16-75631490-C-T
Variant summary
Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2
The NM_005548.3(KARS1):c.1178G>A(p.Arg393Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00215 in 1,614,150 control chromosomes in the GnomAD database, including 6 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_005548.3 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Benign. Variant got -13 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
KARS1 | NM_005548.3 | c.1178G>A | p.Arg393Gln | missense_variant | Exon 9 of 14 | ENST00000302445.8 | NP_005539.1 | |
KARS1 | NM_001130089.2 | c.1262G>A | p.Arg421Gln | missense_variant | Exon 10 of 15 | NP_001123561.1 | ||
KARS1 | NM_001378148.1 | c.710G>A | p.Arg237Gln | missense_variant | Exon 9 of 14 | NP_001365077.1 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.00152 AC: 232AN: 152162Hom.: 1 Cov.: 32
GnomAD3 exomes AF: 0.00134 AC: 338AN: 251394Hom.: 1 AF XY: 0.00124 AC XY: 169AN XY: 135876
GnomAD4 exome AF: 0.00222 AC: 3239AN: 1461870Hom.: 5 Cov.: 34 AF XY: 0.00219 AC XY: 1596AN XY: 727232
GnomAD4 genome AF: 0.00156 AC: 237AN: 152280Hom.: 1 Cov.: 32 AF XY: 0.00148 AC XY: 110AN XY: 74450
ClinVar
Submissions by phenotype
not provided Uncertain:4Benign:2
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The KARS1 c.1262G>A; p.Arg421Gln variant (rs149772470) has been described in one individual with lung cancer, but without evidence of pathogenicity (Liu 2016). This variant is also reported in ClinVar (Variation ID: 439842), and is found in the general population with an overall allele frequency of 0.14% (388/282766 alleles, including one homozygote) in the Genome Aggregation Database. The arginine at codon 421 is highly conserved, and computational analyses predict that this variant is deleterious (REVEL: 0.729). However, due to the lack of clinical and functional data regarding this variant, its clinical significance cannot be determined with certainty. -
KARS1: BS1 -
Reported as a germline variant in possible association with sporadic lung cancer in one heterozygous individual; however, further research is needed to understand the association between this variant and human disease (PMID: 26762739); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 26762739) -
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not specified Benign:3
This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
p.Arg421Gln in exon 10 of KARS: This variant is not expected to have clinical si gnificance because it has been identified in 0.3% (322/12662) of European chromo somes by the Genome Aggregation Database (gnomAD, http://gnomad.broadinstitute.o rg; dbSNP rs149772470). -
Variant summary: KARS1 c.1262G>A (p.Arg421Gln) results in a conservative amino acid change located in the bira bifunctional protein domain of the encoded protein sequence. Four of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.0022 in 1614150 control chromosomes, predominantly at a frequency of 0.0027 within the Non-Finnish European subpopulation in the gnomAD database, including 4 homozygotes. The observed variant frequency within Non-Finnish European control individuals in the gnomAD database is approximately 2.41 fold of the estimated maximal expected allele frequency for a pathogenic variant in KARS1 causing Leukoencephalopathy, progressive, infantile-onset, with or without deafness phenotype (0.0011). To our knowledge, no occurrence of c.1262G>A in individuals affected with Leukoencephalopathy, progressive, infantile-onset, with or without deafness and no experimental evidence demonstrating its impact on protein function have been reported. ClinVar contains an entry for this variant (Variation ID: 439842). Based on the evidence outlined above, the variant was classified as likely benign. -
Charcot-Marie-Tooth disease recessive intermediate B Uncertain:1
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Hearing impairment Uncertain:1
PP3_Supporting, BS1_Supporting -
KARS1-related disorder Benign:1
This variant is classified as likely 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