12-52515040-G-A

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PVS1_Moderate

The NM_000424.4(KRT5):​c.1675C>T​(p.Arg559*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000631 in 1,300,486 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. R559R) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000085 ( 0 hom., cov: 26)
Exomes 𝑓: 0.000061 ( 0 hom. )

Consequence

KRT5
NM_000424.4 stop_gained

Scores

2
2
2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:2B:1

Conservation

PhyloP100: 2.00

Publications

7 publications found
Variant links:
Genes affected
KRT5 (HGNC:6442): (keratin 5) The protein encoded by this gene is a member of the keratin gene family. The type II cytokeratins consist of basic or neutral proteins which are arranged in pairs of heterotypic keratin chains coexpressed during differentiation of simple and stratified epithelial tissues. This type II cytokeratin is specifically expressed in the basal layer of the epidermis with family member KRT14. Mutations in these genes have been associated with a complex of diseases termed epidermolysis bullosa simplex. The type II cytokeratins are clustered in a region of chromosome 12q12-q13. [provided by RefSeq, Jul 2008]
KRT5 Gene-Disease associations (from GenCC):
  • Dowling-Degos disease
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: G2P, Orphanet
  • epidermolysis bullosa simplex 1A, generalized severe
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Genomics England PanelApp, Orphanet
  • epidermolysis bullosa simplex 2F, with mottled pigmentation
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet, G2P
  • Dowling-Degos disease 1
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • epidermolysis bullosa simplex 1B, generalized intermediate
    Inheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp
  • epidermolysis bullosa simplex 1C, localized
    Inheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp
  • epidermolysis bullosa simplex 2B, generalized intermediate
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • epidermolysis bullosa simplex 2d, generalized, intermediate or severe, autosomal recessive
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • epidermolysis bullosa simplex 2E, with migratory circinate erythema
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. Fraction of 0.0553 CDS is truncated, and there are 0 pathogenic variants in the truncated region.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000424.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KRT5
NM_000424.4
MANE Select
c.1675C>Tp.Arg559*
stop_gained
Exon 9 of 9NP_000415.2P13647

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KRT5
ENST00000252242.9
TSL:1 MANE Select
c.1675C>Tp.Arg559*
stop_gained
Exon 9 of 9ENSP00000252242.4P13647
KRT5
ENST00000552952.1
TSL:2
n.600C>T
non_coding_transcript_exon
Exon 2 of 2
ENSG00000303382
ENST00000794060.1
n.465-1540G>A
intron
N/A

Frequencies

GnomAD3 genomes
AF:
0.0000851
AC:
10
AN:
117466
Hom.:
0
Cov.:
26
show subpopulations
Gnomad AFR
AF:
0.0000664
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000138
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000578
AC:
14
AN:
242146
AF XY:
0.0000534
show subpopulations
Gnomad AFR exome
AF:
0.0000625
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000100
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000609
AC:
72
AN:
1183020
Hom.:
0
Cov.:
42
AF XY:
0.0000562
AC XY:
33
AN XY:
586770
show subpopulations
African (AFR)
AF:
0.0000360
AC:
1
AN:
27814
American (AMR)
AF:
0.00
AC:
0
AN:
38322
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
20168
East Asian (EAS)
AF:
0.0000397
AC:
1
AN:
25174
South Asian (SAS)
AF:
0.0000414
AC:
3
AN:
72424
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40594
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4610
European-Non Finnish (NFE)
AF:
0.0000705
AC:
64
AN:
907540
Other (OTH)
AF:
0.0000647
AC:
3
AN:
46374
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
5
10
14
19
24
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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
AF:
0.0000851
AC:
10
AN:
117466
Hom.:
0
Cov.:
26
AF XY:
0.0000359
AC XY:
2
AN XY:
55786
show subpopulations
African (AFR)
AF:
0.0000664
AC:
2
AN:
30132
American (AMR)
AF:
0.00
AC:
0
AN:
10094
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3030
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4010
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3392
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6220
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
264
European-Non Finnish (NFE)
AF:
0.000138
AC:
8
AN:
57948
Other (OTH)
AF:
0.00
AC:
0
AN:
1552
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
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:
0.000150
Hom.:
0
ExAC
AF:
0.0000577
AC:
7

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
-
1
not provided (2)
1
-
-
KRT5-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.43
D
BayesDel_noAF
Pathogenic
0.46
CADD
Pathogenic
38
DANN
Uncertain
0.99
Eigen
Uncertain
0.32
Eigen_PC
Benign
0.080
FATHMM_MKL
Benign
0.12
N
PhyloP100
2.0
Vest4
0.59
GERP RS
4.6
Mutation Taster
=40/160
disease causing (ClinVar)

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: rs754242209; hg19: chr12-52908824; COSMIC: COSV52858866; COSMIC: COSV52858866; API