteration is located in exon 7 (coding exon 7) of the AKR1C3 gene. This alteration results from a G to T substitution at nucleotide position 681, causing the tryptophan (W) at amino acid position 227 to be replaced by a cysteine (C). 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
0.76
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Benign
-0.39
CADD
Uncertain
24
DANN
Benign
0.97
DEOGEN2
Benign
0.067
.;T;T
Eigen
Benign
-0.30
Eigen_PC
Benign
-0.41
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Uncertain
0.91
D;D;D
M_CAP
Benign
0.0081
T
MetaRNN
Uncertain
0.45
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Uncertain
2.3
.;.;M
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.51
T
PROVEAN
Pathogenic
-10
.;.;D
REVEL
Benign
0.18
Sift
Benign
0.033
.;.;D
Sift4G
Uncertain
0.013
D;D;D
Polyphen
0.40
.;.;B
Vest4
0.43
MutPred
0.59
Loss of catalytic residue at P230 (P = 0.0267);.;Loss of catalytic residue at P230 (P = 0.0267);
MVP
0.31
MPC
0.029
ClinPred
0.95
D
GERP RS
1.0
Varity_R
0.66
gMVP
0.56

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.041
dbscSNV1_RF
Benign
0.40
SpliceAI score (max)
0.010
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: rs1554786231; hg19: chr10-5144677; API