15-43598193-G-A
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Variant summary
Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2
The NM_001375484.1(CKMT1B):c.877G>A(p.Val293Met) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000124 in 1,608,828 control chromosomes in the GnomAD database, with no homozygous occurrence. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.000020 ( 0 hom., cov: 29)
Exomes 𝑓: 0.000012 ( 0 hom. )
Consequence
CKMT1B
NM_001375484.1 missense, splice_region
NM_001375484.1 missense, splice_region
Scores
3
6
6
Splicing: ADA: 0.9993
2
Clinical Significance
Conservation
PhyloP100: 9.95
Genes affected
CKMT1B (HGNC:1995): (creatine kinase, mitochondrial 1B) Mitochondrial creatine (MtCK) kinase is responsible for the transfer of high energy phosphate from mitochondria to the cytosolic carrier, creatine. It belongs to the creatine kinase isoenzyme family. It exists as two isoenzymes, sarcomeric MtCK and ubiquitous MtCK, encoded by separate genes. Mitochondrial creatine kinase occurs in two different oligomeric forms: dimers and octamers, in contrast to the exclusively dimeric cytosolic creatine kinase isoenzymes. Many malignant cancers with poor prognosis have shown overexpression of ubiquitous mitochondrial creatine kinase; this may be related to high energy turnover and failure to eliminate cancer cells via apoptosis. Ubiquitous mitochondrial creatine kinase has 80% homology with the coding exons of sarcomeric mitochondrial creatine kinase. Two genes located near each other on chromosome 15 have been identified which encode identical mitochondrial creatine kinase proteins. [provided by RefSeq, Jul 2008]
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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 |
---|---|---|---|---|---|---|---|---|
CKMT1B | NM_001375484.1 | c.877G>A | p.Val293Met | missense_variant, splice_region_variant | 7/9 | ENST00000441322.6 | NP_001362413.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
CKMT1B | ENST00000441322.6 | c.877G>A | p.Val293Met | missense_variant, splice_region_variant | 7/9 | 1 | NM_001375484.1 | ENSP00000413255 | P1 | |
CKMT1B | ENST00000300283.10 | c.877G>A | p.Val293Met | missense_variant, splice_region_variant | 8/10 | 5 | ENSP00000300283 | P1 | ||
CKMT1B | ENST00000437534.3 | c.*797G>A | 3_prime_UTR_variant, NMD_transcript_variant | 7/9 | 2 | ENSP00000416717 |
Frequencies
GnomAD3 genomes AF: 0.0000201 AC: 3AN: 149594Hom.: 0 Cov.: 29
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GnomAD3 exomes AF: 0.0000160 AC: 4AN: 250348Hom.: 0 AF XY: 0.00000739 AC XY: 1AN XY: 135338
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GnomAD4 exome AF: 0.0000116 AC: 17AN: 1459234Hom.: 0 Cov.: 32 AF XY: 0.0000110 AC XY: 8AN XY: 726014
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GnomAD4 genome AF: 0.0000201 AC: 3AN: 149594Hom.: 0 Cov.: 29 AF XY: 0.0000137 AC XY: 1AN XY: 73014
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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 submitter | clinical testing | Ambry Genetics | May 28, 2024 | The c.877G>A (p.V293M) alteration is located in exon 8 (coding exon 7) of the CKMT1B gene. This alteration results from a G to A substitution at nucleotide position 877, causing the valine (V) at amino acid position 293 to be replaced by a methionine (M). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
T
BayesDel_noAF
Benign
CADD
Pathogenic
DANN
Uncertain
Eigen
Pathogenic
Eigen_PC
Pathogenic
FATHMM_MKL
Pathogenic
D
M_CAP
Benign
D
MetaRNN
Uncertain
D;D
MetaSVM
Benign
T
MutationTaster
Benign
D;D;D
PrimateAI
Uncertain
T
PROVEAN
Uncertain
D;D
REVEL
Uncertain
Sift
Uncertain
D;D
Sift4G
Benign
T;T
Vest4
MutPred
Gain of MoRF binding (P = 0.0957);Gain of MoRF binding (P = 0.0957);
MVP
MPC
ClinPred
D
GERP RS
gMVP
Splicing
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Calibrated prediction
Score
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dbscSNV1_ADA
Pathogenic
dbscSNV1_RF
Pathogenic
SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at