19-51006518-A-G

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The ENST00000594211.2(KLK9):ā€‹c.406T>Cā€‹(p.Cys136Arg) variant causes a missense change. The variant allele was found at a frequency of 0.0000546 in 1,613,088 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. C136Y) has been classified as Uncertain significance.

Frequency

Genomes: š‘“ 0.000046 ( 1 hom., cov: 32)
Exomes š‘“: 0.000055 ( 2 hom. )

Consequence

KLK9
ENST00000594211.2 missense

Scores

1
5
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.90
Variant links:
Genes affected
KLK9 (HGNC:6370): (kallikrein related peptidase 9) The protein encoded by this gene is a kallikrein-related serine protease. This gene is activated by steroid hormones in a human breast cancer cell line, making it a good marker for cancer detection. The encoded protein is found primarily in the cytoplasm.[provided by RefSeq, Oct 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.4036482).
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KLK9NM_012315.2 linkuse as main transcriptc.406T>C p.Cys136Arg missense_variant 3/5 ENST00000594211.2 NP_036447.1 Q9UKQ9-1Q2XQG6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KLK9ENST00000594211.2 linkuse as main transcriptc.406T>C p.Cys136Arg missense_variant 3/51 NM_012315.2 ENSP00000469417.1 Q9UKQ9-1
ENSG00000269741ENST00000250366.6 linkuse as main transcriptn.406T>C non_coding_transcript_exon_variant 3/72 ENSP00000250366.5

Frequencies

GnomAD3 genomes
AF:
0.0000461
AC:
7
AN:
151902
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000736
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000399
AC:
10
AN:
250910
Hom.:
1
AF XY:
0.0000516
AC XY:
7
AN XY:
135676
show subpopulations
Gnomad AFR exome
AF:
0.0000617
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000793
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000554
AC:
81
AN:
1461186
Hom.:
2
Cov.:
32
AF XY:
0.0000674
AC XY:
49
AN XY:
726916
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000711
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
AF:
0.0000461
AC:
7
AN:
151902
Hom.:
1
Cov.:
32
AF XY:
0.0000270
AC XY:
2
AN XY:
74188
show subpopulations
Gnomad4 AFR
AF:
0.0000483
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000736
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000116
Hom.:
1
Bravo
AF:
0.0000529
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.0000330
AC:
4
EpiCase
AF:
0.00
EpiControl
AF:
0.000178

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 GeneticsDec 28, 2022The c.406T>C (p.C136R) alteration is located in exon 3 (coding exon 3) of the KLK9 gene. This alteration results from a T to C substitution at nucleotide position 406, causing the cysteine (C) at amino acid position 136 to be replaced by an arginine (R). 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
0.82
BayesDel_addAF
Benign
-0.088
T
BayesDel_noAF
Benign
-0.13
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.55
D
Eigen
Benign
-0.10
Eigen_PC
Benign
-0.038
FATHMM_MKL
Benign
0.74
D
M_CAP
Uncertain
0.13
D
MetaRNN
Benign
0.40
T
MetaSVM
Benign
-0.54
T
MutationAssessor
Benign
1.2
L
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.67
T
Sift4G
Uncertain
0.047
D
Polyphen
0.71
P
Vest4
0.38
MVP
0.84
ClinPred
0.13
T
GERP RS
3.1
Varity_R
0.30
gMVP
0.69

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs370862501; hg19: chr19-51509774; API