20-54643458-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_018431.5(DOK5):​c.736C>T​(p.Leu246Phe) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000616 in 1,461,076 control chromosomes in the GnomAD database, with no homozygous occurrence. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000062 ( 0 hom. )

Consequence

DOK5
NM_018431.5 missense, splice_region

Scores

12
7
Splicing: ADA: 0.9963
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.32
Variant links:
Genes affected
DOK5 (HGNC:16173): (docking protein 5) The protein encoded by this gene is a member of the DOK family of membrane proteins, which are adapter proteins involved in signal transduction. The encoded protein interacts with phosphorylated receptor tyrosine kinases to mediate neurite outgrowth and activation of the MAP kinase pathway. Unlike other DOK family proteins, this protein does not interact with RASGAP. This protein is up-regulated in patients with systemic sclerosis and is associated with fibrosis induced by insulin-like growth factor binding protein 5. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, Jun 2014]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
DOK5NM_018431.5 linkuse as main transcriptc.736C>T p.Leu246Phe missense_variant, splice_region_variant 7/8 ENST00000262593.10 NP_060901.2
DOK5NM_177959.3 linkuse as main transcriptc.412C>T p.Leu138Phe missense_variant, splice_region_variant 7/8 NP_808874.1
DOK5XM_024451946.2 linkuse as main transcriptc.700C>T p.Leu234Phe missense_variant, splice_region_variant 7/8 XP_024307714.1
DOK5XM_011528904.2 linkuse as main transcriptc.412C>T p.Leu138Phe missense_variant, splice_region_variant 7/8 XP_011527206.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
DOK5ENST00000262593.10 linkuse as main transcriptc.736C>T p.Leu246Phe missense_variant, splice_region_variant 7/81 NM_018431.5 ENSP00000262593 P1Q9P104-1
DOK5ENST00000395939.5 linkuse as main transcriptc.412C>T p.Leu138Phe missense_variant, splice_region_variant 7/81 ENSP00000379270 Q9P104-2

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000616
AC:
9
AN:
1461076
Hom.:
0
Cov.:
32
AF XY:
0.00000963
AC XY:
7
AN XY:
726850
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000809
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Alfa
AF:
0.0000356
Hom.:
0
Bravo
AF:
0.0000113
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

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 GeneticsSep 29, 2022The c.736C>T (p.L246F) alteration is located in exon 7 (coding exon 7) of the DOK5 gene. This alteration results from a C to T substitution at nucleotide position 736, causing the leucine (L) at amino acid position 246 to be replaced by a phenylalanine (F). 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
Benign
0.092
BayesDel_addAF
Uncertain
0.13
D
BayesDel_noAF
Uncertain
-0.050
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.087
T;.
Eigen
Uncertain
0.40
Eigen_PC
Uncertain
0.43
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Benign
0.73
T;T
M_CAP
Benign
0.084
D
MetaRNN
Uncertain
0.47
T;T
MetaSVM
Uncertain
0.43
D
MutationAssessor
Benign
1.5
L;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.67
T
PROVEAN
Benign
-1.9
N;N
REVEL
Uncertain
0.54
Sift
Uncertain
0.0050
D;D
Sift4G
Uncertain
0.014
D;D
Polyphen
0.98
D;D
Vest4
0.38
MVP
0.97
MPC
0.48
ClinPred
0.83
D
GERP RS
5.0
Varity_R
0.27
gMVP
0.25

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.87
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: rs1469763130; hg19: chr20-53259997; API