16-2091775-T-TCCC
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Variant summary
Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP6_Very_StrongBS1BS2
The NM_001009944.3(PKD1):c.11537+5_11537+6insGGG variant causes a splice donor region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0076 in 1,609,866 control chromosomes in the GnomAD database, including 115 homozygotes. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
Genomes: 𝑓 0.0064 ( 6 hom., cov: 33)
Exomes 𝑓: 0.0077 ( 109 hom. )
Consequence
PKD1
NM_001009944.3 splice_donor_region, intron
NM_001009944.3 splice_donor_region, intron
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 1.33
Genes affected
PKD1 (HGNC:9008): (polycystin 1, transient receptor potential channel interacting) This gene encodes a member of the polycystin protein family. The encoded glycoprotein contains a large N-terminal extracellular region, multiple transmembrane domains and a cytoplasmic C-tail. It is an integral membrane protein that functions as a regulator of calcium permeable cation channels and intracellular calcium homoeostasis. It is also involved in cell-cell/matrix interactions and may modulate G-protein-coupled signal-transduction pathways. It plays a role in renal tubular development, and mutations in this gene cause autosomal dominant polycystic kidney disease type 1 (ADPKD1). ADPKD1 is characterized by the growth of fluid-filled cysts that replace normal renal tissue and result in end-stage renal failure. Splice variants encoding different isoforms have been noted for this gene. Also, six pseudogenes, closely linked in a known duplicated region on chromosome 16p, have been described. [provided by RefSeq, Oct 2008]
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ACMG classification
Classification made for transcript
Verdict is Benign. Variant got -16 ACMG points.
BP6
Variant 16-2091775-T-TCCC is Benign according to our data. Variant chr16-2091775-T-TCCC is described in ClinVar as [Likely_benign]. Clinvar id is 256903.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.00644 (979/151994) while in subpopulation SAS AF= 0.0284 (137/4820). AF 95% confidence interval is 0.0245. There are 6 homozygotes in gnomad4. There are 482 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 979 AD gene.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
PKD1 | NM_001009944.3 | c.11537+5_11537+6insGGG | splice_donor_region_variant, intron_variant | ENST00000262304.9 | NP_001009944.3 | |||
PKD1-AS1 | NR_135175.1 | n.179+162_179+164dup | intron_variant, non_coding_transcript_variant |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
PKD1 | ENST00000262304.9 | c.11537+5_11537+6insGGG | splice_donor_region_variant, intron_variant | 1 | NM_001009944.3 | ENSP00000262304 | P5 | |||
PKD1-AS1 | ENST00000563284.3 | n.70+168_70+170dup | intron_variant, non_coding_transcript_variant | 3 |
Frequencies
GnomAD3 genomes AF: 0.00643 AC: 977AN: 151876Hom.: 6 Cov.: 33
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GnomAD3 exomes AF: 0.0101 AC: 2360AN: 233058Hom.: 30 AF XY: 0.0117 AC XY: 1498AN XY: 128052
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GnomAD4 exome AF: 0.00772 AC: 11256AN: 1457872Hom.: 109 Cov.: 32 AF XY: 0.00858 AC XY: 6222AN XY: 725128
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GnomAD4 genome AF: 0.00644 AC: 979AN: 151994Hom.: 6 Cov.: 33 AF XY: 0.00649 AC XY: 482AN XY: 74316
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ClinVar
Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not provided Benign:4
Benign, criteria provided, single submitter | clinical testing | Athena Diagnostics | Oct 11, 2017 | - - |
Benign, criteria provided, single submitter | clinical testing | CeGaT Center for Human Genetics Tuebingen | Aug 01, 2024 | PKD1: BP4, BS1, BS2 - |
Benign, criteria provided, single submitter | clinical testing | GeneDx | Nov 27, 2020 | This variant is associated with the following publications: (PMID: 19686598, 31384335, 10862097) - |
Likely benign, no assertion criteria provided | clinical testing | Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC) | - | - - |
not specified Benign:2
Likely benign, criteria provided, single submitter | clinical testing | PreventionGenetics, part of Exact Sciences | - | - - |
Benign, no assertion criteria provided | clinical testing | Genome Diagnostics Laboratory, University Medical Center Utrecht | - | - - |
Polycystic kidney disease, adult type Benign:1
Benign, criteria provided, single submitter | clinical testing | Mendelics | May 28, 2019 | - - |
Polycystic kidney disease Benign:1
Benign, no assertion criteria provided | clinical testing | Department of Pathology and Laboratory Medicine, Sinai Health System | - | The PKD1 c.11537+3_11537+5dup variant was identified in 9 of 464 proband chromosomes (frequency: 0.02) from individuals or families with ADPKD, and was not identified in 500 control chromosomes from healthy individuals (Stekrova 2009, Bataille 2011, Reed 2008, Rossetti 2002, Vouk 2006,). The variant was also identified in dbSNP (ID: rs201204878) and ADPKD Mutation Database (classified as likely neutral).This variant was identified in the 1000 Genomes Project in 47 of 5000 chromosomes (frequency: 0.009), NHLBI GO Exome Sequencing Project in 72 of 8226 European American and in 13 of 4246 African American alleles. The variant was also identified in Exome Aggregation Consortium database (March 14, 2016) in 1188 (22 homozygous) of 98342 chromosomes (freq. 0.012) in the following populations: European in 606 of 54618 chromosomes (freq. 0.01), South Asian in 448 of 14506 chromosomes (freq. 0.03), Latino in 76 of 9570 chromosomes (freq. 0.008), Finnish in 32 of 4286 chromosomes (freq. 0.007), African in 10 of 7240 chromosomes (freq. 0.001), East Asian in 1 of 7496 chromosomes (freq. 0.0001) and Other in 15 of 626 chromosomes (freq. 0.02), increasing the likelihood this could be a low frequency benign variant. In addition, the variant was identified with a co-occurring pathogenic PKD1 variant in our lab (p.Ala3571_Val3572del), increasing the likelihood that the c.11537+3_11537+5dup variant does not have clinical significance. The c.11537+3_11537+5dup variant is located in the 5' splice region but does not affect the invariant +1 and +2 positions. However, positions +3 to +6 are part of the splicing consensus sequence and variants involving these positions sometimes affect splicing. In addition, 1 of 5 in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer, HumanSpliceFinder) predict a greater than 10% difference in splicing; this information is not predictive enough to assume pathogenicity. Population study by Vouk (2006) suggests the variant possibly influences splicing of intron 41, however segregation analysis was not performed due to lack of samples from the family. The case study of the family without history of PKD by Reed (2008) predicted poor match between the variant sequence and consensus splice site with evidence for anticipation, considered to be weak. One population study classified the variant as likely silent (Stekrova 2009) while two other population studies classified the variant as polymorphism (Bataille 2011, Rossetti 2002). In summary, based on the above information, this variant meets our laboratory criteria to be classified as benign. - |
Computational scores
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Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at