2-218339877-A-G

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_015488.5(PNKD):ā€‹c.331A>Gā€‹(p.Thr111Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000172 in 1,548,744 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. T111T) has been classified as Likely benign.

Frequency

Genomes: š‘“ 0.00012 ( 0 hom., cov: 31)
Exomes š‘“: 0.00018 ( 2 hom. )

Consequence

PNKD
NM_015488.5 missense

Scores

18

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: 0.764
Variant links:
Genes affected
PNKD (HGNC:9153): (PNKD metallo-beta-lactamase domain containing) This gene is thought to play a role in the regulation of myofibrillogenesis. Mutations in this gene have been associated with the movement disorder paroxysmal non-kinesigenic dyskinesia. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Mar 2010]
CATIP-AS2 (HGNC:41079): (CATIP antisense RNA 2)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.00935021).
BP6
Variant 2-218339877-A-G is Benign according to our data. Variant chr2-218339877-A-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 334313.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=1, Benign=1}.
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PNKDNM_015488.5 linkuse as main transcriptc.331A>G p.Thr111Ala missense_variant 3/10 ENST00000273077.9
CATIP-AS2NR_125777.1 linkuse as main transcriptn.120+11283T>C intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PNKDENST00000273077.9 linkuse as main transcriptc.331A>G p.Thr111Ala missense_variant 3/101 NM_015488.5 Q8N490-1
CATIP-AS2ENST00000411433.1 linkuse as main transcriptn.120+11283T>C intron_variant, non_coding_transcript_variant 3

Frequencies

GnomAD3 genomes
AF:
0.000120
AC:
18
AN:
149812
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00256
Gnomad SAS
AF:
0.000213
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000447
Gnomad OTH
AF:
0.000488
GnomAD3 exomes
AF:
0.000266
AC:
44
AN:
165384
Hom.:
0
AF XY:
0.000282
AC XY:
25
AN XY:
88512
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000375
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00263
Gnomad SAS exome
AF:
0.000226
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000439
Gnomad OTH exome
AF:
0.000219
GnomAD4 exome
AF:
0.000178
AC:
249
AN:
1398830
Hom.:
2
Cov.:
31
AF XY:
0.000183
AC XY:
126
AN XY:
690360
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000267
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00544
Gnomad4 SAS exome
AF:
0.000129
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000259
Gnomad4 OTH exome
AF:
0.000155
GnomAD4 genome
AF:
0.000120
AC:
18
AN:
149914
Hom.:
0
Cov.:
31
AF XY:
0.000178
AC XY:
13
AN XY:
73054
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00257
Gnomad4 SAS
AF:
0.000213
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000447
Gnomad4 OTH
AF:
0.000483
Alfa
AF:
0.0000865
Hom.:
0
Bravo
AF:
0.000110
ExAC
AF:
0.000215
AC:
26

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Paroxysmal nonkinesigenic dyskinesia 1 Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityNov 13, 2019- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenDec 01, 2022PNKD: BS1 -
Paroxysmal nonkinesigenic dyskinesia Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 18, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.067
BayesDel_addAF
Benign
-0.050
T
BayesDel_noAF
Benign
-0.31
CADD
Benign
15
DANN
Benign
0.73
DEOGEN2
Benign
0.12
T;.;.
Eigen
Benign
-0.83
Eigen_PC
Benign
-0.64
FATHMM_MKL
Benign
0.40
N
LIST_S2
Benign
0.64
T;T;T
MetaRNN
Benign
0.0094
T;T;T
MetaSVM
Benign
-0.34
T
MutationAssessor
Benign
0.0
N;.;.
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Benign
0.41
T
PROVEAN
Benign
-0.27
N;N;N
REVEL
Benign
0.27
Sift
Benign
0.33
T;T;T
Sift4G
Benign
0.54
T;T;T
Polyphen
0.0020
B;B;.
Vest4
0.22
MVP
0.30
MPC
0.14
ClinPred
0.015
T
GERP RS
-0.12
Varity_R
0.035
gMVP
0.46

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: rs202190131; hg19: chr2-219204600; API