19-1226618-C-T

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 2P and 4B. PM2BS2

The NM_000455.5(STK11):​c.1273C>T​(p.Arg425Cys) variant causes a missense change. The variant allele was found at a frequency of 0.00000358 in 1,396,194 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R425H) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000036 ( 0 hom. )

Consequence

STK11
NM_000455.5 missense

Scores

3
13
2

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:7

Conservation

PhyloP100: 5.86

Publications

5 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

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BS2
High AC in GnomAdExome4 at 5 AD gene.

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.1273C>Tp.Arg425Cys
missense
Exon 9 of 10NP_000446.1
STK11
NR_176325.1
n.2540C>T
non_coding_transcript_exon
Exon 10 of 11

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
STK11
ENST00000326873.12
TSL:1 MANE Select
c.1273C>Tp.Arg425Cys
missense
Exon 9 of 10ENSP00000324856.6
STK11
ENST00000585748.3
TSL:3
c.901C>Tp.Arg301Cys
missense
Exon 11 of 12ENSP00000477641.2
STK11
ENST00000593219.6
TSL:3
n.*1098C>T
non_coding_transcript_exon
Exon 10 of 11ENSP00000466610.1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000358
AC:
5
AN:
1396194
Hom.:
0
Cov.:
31
AF XY:
0.00000581
AC XY:
4
AN XY:
688908
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31318
American (AMR)
AF:
0.00
AC:
0
AN:
35662
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24994
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35836
South Asian (SAS)
AF:
0.00
AC:
0
AN:
79370
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
46732
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4768
European-Non Finnish (NFE)
AF:
0.00000463
AC:
5
AN:
1079724
Other (OTH)
AF:
0.00
AC:
0
AN:
57790
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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
Cov.:
33
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

ClinVar submissions as Germline

Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
3
-
Hereditary cancer-predisposing syndrome (3)
-
3
-
Peutz-Jeghers syndrome (3)
-
1
-
Melanoma, cutaneous malignant, susceptibility to, 1 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.35
BayesDel_addAF
Uncertain
0.13
D
BayesDel_noAF
Uncertain
-0.050
CADD
Pathogenic
32
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.37
T
Eigen
Uncertain
0.64
Eigen_PC
Uncertain
0.60
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Uncertain
0.96
D
M_CAP
Pathogenic
0.47
D
MetaRNN
Uncertain
0.73
D
MetaSVM
Uncertain
0.021
D
MutationAssessor
Benign
2.0
M
PhyloP100
5.9
PrimateAI
Uncertain
0.73
T
PROVEAN
Uncertain
-2.6
D
REVEL
Uncertain
0.42
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.0030
D
Polyphen
1.0
D
Vest4
0.75
MutPred
0.40
Loss of phosphorylation at S422 (P = 0.124)
MVP
0.52
MPC
0.27
ClinPred
1.0
D
GERP RS
4.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.53
gMVP
0.38
Mutation Taster
=43/57
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs754853898; hg19: chr19-1226617; API