19-1221243-C-G

Variant summary

Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_000455.5(STK11):​c.765C>G​(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
4

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.115

Publications

0 publications found
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]
STK11 Gene-Disease associations (from GenCC):
  • familial pancreatic carcinoma
    Inheritance: AD Classification: DEFINITIVE Submitted by: G2P
  • Peutz-Jeghers syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, Orphanet, Genomics England PanelApp, G2P
  • familial ovarian cancer
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

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ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.987

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000455.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
STK11
NM_000455.5
MANE Select
c.765C>Gp.Phe255Leu
missense
Exon 6 of 10NP_000446.1
STK11
NM_001407255.1
c.765C>Gp.Phe255Leu
missense
Exon 6 of 9NP_001394184.1
STK11
NR_176325.1
n.2032C>G
non_coding_transcript_exon
Exon 7 of 11

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
STK11
ENST00000326873.12
TSL:1 MANE Select
c.765C>Gp.Phe255Leu
missense
Exon 6 of 10ENSP00000324856.6
STK11
ENST00000652231.1
c.765C>Gp.Phe255Leu
missense
Exon 6 of 9ENSP00000498804.1
STK11
ENST00000585748.3
TSL:3
c.393C>Gp.Phe131Leu
missense
Exon 8 of 12ENSP00000477641.2

Frequencies

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

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.32
D
BayesDel_noAF
Pathogenic
0.23
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.36
T
Eigen
Benign
0.014
Eigen_PC
Benign
-0.19
FATHMM_MKL
Benign
0.64
D
LIST_S2
Uncertain
0.91
D
M_CAP
Pathogenic
0.57
D
MetaRNN
Pathogenic
0.99
D
MetaSVM
Uncertain
0.46
D
MutationAssessor
Uncertain
2.6
M
PhyloP100
-0.12
PrimateAI
Pathogenic
0.91
D
PROVEAN
Pathogenic
-5.4
D
REVEL
Pathogenic
0.77
Sift
Uncertain
0.0020
D
Sift4G
Uncertain
0.049
D
Polyphen
1.0
D
Vest4
0.95
MutPred
0.90
Gain of catalytic residue at F255 (P = 0.0184)
MVP
0.93
MPC
1.6
ClinPred
1.0
D
GERP RS
-2.0
Varity_R
0.95
gMVP
0.96
Mutation Taster
=13/87
disease causing

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

Other links and lift over

dbSNP: rs769912677; hg19: chr19-1221242; COSMIC: COSV106097820; COSMIC: COSV106097820; API