16-2104490-C-T
Variant summary
Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2
The NM_001009944.3(PKD1):c.8161+8G>A variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00597 in 1,512,366 control chromosomes in the GnomAD database, including 66 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
Consequence
NM_001009944.3 splice_region, intron
Scores
Clinical Significance
Conservation
Publications
- autosomal dominant polycystic kidney diseaseInheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
- polycystic kidney disease 1Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Laboratory for Molecular Medicine, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
- autosomal recessive polycystic kidney diseaseInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
- Caroli diseaseInheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
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ACMG classification
Our verdict: Benign. The variant received -20 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| PKD1 | NM_001009944.3 | c.8161+8G>A | splice_region_variant, intron_variant | Intron 22 of 45 | ENST00000262304.9 | NP_001009944.3 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.00548 AC: 810AN: 147892Hom.: 8 Cov.: 20 show subpopulations
GnomAD2 exomes AF: 0.00539 AC: 815AN: 151340 AF XY: 0.00542 show subpopulations
GnomAD4 exome AF: 0.00603 AC: 8221AN: 1364362Hom.: 58 Cov.: 28 AF XY: 0.00593 AC XY: 4005AN XY: 675900 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.00547 AC: 810AN: 148004Hom.: 8 Cov.: 20 AF XY: 0.00554 AC XY: 400AN XY: 72202 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Polycystic kidney disease, adult type Benign:2
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not specified Benign:1
Variant summary: PKD1 c.8161+8G>A alters a nucleotide located at a position not widely known to affect splicing. Consensus agreement among computation tools predict no significant impact on normal splicing. However, these predictions have yet to be confirmed by functional studies. The variant allele was found at a frequency of 0.0054 in 151340 control chromosomes in the gnomAD database, including 5 homozygotes. The observed variant frequency exceeds the estimated maximal expected allele frequency for a pathogenic variant in PKD1 causing PKD1-Biallelic Autosomal Recessive Polycystic Kidney Disease phenotype. To our knowledge, no occurrence of c.8161+8G>A in individuals affected with PKD1-Biallelic Autosomal Recessive Polycystic Kidney Disease and no experimental evidence demonstrating its impact on protein function have been reported. ClinVar contains an entry for this variant (Variation ID: 257014). Based on the evidence outlined above, the variant was classified as benign. -
Autosomal dominant polycystic kidney disease Benign:1
The PKD1 c.8161+8G>A variant was identified in 3 of 550 proband chromosomes (frequency: 0.005) from individuals or families with ADPKD (Rossetti 2002, Rossetti 2012). The variant was also identified in dbSNP (ID: rs199569003) as “NA”. In 1000 Genomes Project the variant is identified in 13 of 5000 chromosomes (frequency: 0.0026); in NHLBI GO Exome Sequencing Project in 46 of 7726 European American (frequency: 0.006) and in 4 of 3742 African American alleles (frequency: 0.001). The variant was identified in the Exome Aggregation Consortium database (March 2016) in 133 (4 homozygous) of 18570 chromosomes (freq. 0.007) in the following populations: Finnish in 5 of 120 chromosomes (freq. 0.04), other in 4 of 168 chromosomes (freq. 0.02), European (Non-Finnish) in 74 of 7230 chromosomes (freq. 0.01), Latino in 6 of 660 chromosomes (freq. 0.009), African in 6 of 1220 chromosomes (freq. 0.005) and South Asian in 38 of 8060 chromosomes (freq. 0.005), but was not seen in the East Asian population, increasing the likelihood this could be a low frequency benign variant. The variant is also identified in GeneInsight COGR (classified as benign) and in ADPKD database 4x as likely neutral. The c.8161+8G>A variant is located in the 5' splice region but does not affect the invariant +1 and +2 positions. In silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer, HumanSpliceFinder) do not predict a difference in splicing. In summary, based on the above information, this variant meets our laboratory's criteria to be classified as benign. -
not provided Benign:1
PKD1: BP4, BS2 -
PKD1-related disorder Benign:1
This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at