12-862125-C-T

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 1P and 20B. PP2BP4_StrongBP6_Very_StrongBA1

The NM_213655.5(WNK1):​c.1994C>T​(p.Thr665Ile) variant causes a missense change. The variant allele was found at a frequency of 0.0659 in 1,613,962 control chromosomes in the GnomAD database, including 3,853 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T665A) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.056 ( 307 hom., cov: 32)
Exomes 𝑓: 0.067 ( 3546 hom. )

Consequence

WNK1
NM_213655.5 missense

Scores

2
9
7

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: 7.03
Variant links:
Genes affected
WNK1 (HGNC:14540): (WNK lysine deficient protein kinase 1) This gene encodes a member of the WNK subfamily of serine/threonine protein kinases. The encoded protein may be a key regulator of blood pressure by controlling the transport of sodium and chloride ions. Mutations in this gene have been associated with pseudohypoaldosteronism type II and hereditary sensory neuropathy type II. Alternatively spliced transcript variants encoding different isoforms have been described but the full-length nature of all of them has yet to be determined.[provided by RefSeq, May 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), WNK1. . Gene score misZ 2.1626 (greater than the threshold 3.09). Trascript score misZ 4.7 (greater than threshold 3.09). GenCC has associacion of gene with neuropathy, hereditary sensory and autonomic, type 2A, hereditary sensory and autonomic neuropathy type 2, pseudohypoaldosteronism type 2C.
BP4
Computational evidence support a benign effect (MetaRNN=0.0026575327).
BP6
Variant 12-862125-C-T is Benign according to our data. Variant chr12-862125-C-T is described in ClinVar as [Benign]. Clinvar id is 137924.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr12-862125-C-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.078 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
WNK1NM_213655.5 linkuse as main transcriptc.1994C>T p.Thr665Ile missense_variant 8/28 ENST00000340908.9
WNK1NM_018979.4 linkuse as main transcriptc.1994C>T p.Thr665Ile missense_variant 8/28 ENST00000315939.11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
WNK1ENST00000340908.9 linkuse as main transcriptc.1994C>T p.Thr665Ile missense_variant 8/285 NM_213655.5 A2Q9H4A3-5
WNK1ENST00000315939.11 linkuse as main transcriptc.1994C>T p.Thr665Ile missense_variant 8/281 NM_018979.4 P2Q9H4A3-1

Frequencies

GnomAD3 genomes
AF:
0.0557
AC:
8471
AN:
152050
Hom.:
308
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0132
Gnomad AMI
AF:
0.0175
Gnomad AMR
AF:
0.0668
Gnomad ASJ
AF:
0.0861
Gnomad EAS
AF:
0.0845
Gnomad SAS
AF:
0.0301
Gnomad FIN
AF:
0.0811
Gnomad MID
AF:
0.111
Gnomad NFE
AF:
0.0732
Gnomad OTH
AF:
0.0636
GnomAD3 exomes
AF:
0.0661
AC:
16604
AN:
251344
Hom.:
652
AF XY:
0.0656
AC XY:
8905
AN XY:
135834
show subpopulations
Gnomad AFR exome
AF:
0.0121
Gnomad AMR exome
AF:
0.0741
Gnomad ASJ exome
AF:
0.0826
Gnomad EAS exome
AF:
0.0928
Gnomad SAS exome
AF:
0.0255
Gnomad FIN exome
AF:
0.0865
Gnomad NFE exome
AF:
0.0717
Gnomad OTH exome
AF:
0.0820
GnomAD4 exome
AF:
0.0670
AC:
97886
AN:
1461794
Hom.:
3546
Cov.:
32
AF XY:
0.0665
AC XY:
48390
AN XY:
727202
show subpopulations
Gnomad4 AFR exome
AF:
0.0110
Gnomad4 AMR exome
AF:
0.0750
Gnomad4 ASJ exome
AF:
0.0848
Gnomad4 EAS exome
AF:
0.0797
Gnomad4 SAS exome
AF:
0.0272
Gnomad4 FIN exome
AF:
0.0828
Gnomad4 NFE exome
AF:
0.0696
Gnomad4 OTH exome
AF:
0.0666
GnomAD4 genome
AF:
0.0556
AC:
8463
AN:
152168
Hom.:
307
Cov.:
32
AF XY:
0.0552
AC XY:
4107
AN XY:
74374
show subpopulations
Gnomad4 AFR
AF:
0.0132
Gnomad4 AMR
AF:
0.0668
Gnomad4 ASJ
AF:
0.0861
Gnomad4 EAS
AF:
0.0845
Gnomad4 SAS
AF:
0.0295
Gnomad4 FIN
AF:
0.0811
Gnomad4 NFE
AF:
0.0732
Gnomad4 OTH
AF:
0.0629
Alfa
AF:
0.0729
Hom.:
1051
Bravo
AF:
0.0547
TwinsUK
AF:
0.0742
AC:
275
ALSPAC
AF:
0.0708
AC:
273
ESP6500AA
AF:
0.0166
AC:
73
ESP6500EA
AF:
0.0753
AC:
648
ExAC
AF:
0.0639
AC:
7756
Asia WGS
AF:
0.0390
AC:
135
AN:
3478
EpiCase
AF:
0.0853
EpiControl
AF:
0.0812

ClinVar

Significance: Benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 24, 2014This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)May 02, 2016- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 29, 2023- -
Pseudohypoaldosteronism type 2C Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Neuropathy, hereditary sensory and autonomic, type 2A Benign:1
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsJun 12, 2017- -
Pseudohypoaldosteronism type 2C;C2752089:Neuropathy, hereditary sensory and autonomic, type 2A Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.85
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.18
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.26
T;.;D;.;.
Eigen
Uncertain
0.30
Eigen_PC
Uncertain
0.46
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Uncertain
0.97
D;D;D;D;D
MetaRNN
Benign
0.0027
T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Uncertain
2.1
.;M;M;M;M
MutationTaster
Benign
0.053
P;P;P;P;P
PrimateAI
Uncertain
0.71
T
PROVEAN
Uncertain
-3.5
D;D;D;.;D
REVEL
Benign
0.21
Sift
Uncertain
0.0010
D;D;D;.;D
Sift4G
Uncertain
0.0050
D;.;T;D;D
Polyphen
0.34
B;.;B;.;.
Vest4
0.52
MPC
0.13
ClinPred
0.030
T
GERP RS
5.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.46
gMVP
0.16

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.10
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: rs2286007; hg19: chr12-971291; COSMIC: COSV60041888; COSMIC: COSV60041888; API