19-46746094-A-G
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Variant summary
Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3
The NM_024301.5(FKRP):c.-253+4A>G variant causes a splice donor region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000563 in 1,244,332 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: 𝑓 0.0000069 ( 0 hom., cov: 28)
Exomes 𝑓: 0.0000055 ( 0 hom. )
Consequence
FKRP
NM_024301.5 splice_donor_region, intron
NM_024301.5 splice_donor_region, intron
Scores
2
Splicing: ADA: 0.9830
2
Clinical Significance
Conservation
PhyloP100: 0.159
Genes affected
STRN4 (HGNC:15721): (striatin 4) Enables armadillo repeat domain binding activity and protein phosphatase 2A binding activity. Part of FAR/SIN/STRIPAK complex. [provided by Alliance of Genome Resources, Apr 2022]
FKRP (HGNC:17997): (fukutin related protein) This gene encodes a protein which is targeted to the medial Golgi apparatus and is necessary for posttranslational modification of dystroglycan. Mutations in this gene have been associated with congenital muscular dystrophy, cognitive disability, and cerebellar cysts. Several alternatively spliced transcript variants of this gene have been described, but the full-length nature of some of these variants has not been determined. [provided by RefSeq, Oct 2008]
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ACMG classification
Classification made for transcript
Verdict is Uncertain_significance. Variant got 3 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PP3
Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF. Scorers claiming Uncertain: max_spliceai. No scorers claiming Benign.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
STRN4 | NM_013403.3 | c.282+55T>C | intron_variant | ENST00000263280.11 | |||
FKRP | NM_024301.5 | c.-253+4A>G | splice_donor_region_variant, intron_variant | ENST00000318584.10 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
STRN4 | ENST00000263280.11 | c.282+55T>C | intron_variant | 1 | NM_013403.3 | P4 | |||
FKRP | ENST00000318584.10 | c.-253+4A>G | splice_donor_region_variant, intron_variant | 1 | NM_024301.5 | P1 |
Frequencies
GnomAD3 genomes AF: 0.00000686 AC: 1AN: 145682Hom.: 0 Cov.: 28
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GnomAD4 exome AF: 0.00000546 AC: 6AN: 1098650Hom.: 0 Cov.: 33 AF XY: 0.00000931 AC XY: 5AN XY: 536830
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GnomAD4 genome AF: 0.00000686 AC: 1AN: 145682Hom.: 0 Cov.: 28 AF XY: 0.0000141 AC XY: 1AN XY: 70948
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not provided Uncertain:1
Uncertain significance, criteria provided, single submitter | not provided | Breakthrough Genomics, Breakthrough Genomics | - | - - |
Muscular dystrophy-dystroglycanopathy (congenital with brain and eye anomalies), type A5 Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Baylor Genetics | Nov 22, 2019 | This variant was determined to be of uncertain significance according to ACMG Guidelines, 2015 [PMID:25741868]. - |
Computational scores
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Name
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BayesDel_noAF
Benign
CADD
Benign
DANN
Benign
Splicing
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dbscSNV1_ADA
Pathogenic
dbscSNV1_RF
Pathogenic
SpliceAI score (max)
Details are displayed if max score is > 0.2
DS_DL_spliceai
Position offset: -4
Find out detailed SpliceAI scores and Pangolin per-transcript scores at