17-68523716-CT-CTT

Variant names:

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP6_Very_StrongBA1

The NM_002734.5(PRKAR1A):c.349-5dupT variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.227 in 1,608,220 control chromosomes in the GnomAD database, including 42,341 homozygotes. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.23 ( 3943 hom., cov: 26)

Exomes 𝑓: 0.23 ( 38398 hom. )

Consequence

PRKAR1A
NM_002734.5 splice_region, intron

Scores

Not classified

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 2.71

Publications

9 publications found

Variant links:

Genes affected

PRKAR1A (HGNC:9388): (protein kinase cAMP-dependent type I regulatory subunit alpha) cAMP is a signaling molecule important for a variety of cellular functions. cAMP exerts its effects by activating the cAMP-dependent protein kinase, which transduces the signal through phosphorylation of different target proteins. The inactive kinase holoenzyme is a tetramer composed of two regulatory and two catalytic subunits. cAMP causes the dissociation of the inactive holoenzyme into a dimer of regulatory subunits bound to four cAMP and two free monomeric catalytic subunits. Four different regulatory subunits and three catalytic subunits have been identified in humans. This gene encodes one of the regulatory subunits. This protein was found to be a tissue-specific extinguisher that down-regulates the expression of seven liver genes in hepatoma x fibroblast hybrids. Mutations in this gene cause Carney complex (CNC). This gene can fuse to the RET protooncogene by gene rearrangement and form the thyroid tumor-specific chimeric oncogene known as PTC2. A nonconventional nuclear localization sequence (NLS) has been found for this protein which suggests a role in DNA replication via the protein serving as a nuclear transport protein for the second subunit of the Replication Factor C (RFC40). Several alternatively spliced transcript variants encoding two different isoforms have been observed. [provided by RefSeq, Jan 2013]

PRKAR1A Gene-Disease associations (from GenCC):

Acrodysostosis 1 with or without hormone resistance
Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
acrodysostosis with multiple hormone resistance
Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, Illumina
Carney complex, type 1
Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, ClinGen, Labcorp Genetics (formerly Invitae), G2P
pigmented nodular adrenocortical disease, primary, 1
Inheritance: AD Classification: STRONG, MODERATE Submitted by: Genomics England PanelApp, Ambry Genetics
acrodysostosis
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
Carney complex
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
familial atrial myxoma
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
primary pigmented nodular adrenocortical disease
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

PRKAR1A links:

ENSG00000267009 (HGNC:):

ENSG00000267009 links:

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP6

Variant 17-68523716-C-CT is Benign according to our data. Variant chr17-68523716-C-CT is described in ClinVar as Benign. ClinVar VariationId is 41046.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

BA1

GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.249 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002734.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Gene	Transcript	Tags	HGVSc	Effect	Exon Rank	Protein
PRKAR1A	NM_002734.5	MANE Select	c.349-5dupT	splice_region intron	N/A	NP_002725.1
PRKAR1A	NM_001276289.2		c.349-5dupT	splice_region intron	N/A	NP_001263218.1
PRKAR1A	NM_001278433.2		c.349-5dupT	splice_region intron	N/A	NP_001265362.1

Ensembl Transcripts

Gene	Transcript	Tags	HGVSc	Effect	Exon Rank	Protein
PRKAR1A	ENST00000589228.6	TSL:1 MANE Select	c.349-5dupT	splice_region intron	N/A	ENSP00000464977.2
PRKAR1A	ENST00000358598.6	TSL:1	c.349-5dupT	splice_region intron	N/A	ENSP00000351410.1
PRKAR1A	ENST00000536854.6	TSL:1	c.349-5dupT	splice_region intron	N/A	ENSP00000445625.1

Frequencies

GnomAD3 genomes

AF:

0.226

AC:

34355

AN:

151976

Hom.:

3944

Cov.:

show subpopulations

Gnomad AFR

AF:

0.240

Gnomad AMI

AF:

0.117

Gnomad AMR

AF:

0.173

Gnomad ASJ

AF:

0.198

Gnomad EAS

AF:

0.171

Gnomad SAS

AF:

0.260

Gnomad FIN

AF:

0.267

Gnomad MID

AF:

0.232

Gnomad NFE

AF:

0.228

Gnomad OTH

AF:

0.214

GnomAD2 exomes

AF:

0.220

AC:

55318

AN:

250992

AF XY:

0.225

show subpopulations

Gnomad AFR exome

AF:

0.243

Gnomad AMR exome

AF:

0.157

Gnomad ASJ exome

AF:

0.203

Gnomad EAS exome

AF:

0.148

Gnomad FIN exome

AF:

0.262

Gnomad NFE exome

AF:

0.229

Gnomad OTH exome

AF:

0.210

GnomAD4 exome

AF:

0.227

AC:

330696

AN:

1456126

Hom.:

38398

Cov.:

AF XY:

0.229

AC XY:

166243

AN XY:

724672

show subpopulations

African (AFR)

AF:

0.238

AC:

7930

AN:

33352

American (AMR)

AF:

0.163

AC:

7296

AN:

44702

Ashkenazi Jewish (ASJ)

AF:

0.196

AC:

5130

AN:

26110

East Asian (EAS)

AF:

0.223

AC:

8844

AN:

39662

South Asian (SAS)

AF:

0.270

AC:

23228

AN:

86098

European-Finnish (FIN)

AF:

0.257

AC:

13681

AN:

53208

Middle Eastern (MID)

AF:

0.258

AC:

1339

AN:

5182

European-Non Finnish (NFE)

AF:

0.226

AC:

249969

AN:

1107650

Other (OTH)

AF:

0.221

AC:

13279

AN:

60162

Allele Balance Distribution

Red line indicates average allele balance

Average allele balance: 0.501

Heterozygous variant carriers

12896

25791

38687

51582

64478

0.00

0.20

0.40

0.60

0.80

0.95

Allele balance

Age Distribution

Exome Het

Exome Hom

Variant carriers

8542

17084

25626

34168

42710

<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:

0.226

AC:

34366

AN:

152094

Hom.:

3943

Cov.:

AF XY:

0.226

AC XY:

16824

AN XY:

74352

show subpopulations

African (AFR)

AF:

0.239

AC:

9926

AN:

41470

American (AMR)

AF:

0.173

AC:

2649

AN:

15286

Ashkenazi Jewish (ASJ)

AF:

0.198

AC:

688

AN:

3472

East Asian (EAS)

AF:

0.170

AC:

882

AN:

5178

South Asian (SAS)

AF:

0.261

AC:

1261

AN:

4824

European-Finnish (FIN)

AF:

0.267

AC:

2825

AN:

10572

Middle Eastern (MID)

AF:

0.229

AC:

AN:

292

European-Non Finnish (NFE)

AF:

0.228

AC:

15512

AN:

67974

Other (OTH)

AF:

0.212

AC:

449

AN:

2114

Allele Balance Distribution

Red line indicates average allele balance

Average allele balance: 0.501

Heterozygous variant carriers

1383

2766

4149

5532

6915

0.00

0.20

0.40

0.60

0.80

0.95

Allele balance

Age Distribution

Genome Het

Genome Hom

Variant carriers

380

760

1140

1520

1900

<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:

0.223

Hom.:

833

Bravo

AF:

0.218

Asia WGS

AF:

0.211

AC:

735

AN:

3478

ClinVar

ClinVar submissions as Germline

Significance:Benign

Revision:criteria provided, multiple submitters, no conflicts

View on ClinVar

Pathogenic

VUS

Benign

Condition

Carney complex, type 1 (2)

Acrodysostosis (1)

Acrodysostosis 1 with or without hormone resistance (1)

Carney complex (1)

Hereditary cancer-predisposing syndrome (1)

not provided (1)

not specified (1)

Computational scores

Source: dbNSFP v4.9

Name

Calibrated prediction

Score

Prediction

PhyloP100

2.7

Mutation Taster

=100/0

polymorphism (auto)

(source)

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

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Variant summary

Frequency

Consequence

Scores

Clinical Significance

Conservation

Publications

ACMG classification

Variant Effect in Transcripts

RefSeq Transcripts

Ensembl Transcripts

Frequencies

Age Distribution

Age Distribution

ClinVar

Computational scores

Splicing

Publications

Other links and lift over