17-42796301-C-T

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_032387.5(WNK4):​c.3610C>T​(p.Arg1204Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00448 in 1,612,510 control chromosomes in the GnomAD database, including 31 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0046 ( 6 hom., cov: 32)
Exomes 𝑓: 0.0045 ( 25 hom. )

Consequence

WNK4
NM_032387.5 missense

Scores

14
4

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 2.65
Variant links:
Genes affected
WNK4 (HGNC:14544): (WNK lysine deficient protein kinase 4) This gene encodes a member of the WNK family of serine-threonine protein kinases. The kinase is part of the tight junction complex in kidney cells, and regulates the balance between NaCl reabsorption and K(+) secretion. The kinase regulates the activities of several types of ion channels, cotransporters, and exchangers involved in electrolyte flux in epithelial cells. Mutations in this gene result in pseudohypoaldosteronism type IIB.[provided by RefSeq, Sep 2009]
COA3 (HGNC:24990): (cytochrome c oxidase assembly factor 3) This gene encodes a member of the cytochrome c oxidase assembly factor family. Studies of a related gene in fly suggest that the encoded protein is localized to mitochondria and is essential for cytochrome c oxidase function. [provided by RefSeq, Nov 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008295596).
BP6
Variant 17-42796301-C-T is Benign according to our data. Variant chr17-42796301-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 323355.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 703 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
WNK4NM_032387.5 linkc.3610C>T p.Arg1204Cys missense_variant Exon 17 of 19 ENST00000246914.10 NP_115763.2 Q96J92-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
WNK4ENST00000246914.10 linkc.3610C>T p.Arg1204Cys missense_variant Exon 17 of 19 1 NM_032387.5 ENSP00000246914.4 Q96J92-1
WNK4ENST00000591448.5 linkn.*2111C>T non_coding_transcript_exon_variant Exon 16 of 18 1 ENSP00000467088.1 K7ENT7
WNK4ENST00000591448.5 linkn.*2111C>T 3_prime_UTR_variant Exon 16 of 18 1 ENSP00000467088.1 K7ENT7
COA3ENST00000586680.1 linkn.*143-148G>A intron_variant Intron 2 of 2 2 ENSP00000467546.1 K7EPV0

Frequencies

GnomAD3 genomes
AF:
0.00463
AC:
705
AN:
152214
Hom.:
6
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000785
Gnomad ASJ
AF:
0.00173
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00600
Gnomad FIN
AF:
0.0289
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00467
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.00573
AC:
1388
AN:
242124
Hom.:
8
AF XY:
0.00562
AC XY:
743
AN XY:
132172
show subpopulations
Gnomad AFR exome
AF:
0.000412
Gnomad AMR exome
AF:
0.000970
Gnomad ASJ exome
AF:
0.00355
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00564
Gnomad FIN exome
AF:
0.0258
Gnomad NFE exome
AF:
0.00533
Gnomad OTH exome
AF:
0.00440
GnomAD4 exome
AF:
0.00446
AC:
6516
AN:
1460178
Hom.:
25
Cov.:
35
AF XY:
0.00449
AC XY:
3259
AN XY:
726334
show subpopulations
Gnomad4 AFR exome
AF:
0.000538
Gnomad4 AMR exome
AF:
0.000877
Gnomad4 ASJ exome
AF:
0.00280
Gnomad4 EAS exome
AF:
0.0000505
Gnomad4 SAS exome
AF:
0.00518
Gnomad4 FIN exome
AF:
0.0241
Gnomad4 NFE exome
AF:
0.00392
Gnomad4 OTH exome
AF:
0.00459
GnomAD4 genome
AF:
0.00461
AC:
703
AN:
152332
Hom.:
6
Cov.:
32
AF XY:
0.00567
AC XY:
422
AN XY:
74484
show subpopulations
Gnomad4 AFR
AF:
0.000722
Gnomad4 AMR
AF:
0.000784
Gnomad4 ASJ
AF:
0.00173
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00580
Gnomad4 FIN
AF:
0.0289
Gnomad4 NFE
AF:
0.00466
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.00313
Hom.:
4
Bravo
AF:
0.00227
TwinsUK
AF:
0.00539
AC:
20
ALSPAC
AF:
0.00285
AC:
11
ESP6500AA
AF:
0.000458
AC:
2
ESP6500EA
AF:
0.00292
AC:
25
ExAC
AF:
0.00544
AC:
660
Asia WGS
AF:
0.00318
AC:
11
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Mar 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

WNK4: BS2 -

Dec 09, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Pseudohypoaldosteronism type 2B Benign:1
Mar 06, 2018
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.38
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Uncertain
0.0
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.45
T
Eigen
Uncertain
0.54
Eigen_PC
Uncertain
0.51
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.96
D
MetaRNN
Benign
0.0083
T
MetaSVM
Uncertain
-0.24
T
MutationAssessor
Benign
1.8
L
PrimateAI
Uncertain
0.69
T
PROVEAN
Uncertain
-3.9
D
REVEL
Uncertain
0.42
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.014
D
Polyphen
1.0
D
Vest4
0.77
MVP
0.88
MPC
0.82
ClinPred
0.011
T
GERP RS
3.9
Varity_R
0.38
gMVP
0.47

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs56116165; hg19: chr17-40948319; API