19-1854725-C-G

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_031918.4(KLF16):c.493G>C(p.Asp165His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000346 in 1,446,052 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

• Frequency:
  • Genomes: not found (cov: 33)
  • Exomes 𝑓: 0.0000035 (0 hom.)
• Consequence: KLF16 NM_031918.4 missense
• Clinical Significance: Uncertain significance criteria provided, single submitter U:1
• Conservation: PhyloP100: 1.23

Genes affected

KLF16 (HGNC:16857): (KLF transcription factor 16) Enables sequence-specific double-stranded DNA binding activity. Predicted to be involved in regulation of transcription by RNA polymerase II. Predicted to act upstream of or within dopamine receptor signaling pathway. Predicted to be located in nucleus. Predicted to be part of chromatin. [provided by Alliance of Genome Resources, Apr 2022]

ACMG classification

Verdict is Uncertain_significance. Variant got 2 ACMG points.

• PM2: Very rare variant in population databases, with high coverage

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	UniProt
KLF16	NM_031918.4	c.493G>C	p.Asp165His	missense_variant	2/2	ENST00000250916.6
KLF16	XM_047439498.1	c.463G>C	p.Asp155His	missense_variant	2/2

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Appris	UniProt
KLF16	ENST00000250916.6	c.493G>C	p.Asp165His	missense_variant	2/2	1	NM_031918.4	P1
KLF16	ENST00000617223.1	c.493G>C	p.Asp165His	missense_variant	2/3	1		P1
KLF16	ENST00000541015.5	c.493G>C	p.Asp165His	missense_variant, NMD_transcript_variant	2/3	1
KLF16	ENST00000592313.1	c.82G>C	p.Asp28His	missense_variant	2/2	3

Frequencies

GnomAD3 genomes Cov.: 33

GnomAD4 exome AF: 0.00000346 AC: 5 AN: 1446052 Hom.: 0 Cov.: 34 AF XY: 0.00 AC XY: 0 AN XY: 719850

Gnomad4 AFR exome AF: 0.00

Gnomad4 AMR exome AF: 0.00

Gnomad4 ASJ exome AF: 0.00

Gnomad4 EAS exome AF: 0.0000252

Gnomad4 SAS exome AF: 0.0000116

Gnomad4 FIN exome AF: 0.00

Gnomad4 NFE exome AF: 0.00000270

Gnomad4 OTH exome AF: 0.00

GnomAD4 genome Cov.: 33

ClinVar

Significance: Uncertain significance

Submissions summary: Uncertain:1

Revision: criteria provided, single submitter

Submissions by phenotype

not specified Uncertain:1

Uncertain significance, criteria provided, single submitter

clinical testing

Ambry Genetics

Apr 20, 2023

The c.493G>C (p.D165H) alteration is located in exon 2 (coding exon 2) of the KLF16 gene. This alteration results from a G to C substitution at nucleotide position 493, causing the aspartic acid (D) at amino acid position 165 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Pathogenic	0.63
BayesDel_addAF	Uncertain	0.081	D
BayesDel_noAF	Benign	-0.12
Cadd	Pathogenic	26
Dann	Uncertain	0.99
DEOGEN2	Benign	0.085	T;T;.
Eigen	Benign	0.031
Eigen_PC	Benign	-0.14
FATHMM_MKL	Benign	0.41	N
M_CAP	Pathogenic	0.68	D
MetaRNN	Uncertain	0.53	D;D;D
MetaSVM	Uncertain	0.57	D
MutationAssessor	Benign	1.7	L;L;.
MutationTaster	Benign	0.62	N
PrimateAI	Pathogenic	0.81	D
PROVEAN	Pathogenic	-4.6	D;.;.
REVEL	Uncertain	0.43
Sift	Benign	0.12	T;.;.
Sift4G	Uncertain	0.028	D;D;D
Polyphen		1.0	D;D;.
Vest4		0.14
MutPred		0.64		Gain of MoRF binding (P = 0.0411);Gain of MoRF binding (P = 0.0411);.;
MVP		0.99
MPC		2.7
ClinPred		0.99	D
GERP RS		2.2
Varity_R		0.15
gMVP		0.50

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr19-1854724;