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GeneBe

19-39173643-C-T

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_005884.5(PAK4):c.731C>T(p.Ser244Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000916 in 1,419,436 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000092 ( 0 hom. )

Consequence

PAK4
NM_005884.5 missense

Scores

1
3
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.885
Variant links:
Genes affected
PAK4 (HGNC:16059): (p21 (RAC1) activated kinase 4) PAK proteins, a family of serine/threonine p21-activating kinases, include PAK1, PAK2, PAK3 and PAK4. PAK proteins are critical effectors that link Rho GTPases to cytoskeleton reorganization and nuclear signaling. They serve as targets for the small GTP binding proteins Cdc42 and Rac and have been implicated in a wide range of biological activities. PAK4 interacts specifically with the GTP-bound form of Cdc42Hs and weakly activates the JNK family of MAP kinases. PAK4 is a mediator of filopodia formation and may play a role in the reorganization of the actin cytoskeleton. Multiple alternatively spliced transcript variants encoding distinct isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.20165852).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PAK4NM_005884.5 linkuse as main transcriptc.731C>T p.Ser244Phe missense_variant 5/10 ENST00000360442.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PAK4ENST00000360442.8 linkuse as main transcriptc.731C>T p.Ser244Phe missense_variant 5/105 NM_005884.5 P1O96013-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000144
AC:
3
AN:
208292
Hom.:
0
AF XY:
0.0000175
AC XY:
2
AN XY:
114166
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000125
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000916
AC:
13
AN:
1419436
Hom.:
0
Cov.:
34
AF XY:
0.0000157
AC XY:
11
AN XY:
701428
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000163
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
ExAC
AF:
0.0000250
AC:
3

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsFeb 10, 2022The c.731C>T (p.S244F) alteration is located in exon 6 (coding exon 3) of the PAK4 gene. This alteration results from a C to T substitution at nucleotide position 731, causing the serine (S) at amino acid position 244 to be replaced by a phenylalanine (F). 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
Benign
0.11
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.32
Cadd
Benign
19
Dann
Uncertain
0.98
Eigen
Benign
-0.49
Eigen_PC
Benign
-0.59
FATHMM_MKL
Benign
0.074
N
LIST_S2
Benign
0.73
T;.;T;.;.;T;T;T
M_CAP
Pathogenic
0.56
D
MetaRNN
Benign
0.20
T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.51
T
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.70
T
Sift4G
Uncertain
0.0090
D;D;D;D;D;D;D;D
Polyphen
0.16, 1.0, 0.28
.;B;D;B;B;B;.;B
Vest4
0.38, 0.39, 0.34, 0.36, 0.39, 0.33
MutPred
0.30
.;.;.;Loss of phosphorylation at S244 (P = 0.0137);Loss of phosphorylation at S244 (P = 0.0137);.;.;Loss of phosphorylation at S244 (P = 0.0137);
MVP
0.78
MPC
0.26
ClinPred
0.26
T
GERP RS
1.6
Varity_R
0.17
gMVP
0.23

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs771728038; hg19: chr19-39664283; COSMIC: COSV105225033; COSMIC: COSV105225033; API