11-47575618-G-A

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_018095.6(KBTBD4):​c.719C>T​(p.Ala240Val) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000441 in 1,612,434 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00028 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00046 ( 4 hom. )

Consequence

KBTBD4
NM_018095.6 missense

Scores

4
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.58
Variant links:
Genes affected
KBTBD4 (HGNC:23761): (kelch repeat and BTB domain containing 4)
NDUFS3 (HGNC:7710): (NADH:ubiquinone oxidoreductase core subunit S3) This gene encodes one of the iron-sulfur protein (IP) components of mitochondrial NADH:ubiquinone oxidoreductase (complex I). Mutations in this gene are associated with Leigh syndrome resulting from mitochondrial complex I deficiency.[provided by RefSeq, Apr 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.030109882).
BS2
High Homozygotes in GnomAdExome4 at 4 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KBTBD4NM_018095.6 linkuse as main transcriptc.719C>T p.Ala240Val missense_variant 3/4 ENST00000430070.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KBTBD4ENST00000430070.7 linkuse as main transcriptc.719C>T p.Ala240Val missense_variant 3/41 NM_018095.6 Q9NVX7-2

Frequencies

GnomAD3 genomes
AF:
0.000283
AC:
43
AN:
151944
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000725
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00124
Gnomad FIN
AF:
0.000190
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000441
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000306
AC:
77
AN:
251320
Hom.:
2
AF XY:
0.000368
AC XY:
50
AN XY:
135850
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.0000290
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00105
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.000343
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.000457
AC:
668
AN:
1460392
Hom.:
4
Cov.:
30
AF XY:
0.000445
AC XY:
323
AN XY:
726608
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000448
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000963
Gnomad4 FIN exome
AF:
0.0000187
Gnomad4 NFE exome
AF:
0.000499
Gnomad4 OTH exome
AF:
0.000464
GnomAD4 genome
AF:
0.000283
AC:
43
AN:
152042
Hom.:
0
Cov.:
31
AF XY:
0.000283
AC XY:
21
AN XY:
74304
show subpopulations
Gnomad4 AFR
AF:
0.0000723
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00125
Gnomad4 FIN
AF:
0.000190
Gnomad4 NFE
AF:
0.000441
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000321
Hom.:
0
Bravo
AF:
0.000280
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000362
AC:
44
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000382
EpiControl
AF:
0.000415

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 GeneticsNov 18, 2022The c.719C>T (p.A240V) alteration is located in exon 3 (coding exon 3) of the KBTBD4 gene. This alteration results from a C to T substitution at nucleotide position 719, causing the alanine (A) at amino acid position 240 to be replaced by a valine (V). 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
0.097
BayesDel_addAF
Benign
-0.36
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.13
T;T;T;.;T
Eigen
Benign
0.043
Eigen_PC
Uncertain
0.28
FATHMM_MKL
Uncertain
0.96
D
M_CAP
Benign
0.014
T
MetaRNN
Benign
0.030
T;T;T;T;T
MetaSVM
Benign
-0.87
T
MutationAssessor
Benign
0.34
N;.;N;.;.
MutationTaster
Benign
1.0
D;D;D;D;D
PrimateAI
Benign
0.43
T
PROVEAN
Benign
0.56
N;N;N;N;N
REVEL
Benign
0.14
Sift
Benign
0.24
T;T;T;T;D
Sift4G
Uncertain
0.025
D;D;D;D;D
Polyphen
0.021
B;.;B;B;.
Vest4
0.38
MVP
0.75
MPC
0.31
ClinPred
0.018
T
GERP RS
5.4
Varity_R
0.12
gMVP
0.39

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: rs189372465; hg19: chr11-47597170; API