12-52286461-C-T

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_002281.4(KRT81):​c.1312G>A​(p.Gly438Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000198 in 1,552,592 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00021 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00020 ( 1 hom. )

Consequence

KRT81
NM_002281.4 missense

Scores

4
10
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1B:1

Conservation

PhyloP100: 1.98
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 Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.07796782).
BS2
High AC in GnomAd4 at 32 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KRT81NM_002281.4 linkuse as main transcriptc.1312G>A p.Gly438Arg missense_variant 9/9 ENST00000327741.9 NP_002272.2
KRT86NM_001320198.2 linkuse as main transcriptc.-5+10515C>T intron_variant ENST00000423955.7 NP_001307127.1
KRT81XM_047428838.1 linkuse as main transcriptc.1312G>A p.Gly438Arg missense_variant 10/10 XP_047284794.1
KRT86XM_005268866.5 linkuse as main transcriptc.129+10515C>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.1312G>A p.Gly438Arg missense_variant 9/91 NM_002281.4 ENSP00000369349 P1
KRT86ENST00000423955.7 linkuse as main transcriptc.-5+10515C>T intron_variant 2 NM_001320198.2 ENSP00000444533 P1
KRT86ENST00000553310.6 linkuse as main transcriptc.-4-15452C>T intron_variant 4 ENSP00000452237

Frequencies

GnomAD3 genomes
AF:
0.000210
AC:
32
AN:
152180
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00519
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000621
Gnomad FIN
AF:
0.0000941
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000882
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000371
AC:
57
AN:
153596
Hom.:
0
AF XY:
0.000343
AC XY:
28
AN XY:
81662
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000160
Gnomad ASJ exome
AF:
0.00379
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000611
Gnomad FIN exome
AF:
0.0000646
Gnomad NFE exome
AF:
0.0000698
Gnomad OTH exome
AF:
0.000455
GnomAD4 exome
AF:
0.000197
AC:
276
AN:
1400294
Hom.:
1
Cov.:
33
AF XY:
0.000203
AC XY:
140
AN XY:
690850
show subpopulations
Gnomad4 AFR exome
AF:
0.0000316
Gnomad4 AMR exome
AF:
0.000111
Gnomad4 ASJ exome
AF:
0.00488
Gnomad4 EAS exome
AF:
0.0000279
Gnomad4 SAS exome
AF:
0.000555
Gnomad4 FIN exome
AF:
0.0000612
Gnomad4 NFE exome
AF:
0.0000639
Gnomad4 OTH exome
AF:
0.000517
GnomAD4 genome
AF:
0.000210
AC:
32
AN:
152298
Hom.:
0
Cov.:
33
AF XY:
0.000148
AC XY:
11
AN XY:
74476
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00519
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000621
Gnomad4 FIN
AF:
0.0000941
Gnomad4 NFE
AF:
0.0000882
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000491
Hom.:
0
Bravo
AF:
0.000196
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000238
AC:
2
ExAC
AF:
0.000203
AC:
22
Asia WGS
AF:
0.00115
AC:
4
AN:
3478

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 01, 2021The c.1312G>A (p.G438R) 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 1312, causing the glycine (G) at amino acid position 438 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
KRT81-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesAug 16, 2019This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.35
BayesDel_addAF
Benign
-0.0015
T
BayesDel_noAF
Uncertain
0.12
CADD
Pathogenic
26
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.32
T;.
Eigen
Uncertain
0.52
Eigen_PC
Uncertain
0.43
FATHMM_MKL
Benign
0.66
D
LIST_S2
Uncertain
0.90
D;D
M_CAP
Pathogenic
0.35
D
MetaRNN
Benign
0.078
T;T
MetaSVM
Uncertain
0.55
D
MutationAssessor
Uncertain
2.5
M;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.68
T
PROVEAN
Pathogenic
-4.9
D;.
REVEL
Pathogenic
0.69
Sift
Uncertain
0.0010
D;.
Sift4G
Uncertain
0.0090
D;D
Polyphen
1.0
D;.
Vest4
0.63
MutPred
0.41
Gain of catalytic residue at V436 (P = 0);Gain of catalytic residue at V436 (P = 0);
MVP
0.78
MPC
1.2
ClinPred
0.20
T
GERP RS
4.8
Varity_R
0.30
gMVP
0.16

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs374136296; hg19: chr12-52680245; COSMIC: COSV104405198; API