19-46756814-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM2PM5PP5

The NM_024301.5(FKRP):​c.1364C>T​(p.Ala455Val) variant causes a missense change. The variant allele was found at a frequency of 0.000000691 in 1,447,190 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A455D) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.9e-7 ( 0 hom. )

Consequence

FKRP
NM_024301.5 missense

Scores

3
8
8

Clinical Significance

Likely pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 4.85
Variant links:
Genes affected
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 5 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr19-46756814-C-A is described in Lovd as [Pathogenic].
PP5
Variant 19-46756814-C-T is Pathogenic according to our data. Variant chr19-46756814-C-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 800947.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
FKRPNM_024301.5 linkuse as main transcriptc.1364C>T p.Ala455Val missense_variant 4/4 ENST00000318584.10 NP_077277.1 Q9H9S5A0A024R0R7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
FKRPENST00000318584.10 linkuse as main transcriptc.1364C>T p.Ala455Val missense_variant 4/41 NM_024301.5 ENSP00000326570.4 Q9H9S5
FKRPENST00000391909.7 linkuse as main transcriptc.1364C>T p.Ala455Val missense_variant 4/42 ENSP00000375776.2 Q9H9S5
FKRPENST00000597339.5 linkuse as main transcriptn.247-5019C>T intron_variant 5
FKRPENST00000600646.5 linkuse as main transcriptn.247+8149C>T intron_variant 3

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000453
AC:
1
AN:
220644
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
120210
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:
0.0000355
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.91e-7
AC:
1
AN:
1447190
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
718928
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:
0.0000118
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
ExAC
AF:
0.0000165
AC:
2

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Autosomal recessive limb-girdle muscular dystrophy type 2I Pathogenic:1
Likely pathogenic, no assertion criteria providedclinical testingBiochemical Molecular Genetic Laboratory, King Abdulaziz Medical CitySep 26, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.27
BayesDel_addAF
Pathogenic
0.17
D
BayesDel_noAF
Uncertain
0.010
CADD
Uncertain
23
DANN
Uncertain
0.99
DEOGEN2
Benign
0.27
T;T
Eigen
Uncertain
0.35
Eigen_PC
Uncertain
0.42
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Benign
0.83
.;T
M_CAP
Pathogenic
0.40
D
MetaRNN
Uncertain
0.59
D;D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Benign
1.2
L;L
PrimateAI
Uncertain
0.61
T
PROVEAN
Benign
-0.64
N;N
REVEL
Uncertain
0.56
Sift
Benign
0.30
T;T
Sift4G
Benign
0.89
T;T
Polyphen
0.96
P;P
Vest4
0.30
MutPred
0.67
Gain of sheet (P = 0.0149);Gain of sheet (P = 0.0149);
MVP
0.99
MPC
1.1
ClinPred
0.82
D
GERP RS
5.4
Varity_R
0.33
gMVP
0.72

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: rs28937903; hg19: chr19-47260071; API