16-2108622-T-C

Variant summary

Our verdict is Benign. The variant received -18 ACMG points: 2P and 20B. PM5BP4_StrongBP6_Very_StrongBS1BS2

The NM_001009944.3(PKD1):​c.6545A>G​(p.Gln2182Arg) variant causes a missense change. The variant allele was found at a frequency of 0.000877 in 1,560,074 control chromosomes in the GnomAD database, including 19 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense has been classified as Likely pathogenic.

Frequency

Genomes: 𝑓 0.0045 ( 13 hom., cov: 33)
Exomes 𝑓: 0.00048 ( 6 hom. )

Consequence

PKD1
NM_001009944.3 missense

Scores

6
12

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 3.72

Publications

4 publications found
Variant links:
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]
PKD1 Gene-Disease associations (from GenCC):
  • autosomal dominant polycystic kidney disease
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
  • polycystic kidney disease 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Laboratory for Molecular Medicine, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • autosomal recessive polycystic kidney disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Caroli disease
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -18 ACMG points.

PM5
Other missense variant is known to change same aminoacid residue: Variant chr16-2108564-TGGGCGCCCCGGCCGCTGGCAGCTGGCGGTGCGATACACCTCCCAGCGGTACTCAGTCT-CGAGC is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 2136066.
BP4
Computational evidence support a benign effect (MetaRNN=0.010542333).
BP6
Variant 16-2108622-T-C is Benign according to our data. Variant chr16-2108622-T-C is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 433974.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00455 (693/152320) while in subpopulation AFR AF = 0.016 (666/41574). AF 95% confidence interval is 0.015. There are 13 homozygotes in GnomAd4. There are 318 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 13 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PKD1NM_001009944.3 linkc.6545A>G p.Gln2182Arg missense_variant Exon 15 of 46 ENST00000262304.9 NP_001009944.3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PKD1ENST00000262304.9 linkc.6545A>G p.Gln2182Arg missense_variant Exon 15 of 46 1 NM_001009944.3 ENSP00000262304.4 P98161-1

Frequencies

GnomAD3 genomes
AF:
0.00455
AC:
693
AN:
152202
Hom.:
13
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0161
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000916
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00478
GnomAD2 exomes
AF:
0.00120
AC:
205
AN:
170732
AF XY:
0.000822
show subpopulations
Gnomad AFR exome
AF:
0.0183
Gnomad AMR exome
AF:
0.000731
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000214
GnomAD4 exome
AF:
0.000479
AC:
675
AN:
1407754
Hom.:
6
Cov.:
34
AF XY:
0.000398
AC XY:
277
AN XY:
695372
show subpopulations
African (AFR)
AF:
0.0183
AC:
595
AN:
32454
American (AMR)
AF:
0.000783
AC:
29
AN:
37028
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25248
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36902
South Asian (SAS)
AF:
0.0000124
AC:
1
AN:
80478
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
48338
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4112
European-Non Finnish (NFE)
AF:
0.00000184
AC:
2
AN:
1084942
Other (OTH)
AF:
0.000824
AC:
48
AN:
58252
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
44
88
133
177
221
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20
40
60
80
100
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00455
AC:
693
AN:
152320
Hom.:
13
Cov.:
33
AF XY:
0.00427
AC XY:
318
AN XY:
74484
show subpopulations
African (AFR)
AF:
0.0160
AC:
666
AN:
41574
American (AMR)
AF:
0.000915
AC:
14
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000441
AC:
3
AN:
68014
Other (OTH)
AF:
0.00473
AC:
10
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
32
64
96
128
160
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00134
Hom.:
2
Bravo
AF:
0.00532
ESP6500AA
AF:
0.0133
AC:
57
ESP6500EA
AF:
0.000118
AC:
1
ExAC
AF:
0.00118
AC:
135
Asia WGS
AF:
0.000578
AC:
2
AN:
3476

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
May 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PKD1: BS1, BS2 -

Apr 01, 2020
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 17574468, 22995991) -

not specified Benign:1
Feb 20, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Polycystic kidney disease, adult type Benign:1
May 28, 2019
Mendelics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Polycystic kidney disease Benign:1
-
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

The PKD1 p.Gln2182Arg variant was identified in 2 of 164 proband chromosomes (frequency: 0.012) from individuals or families with polycystic kidney disease, and was not identified in 342 control chromosomes from healthy individuals. The variant was also identified in dbSNP (ID: rs147685291) as “NA”, in Cosmic 1x as a variant of unknown origin from a lung cell carcinoma and in ADPKD database as likely neutral. The variant was also identified in the 1000 Genomes Project in 31 of 5000 chromosomes (frequency: 0.0062); the NHLBI GO Exome Sequencing Project in 1 of 8452 European American (frequency: 0.0001) and 57 of 4274 African American alleles (frequency: 0.01). Furthermore the variant was identified in the Exome Aggregation Consortium database (August 8, 2016) in 83 (2 homozygous) of 24342 chromosomes (frequency: 0.003) in the following populations: African in 80 of 2954 chromosomes (frequency: 0.027), Latino in 3 of 798 chromosomes (frequency: 0.004), but was not seen in East Asian, European (Finnish), European (Non-Finnish) and South Asian populations. In addition we cannot be certain that data from control databases is specific to PKD1 and not from one of the six PKD1 pseudogenes. The variant was not identified in Clinvitae, ClinVar, GeneInsight COGR, MutDB, PKD1-LOVD and PKD1-LOVD 3.0 databases. The p.Gln2182 residue is conserved in mammals and computational analyses (PolyPhen-2, SIFT, AlignGVGD, BLOSUM, MutationTaster) provide inconsistent predictions regarding the impact to the protein; this information is not very predictive of pathogenicity. The variant occurs outside of the splicing consensus sequence and 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, the clinical significance of this variant cannot be determined with certainty at this time. This variant is classified as a variant as Likely Benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.075
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.35
CADD
Benign
21
DANN
Benign
0.73
DEOGEN2
Benign
0.24
T;.
Eigen
Uncertain
0.26
Eigen_PC
Uncertain
0.31
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Benign
0.56
T;T
MetaRNN
Benign
0.011
T;T
MetaSVM
Benign
-0.68
T
MutationAssessor
Uncertain
2.1
M;M
PhyloP100
3.7
PrimateAI
Uncertain
0.59
T
PROVEAN
Benign
-0.85
N;N
REVEL
Benign
0.23
Sift
Benign
0.58
T;T
Sift4G
Uncertain
0.060
T;T
Polyphen
0.87
P;P
Vest4
0.58
MVP
0.87
ClinPred
0.051
T
GERP RS
4.4
Varity_R
0.16
gMVP
0.55
Mutation Taster
=52/48
polymorphism

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

Other links and lift over

dbSNP: rs147685291; hg19: chr16-2158623; COSMIC: COSV51919033; COSMIC: COSV51919033; API