19-11166571-G-A

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001136191.3(KANK2):​c.2543C>T​(p.Ser848Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00112 in 1,614,168 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00082 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0012 ( 4 hom. )

Consequence

KANK2
NM_001136191.3 missense

Scores

4
12

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 3.51
Variant links:
Genes affected
KANK2 (HGNC:29300): (KN motif and ankyrin repeat domains 2) This gene encodes a member of the KN motif and ankyrin repeat domains (KANK) family of proteins, which play a role in cytoskeletal formation by regulating actin polymerization. The encoded protein functions in the sequestration of steroid receptor coactivators and possibly other proteins. Mutations in this gene are associated with impaired kidney podocyte function and nephrotic syndrome, and keratoderma and woolly hair. [provided by RefSeq, Jul 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.030271828).
BS2
High Homozygotes in GnomAdExome4 at 4 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KANK2NM_001136191.3 linkuse as main transcriptc.2543C>T p.Ser848Leu missense_variant 13/13 ENST00000586659.6 NP_001129663.1 Q63ZY3-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KANK2ENST00000586659.6 linkuse as main transcriptc.2543C>T p.Ser848Leu missense_variant 13/131 NM_001136191.3 ENSP00000465650.1 Q63ZY3-1
KANK2ENST00000589359.5 linkuse as main transcriptc.2567C>T p.Ser856Leu missense_variant 13/135 ENSP00000468002.1 Q63ZY3-2
KANK2ENST00000588787.5 linkuse as main transcriptc.650C>T p.Ser217Leu missense_variant 5/55 ENSP00000464896.1 K7EIU4
KANK2ENST00000587317.1 linkuse as main transcriptn.410C>T non_coding_transcript_exon_variant 4/42

Frequencies

GnomAD3 genomes
AF:
0.000821
AC:
125
AN:
152242
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000193
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00223
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:
0.00119
Gnomad OTH
AF:
0.000957
GnomAD3 exomes
AF:
0.000665
AC:
166
AN:
249600
Hom.:
1
AF XY:
0.000703
AC XY:
95
AN XY:
135080
show subpopulations
Gnomad AFR exome
AF:
0.000492
Gnomad AMR exome
AF:
0.000463
Gnomad ASJ exome
AF:
0.0000993
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.00118
Gnomad OTH exome
AF:
0.00114
GnomAD4 exome
AF:
0.00116
AC:
1689
AN:
1461808
Hom.:
4
Cov.:
32
AF XY:
0.00110
AC XY:
800
AN XY:
727208
show subpopulations
Gnomad4 AFR exome
AF:
0.000418
Gnomad4 AMR exome
AF:
0.000559
Gnomad4 ASJ exome
AF:
0.0000765
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.0000187
Gnomad4 NFE exome
AF:
0.00144
Gnomad4 OTH exome
AF:
0.000795
GnomAD4 genome
AF:
0.000820
AC:
125
AN:
152360
Hom.:
0
Cov.:
32
AF XY:
0.000765
AC XY:
57
AN XY:
74512
show subpopulations
Gnomad4 AFR
AF:
0.000192
Gnomad4 AMR
AF:
0.00222
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00119
Gnomad4 OTH
AF:
0.000947
Alfa
AF:
0.00114
Hom.:
0
Bravo
AF:
0.000903
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.00140
AC:
12
ExAC
AF:
0.000634
AC:
77
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00142
EpiControl
AF:
0.00113

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 22, 2024This sequence change replaces serine, which is neutral and polar, with leucine, which is neutral and non-polar, at codon 848 of the KANK2 protein (p.Ser848Leu). This variant is present in population databases (rs146639208, gnomAD 0.1%), and has an allele count higher than expected for a pathogenic variant. This variant has not been reported in the literature in individuals affected with KANK2-related conditions. ClinVar contains an entry for this variant (Variation ID: 1394568). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be disruptive. 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 submitterclinical testingRevvity Omics, RevvityDec 22, 2020- -
not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsDec 09, 2023The c.2567C>T (p.S856L) alteration is located in exon 11 (coding exon 11) of the KANK2 gene. This alteration results from a C to T substitution at nucleotide position 2567, causing the serine (S) at amino acid position 856 to be replaced by a leucine (L). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
Wooly hair-palmoplantar keratoderma syndrome;C4540453:Nephrotic syndrome 16 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsDec 13, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.28
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.0069
T;.
Eigen
Benign
-0.017
Eigen_PC
Benign
-0.11
FATHMM_MKL
Benign
0.64
D
LIST_S2
Uncertain
0.87
D;D
M_CAP
Benign
0.026
D
MetaRNN
Benign
0.030
T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
0.97
L;.
PrimateAI
Uncertain
0.60
T
Sift4G
Uncertain
0.039
D;D
Polyphen
0.91
P;D
Vest4
0.33
MVP
0.69
ClinPred
0.059
T
GERP RS
2.1
Varity_R
0.11
gMVP
0.34

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs146639208; hg19: chr19-11277247; COSMIC: COSV62008170; COSMIC: COSV62008170; API