2-27099673-G-A

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_006488.3(KHK):​c.820G>A​(p.Val274Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00122 in 1,614,124 control chromosomes in the GnomAD database, including 18 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 Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0013 ( 6 hom., cov: 32)
Exomes 𝑓: 0.0012 ( 12 hom. )

Consequence

KHK
NM_006488.3 missense

Scores

18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.248
Variant links:
Genes affected
KHK (HGNC:6315): (ketohexokinase) This gene encodes ketohexokinase that catalyzes conversion of fructose to fructose-1-phosphate. The product of this gene is the first enzyme with a specialized pathway that catabolizes dietary fructose. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2008]
CGREF1 (HGNC:16962): (cell growth regulator with EF-hand domain 1) Predicted to enable calcium ion binding activity. Predicted to be involved in negative regulation of cell population proliferation. Predicted to be located in extracellular region. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0058128834).
BS2
High Homozygotes in GnomAd4 at 6 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KHKNM_006488.3 linkuse as main transcriptc.820G>A p.Val274Met missense_variant 8/8 ENST00000260598.10 NP_006479.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KHKENST00000260598.10 linkuse as main transcriptc.820G>A p.Val274Met missense_variant 8/82 NM_006488.3 ENSP00000260598 P3P50053-1

Frequencies

GnomAD3 genomes
AF:
0.00129
AC:
196
AN:
152142
Hom.:
6
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000121
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:
0.0130
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000750
Gnomad OTH
AF:
0.000957
GnomAD3 exomes
AF:
0.00153
AC:
382
AN:
249812
Hom.:
6
AF XY:
0.00149
AC XY:
201
AN XY:
135176
show subpopulations
Gnomad AFR exome
AF:
0.000185
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000980
Gnomad FIN exome
AF:
0.0135
Gnomad NFE exome
AF:
0.000651
Gnomad OTH exome
AF:
0.00180
GnomAD4 exome
AF:
0.00121
AC:
1767
AN:
1461864
Hom.:
12
Cov.:
33
AF XY:
0.00114
AC XY:
829
AN XY:
727234
show subpopulations
Gnomad4 AFR exome
AF:
0.000179
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000126
Gnomad4 SAS exome
AF:
0.0000812
Gnomad4 FIN exome
AF:
0.0128
Gnomad4 NFE exome
AF:
0.000913
Gnomad4 OTH exome
AF:
0.000811
GnomAD4 genome
AF:
0.00129
AC:
196
AN:
152260
Hom.:
6
Cov.:
32
AF XY:
0.00164
AC XY:
122
AN XY:
74428
show subpopulations
Gnomad4 AFR
AF:
0.000120
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0130
Gnomad4 NFE
AF:
0.000750
Gnomad4 OTH
AF:
0.000947
Alfa
AF:
0.000582
Hom.:
0
Bravo
AF:
0.000332
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000698
AC:
6
ExAC
AF:
0.00114
AC:
139
EpiCase
AF:
0.000382
EpiControl
AF:
0.000652

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Essential fructosuria Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 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, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
6.7
DANN
Benign
0.62
DEOGEN2
Benign
0.31
.;T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.093
N
LIST_S2
Benign
0.73
T;T
MetaRNN
Benign
0.0058
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.61
N;N
MutationTaster
Benign
1.0
N;N;D;D
PrimateAI
Benign
0.28
T
PROVEAN
Benign
1.1
N;N
REVEL
Benign
0.17
Sift
Benign
0.61
T;T
Sift4G
Benign
0.27
T;T
Polyphen
0.020
B;B
Vest4
0.079
MVP
0.33
MPC
0.19
ClinPred
0.0039
T
GERP RS
2.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.026
gMVP
0.48

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: rs138164728; hg19: chr2-27322541; COSMIC: COSV99565557; COSMIC: COSV99565557; API