19-1221243-C-A

Variant summary

Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PM1PM2PP3_Strong

The NM_000455.5(STK11):​c.765C>A​(p.Phe255Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. F255V) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)

Consequence

STK11
NM_000455.5 missense

Scores

8
6
5

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.115
Variant links:
Genes affected
STK11 (HGNC:11389): (serine/threonine kinase 11) The protein encoded by this gene is a serine/threonine kinase that regulates cell polarity and energy metabolism and functions as a tumor suppressor. Mutations in this gene have been associated with the autosomal dominant Peutz-Jeghers syndrome, as well as with skin, pancreatic, and testicular cancers. [provided by RefSeq, May 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 8 ACMG points.

PM1
In a domain Protein kinase (size 260) in uniprot entity STK11_HUMAN there are 89 pathogenic changes around while only 17 benign (84%) in NM_000455.5
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.987

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
STK11NM_000455.5 linkuse as main transcriptc.765C>A p.Phe255Leu missense_variant 6/10 ENST00000326873.12
STK11NM_001407255.1 linkuse as main transcriptc.765C>A p.Phe255Leu missense_variant 6/9
STK11NR_176325.1 linkuse as main transcriptn.2032C>A non_coding_transcript_exon_variant 7/11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
STK11ENST00000326873.12 linkuse as main transcriptc.765C>A p.Phe255Leu missense_variant 6/101 NM_000455.5 P1Q15831-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
33

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.32
D
BayesDel_noAF
Pathogenic
0.23
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.36
T;D
Eigen
Benign
0.014
Eigen_PC
Benign
-0.19
FATHMM_MKL
Benign
0.63
D
LIST_S2
Uncertain
0.91
D;D
M_CAP
Pathogenic
0.58
D
MetaRNN
Pathogenic
0.99
D;D
MetaSVM
Uncertain
0.46
D
MutationAssessor
Uncertain
2.6
.;M
MutationTaster
Benign
1.0
D
PrimateAI
Pathogenic
0.91
D
PROVEAN
Pathogenic
-5.4
.;D
REVEL
Pathogenic
0.77
Sift
Uncertain
0.0020
.;D
Sift4G
Uncertain
0.049
D;D
Polyphen
1.0
.;D
Vest4
0.95
MutPred
0.90
Gain of catalytic residue at F255 (P = 0.0184);Gain of catalytic residue at F255 (P = 0.0184);
MVP
0.93
MPC
1.6
ClinPred
1.0
D
GERP RS
-2.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.95
gMVP
0.96

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.17
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr19-1221242; COSMIC: COSV58829443; COSMIC: COSV58829443; API