13-33016566-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_004795.4(KL):​c.126G>A​(p.Trp42Ter) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000166 in 1,324,676 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 Uncertain significance (★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.000017 ( 0 hom. )

Consequence

KL
NM_004795.4 stop_gained

Scores

2
3
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.86
Variant links:
Genes affected
KL (HGNC:6344): (klotho) This gene encodes a type-I membrane protein that is related to beta-glucosidases. Reduced production of this protein has been observed in patients with chronic renal failure (CRF), and this may be one of the factors underlying the degenerative processes (e.g., arteriosclerosis, osteoporosis, and skin atrophy) seen in CRF. Also, mutations within this protein have been associated with ageing and bone loss. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KLNM_004795.4 linkuse as main transcriptc.126G>A p.Trp42Ter stop_gained 1/5 ENST00000380099.4 NP_004786.2
KLXM_047430775.1 linkuse as main transcriptc.126G>A p.Trp42Ter stop_gained 1/4 XP_047286731.1
KLXM_047430776.1 linkuse as main transcriptc.126G>A p.Trp42Ter stop_gained 1/4 XP_047286732.1
KLXM_006719895.3 linkuse as main transcriptc.-103+253G>A intron_variant XP_006719958.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KLENST00000380099.4 linkuse as main transcriptc.126G>A p.Trp42Ter stop_gained 1/51 NM_004795.4 ENSP00000369442 P1Q9UEF7-1
KLENST00000487852.1 linkuse as main transcriptn.134G>A non_coding_transcript_exon_variant 1/55

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD4 exome
AF:
0.0000166
AC:
22
AN:
1324676
Hom.:
0
Cov.:
29
AF XY:
0.0000247
AC XY:
16
AN XY:
648080
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000146
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000191
Gnomad4 OTH exome
AF:
0.0000182
GnomAD4 genome
Cov.:
31

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 15, 2022This sequence change creates a premature translational stop signal (p.Trp42*) in the KL gene. It is expected to result in an absent or disrupted protein product. However, the current clinical and genetic evidence is not sufficient to establish whether loss-of-function variants in KL cause disease. This variant is not present in population databases (gnomAD no frequency). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. This variant has not been reported in the literature in individuals affected with KL-related conditions. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.51
D
BayesDel_noAF
Pathogenic
0.50
CADD
Pathogenic
38
DANN
Uncertain
0.99
Eigen
Uncertain
0.40
Eigen_PC
Benign
0.16
FATHMM_MKL
Uncertain
0.76
D
MutationTaster
Benign
1.0
A
Vest4
0.63
GERP RS
1.6

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: rs1342348200; hg19: chr13-33590704; COSMIC: COSV105325962; API