19-50907030-G-T

Variant summary

Our verdict is Uncertain significance. The variant received 3 ACMG points: 3P and 0B. PM2PP2

The NM_004917.5(KLK4):​c.669C>A​(p.Phe223Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 32)

Consequence

KLK4
NM_004917.5 missense

Scores

1
4
11

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.495

Publications

0 publications found
Variant links:
Genes affected
KLK4 (HGNC:6365): (kallikrein related peptidase 4) Kallikreins are a subgroup of serine proteases having diverse physiological functions. Growing evidence suggests that many kallikreins are implicated in carcinogenesis and some have potential as novel cancer and other disease biomarkers. This gene is one of the fifteen kallikrein subfamily members located in a cluster on chromosome 19. In some tissues its expression is hormonally regulated. The expression pattern of a similar mouse protein in murine developing teeth supports a role for the protein in the degradation of enamel proteins. Several transcript variants encoding different proteins have been found for this gene. [provided by RefSeq, Dec 2014]
KLK4 Gene-Disease associations (from GenCC):
  • amelogenesis imperfecta type 2A1
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • amelogenesis imperfecta type 2
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 1 curated pathogenic missense variants (we use a threshold of 10). The gene has 0 curated benign missense variants. Gene score misZ: 0.031208 (below the threshold of 3.09). Trascript score misZ: -0.079907 (below the threshold of 3.09). GenCC associations: The gene is linked to amelogenesis imperfecta type 2, amelogenesis imperfecta type 2A1.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004917.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KLK4
NM_004917.5
MANE Select
c.669C>Ap.Phe223Leu
missense
Exon 6 of 6NP_004908.4
KLK4
NM_001302961.2
c.384C>Ap.Phe128Leu
missense
Exon 5 of 5NP_001289890.1
KLK4
NR_126566.2
n.658C>A
non_coding_transcript_exon
Exon 5 of 5

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KLK4
ENST00000324041.6
TSL:1 MANE Select
c.669C>Ap.Phe223Leu
missense
Exon 6 of 6ENSP00000326159.1A0A0C4DFQ5
KLK4
ENST00000431178.2
TSL:1
c.*52C>A
3_prime_UTR
Exon 3 of 3ENSP00000399448.2Q9Y5K2-2
KLK4
ENST00000598305.5
TSL:1
n.*164C>A
non_coding_transcript_exon
Exon 5 of 5ENSP00000469963.1M0QYN5

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
32
GnomAD4 genome
Cov.:
32

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.98
BayesDel_addAF
Benign
-0.022
T
BayesDel_noAF
Benign
-0.27
CADD
Benign
0.66
DANN
Benign
0.69
Eigen
Benign
-1.3
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.023
N
LIST_S2
Benign
0.54
T
M_CAP
Benign
0.025
D
MetaRNN
Uncertain
0.50
T
MetaSVM
Benign
-0.30
T
PhyloP100
-0.49
PrimateAI
Benign
0.36
T
PROVEAN
Uncertain
-3.0
D
REVEL
Uncertain
0.31
Sift
Benign
0.057
T
Sift4G
Uncertain
0.014
D
Vest4
0.10
MutPred
0.81
Loss of methylation at K225 (P = 0.1162)
MVP
0.57
MPC
0.40
ClinPred
0.066
T
GERP RS
-7.3
gMVP
0.31
Mutation Taster
=83/17
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs35945487; hg19: chr19-51410286; API