16-75640298-C-G
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Variant summary
Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong
The NM_005548.3(KARS1):āc.274G>Cā(p.Glu92Gln) variant causes a missense change. The variant allele was found at a frequency of 0.000471 in 1,613,634 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā ā ).
Frequency
Genomes: š 0.00043 ( 0 hom., cov: 31)
Exomes š: 0.00048 ( 1 hom. )
Consequence
KARS1
NM_005548.3 missense
NM_005548.3 missense
Scores
2
1
16
Clinical Significance
Conservation
PhyloP100: 5.82
Genes affected
KARS1 (HGNC:6215): (lysyl-tRNA synthetase 1) Aminoacyl-tRNA synthetases are a class of enzymes that charge tRNAs with their cognate amino acids. Lysyl-tRNA synthetase is a homodimer localized to the cytoplasm which belongs to the class II family of tRNA synthetases. It has been shown to be a target of autoantibodies in the human autoimmune diseases, polymyositis or dermatomyositis. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]
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ACMG classification
Classification made for transcript
Verdict is Likely_benign. Variant got -2 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.05498287).
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
KARS1 | NM_005548.3 | c.274G>C | p.Glu92Gln | missense_variant | 3/14 | ENST00000302445.8 | NP_005539.1 | |
KARS1 | NM_001130089.2 | c.358G>C | p.Glu120Gln | missense_variant | 4/15 | NP_001123561.1 | ||
KARS1 | NM_001378148.1 | c.-195G>C | 5_prime_UTR_variant | 3/14 | NP_001365077.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
KARS1 | ENST00000302445.8 | c.274G>C | p.Glu92Gln | missense_variant | 3/14 | 1 | NM_005548.3 | ENSP00000303043.3 |
Frequencies
GnomAD3 genomes AF: 0.000428 AC: 65AN: 151854Hom.: 0 Cov.: 31
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GnomAD3 exomes AF: 0.000453 AC: 114AN: 251486Hom.: 0 AF XY: 0.000471 AC XY: 64AN XY: 135916
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GnomAD4 exome AF: 0.000475 AC: 695AN: 1461664Hom.: 1 Cov.: 32 AF XY: 0.000426 AC XY: 310AN XY: 727126
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GnomAD4 genome AF: 0.000428 AC: 65AN: 151970Hom.: 0 Cov.: 31 AF XY: 0.000350 AC XY: 26AN XY: 74244
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not specified Uncertain:3
Uncertain significance, criteria provided, single submitter | clinical testing | Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine | Apr 04, 2018 | Variant classified as Uncertain Significance - Favor Benign. The p.Glu120Gln var iant in KARS has been previously reported by our laboratory in 1 individual with hearing loss. This variant has also been identified in 0.08% (95/126658) of Eur opean chromosomes by the Genome Aggregation Database (gnomAD, http://gnomad.broa dinstitute.org; dbSNP rs11557669). Although this variant has been seen in the ge neral population, its frequency is not high enough to rule out a pathogenic role . Computational prediction tools and conservation analysis do not provide strong support for or against an impact to the protein. In summary, while the clinical significance of the p.Glu120Gln variant is uncertain, its frequency suggests th at it is more likely to be benign. ACMG/AMP Criteria applied: None - |
Uncertain significance, criteria provided, single submitter | clinical testing | ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories | Mar 18, 2019 | The p.Glu120Gln variant (rs11557669) has not been reported in the medical literature, or gene specific variation databases. This variant is listed in the Genome Aggregation Database (gnomAD) with an overall population frequency of 0.04 percent (identified on 122 out of 282,770 chromosomes), and has been reported to ClinVar database (Variation ID: 228758). The glutamic acid at position 120 is moderately conserved and computational analyses of the effects of the p.Glu120Gln variant on protein structure and function is neutral (SIFT: tolerated, PolyPhen-2: benign). Given the borderline rarity in the population, the pathogenicity of this variant can not be completely ruled out. Overall, there is not enough evidence to classify the p.Glu120Gln variant with certainty. - |
Uncertain significance, criteria provided, single submitter | clinical testing | Ambry Genetics | Sep 01, 2021 | The c.358G>C (p.E120Q) alteration is located in exon 4 (coding exon 3) of the KARS gene. This alteration results from a G to C substitution at nucleotide position 358, causing the glutamic acid (E) at amino acid position 120 to be replaced by a glutamine (Q). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. - |
not provided Uncertain:3
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Sep 28, 2022 | This sequence change replaces glutamic acid, which is acidic and polar, with glutamine, which is neutral and polar, at codon 120 of the KARS protein (p.Glu120Gln). This variant is present in population databases (rs11557669, gnomAD 0.08%). This variant has not been reported in the literature in individuals affected with KARS-related conditions. ClinVar contains an entry for this variant (Variation ID: 228758). Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be tolerated. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. - |
Uncertain significance, criteria provided, single submitter | clinical testing | GeneDx | Dec 08, 2022 | Reported in a patient with language impairment in published literature (Chen et al., 2017); In silico analysis supports that this missense variant does not alter protein structure/function; This variant is associated with the following publications: (PMID: 28440294) - |
Uncertain significance, criteria provided, single submitter | clinical testing | Mayo Clinic Laboratories, Mayo Clinic | Nov 28, 2022 | BP4 - |
Charcot-Marie-Tooth disease recessive intermediate B;C3151351:Autosomal recessive nonsyndromic hearing loss 89;C5542996:Leukoencephalopathy, progressive, infantile-onset, with or without deafness;C5543087:Deafness, congenital, and adult-onset progressive leukoencephalopathy Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Fulgent Genetics, Fulgent Genetics | Jan 12, 2022 | - - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
BayesDel_addAF
Benign
T
BayesDel_noAF
Benign
CADD
Benign
DANN
Benign
DEOGEN2
Benign
.;T;.
Eigen
Benign
Eigen_PC
Benign
FATHMM_MKL
Pathogenic
D
LIST_S2
Pathogenic
D;D;D
M_CAP
Benign
D
MetaRNN
Benign
T;T;T
MetaSVM
Benign
T
MutationAssessor
Uncertain
.;M;.
PrimateAI
Benign
T
PROVEAN
Benign
N;N;N
REVEL
Benign
Sift
Benign
T;T;T
Sift4G
Benign
T;T;T
Polyphen
B;B;.
Vest4
MVP
MPC
ClinPred
T
GERP RS
RBP_binding_hub_radar
RBP_regulation_power_radar
Varity_R
gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at