12-52286436-C-T

Variant summary

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

The NM_002281.4(KRT81):​c.1337G>A​(p.Arg446Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000534 in 1,552,896 control chromosomes in the GnomAD database, including 2 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 0.00018 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000039 ( 2 hom. )

Consequence

KRT81
NM_002281.4 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.03
Variant links:
Genes affected
KRT81 (HGNC:6458): (keratin 81) The protein encoded by this gene is a member of the keratin gene family. As a type II hair keratin, it is a basic protein which heterodimerizes with type I keratins to form hair and nails. The type II hair keratins are clustered in a region of chromosome 12q13 and are grouped into two distinct subfamilies based on structure similarity. One subfamily, consisting of KRTHB1, KRTHB3, and KRTHB6, is highly related. The other less-related subfamily includes KRTHB2, KRTHB4, and KRTHB5. All hair keratins are expressed in the hair follicle; this hair keratin, as well as KRTHB3 and KRTHB6, is found primarily in the hair cortex. Mutations in this gene and KRTHB6 have been observed in patients with a rare dominant hair disease, monilethrix. Some human genome assemblies (example T2T-CHM13) have a non-coding version of the gene due to the presence of a SNP that introduces a premature stop codon after codon 281. [provided by RefSeq, Jan 2024]
KRT86 (HGNC:6463): (keratin 86) This gene encodes a type II keratin protein, which heterodimerizes with type I keratins to form hair and nails. This gene is present in a cluster of related genes and pseudogenes on chromosome 12. Mutations in this gene have been observed in patients with the hair disease monilethrix. [provided by RefSeq, Feb 2016]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.05416748).
BS2
High AC in GnomAd4 at 28 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KRT81NM_002281.4 linkuse as main transcriptc.1337G>A p.Arg446Gln missense_variant 9/9 ENST00000327741.9 NP_002272.2
KRT86NM_001320198.2 linkuse as main transcriptc.-5+10490C>T intron_variant ENST00000423955.7 NP_001307127.1
KRT81XM_047428838.1 linkuse as main transcriptc.1337G>A p.Arg446Gln missense_variant 10/10 XP_047284794.1
KRT86XM_005268866.5 linkuse as main transcriptc.129+10490C>T intron_variant XP_005268923.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KRT81ENST00000327741.9 linkuse as main transcriptc.1337G>A p.Arg446Gln missense_variant 9/91 NM_002281.4 ENSP00000369349 P1
KRT86ENST00000423955.7 linkuse as main transcriptc.-5+10490C>T intron_variant 2 NM_001320198.2 ENSP00000444533 P1
KRT86ENST00000553310.6 linkuse as main transcriptc.-4-15477C>T intron_variant 4 ENSP00000452237

Frequencies

GnomAD3 genomes
AF:
0.000184
AC:
28
AN:
152166
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000627
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:
0.000478
GnomAD3 exomes
AF:
0.000104
AC:
16
AN:
154082
Hom.:
0
AF XY:
0.0000857
AC XY:
7
AN XY:
81634
show subpopulations
Gnomad AFR exome
AF:
0.00104
Gnomad AMR exome
AF:
0.000161
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000869
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000346
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000393
AC:
55
AN:
1400612
Hom.:
2
Cov.:
33
AF XY:
0.0000376
AC XY:
26
AN XY:
691020
show subpopulations
Gnomad4 AFR exome
AF:
0.000915
Gnomad4 AMR exome
AF:
0.000167
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000278
Gnomad4 SAS exome
AF:
0.0000126
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000111
Gnomad4 OTH exome
AF:
0.000103
GnomAD4 genome
AF:
0.000184
AC:
28
AN:
152284
Hom.:
0
Cov.:
33
AF XY:
0.000201
AC XY:
15
AN XY:
74466
show subpopulations
Gnomad4 AFR
AF:
0.000626
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:
0.000473
Alfa
AF:
0.000269
Hom.:
0
Bravo
AF:
0.000280
ESP6500AA
AF:
0.000929
AC:
4
ESP6500EA
AF:
0.000119
AC:
1
ExAC
AF:
0.0000547
AC:
6

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 GeneticsAug 09, 2021The c.1337G>A (p.R446Q) alteration is located in exon 9 (coding exon 9) of the KRT81 gene. This alteration results from a G to A substitution at nucleotide position 1337, causing the arginine (R) at amino acid position 446 to be replaced by a glutamine (Q). 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
0.075
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.22
CADD
Benign
23
DANN
Uncertain
0.98
DEOGEN2
Benign
0.043
T;.
Eigen
Benign
-0.33
Eigen_PC
Benign
-0.26
FATHMM_MKL
Benign
0.35
N
LIST_S2
Uncertain
0.88
D;D
M_CAP
Uncertain
0.093
D
MetaRNN
Benign
0.054
T;T
MetaSVM
Uncertain
-0.20
T
MutationAssessor
Benign
1.7
L;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Benign
0.38
T
PROVEAN
Benign
-0.28
N;.
REVEL
Benign
0.26
Sift
Benign
0.33
T;.
Sift4G
Benign
0.37
T;T
Polyphen
0.065
B;.
Vest4
0.44
MVP
0.45
MPC
0.43
ClinPred
0.037
T
GERP RS
4.8
Varity_R
0.091
gMVP
0.052

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs139838048; hg19: chr12-52680220; COSMIC: COSV100576996; API