20-63247591-T-C

Variant summary

Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_152864.4(NKAIN4):​c.458A>G​(p.Gln153Arg) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 34)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

NKAIN4
NM_152864.4 missense

Scores

3
10
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.65

Publications

0 publications found
Variant links:
Genes affected
NKAIN4 (HGNC:16191): (sodium/potassium transporting ATPase interacting 4) NKAIN4 is a member of a family of mammalian proteins (see NKAIN1; MIM 612871) with similarity to Drosophila Nkain and interacts with the beta subunit of Na,K-ATPase (ATP1B1; MIM 182330) (Gorokhova et al., 2007 [PubMed 17606467]).[supplied by OMIM, Jun 2009]

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ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.965

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_152864.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NKAIN4
NM_152864.4
MANE Select
c.458A>Gp.Gln153Arg
missense
Exon 4 of 7NP_690603.3
NKAIN4
NM_001363747.1
c.272A>Gp.Gln91Arg
missense
Exon 4 of 7NP_001350676.1A6NNM2
NKAIN4
NM_001363718.1
c.272A>Gp.Gln91Arg
missense
Exon 4 of 6NP_001350647.1J3JS66

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NKAIN4
ENST00000370316.8
TSL:1 MANE Select
c.458A>Gp.Gln153Arg
missense
Exon 4 of 7ENSP00000359340.3Q8IVV8
NKAIN4
ENST00000370317.3
TSL:5
c.248A>Gp.Gln83Arg
missense
Exon 2 of 6ENSP00000359341.3J9JIE8
NKAIN4
ENST00000370307.6
TSL:5
c.272A>Gp.Gln91Arg
missense
Exon 4 of 7ENSP00000359330.2A6NNM2

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1395006
Hom.:
0
Cov.:
35
AF XY:
0.00
AC XY:
0
AN XY:
687654
African (AFR)
AF:
0.00
AC:
0
AN:
31558
American (AMR)
AF:
0.00
AC:
0
AN:
35470
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25094
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35640
South Asian (SAS)
AF:
0.00
AC:
0
AN:
78532
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
48138
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5682
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1077050
Other (OTH)
AF:
0.00
AC:
0
AN:
57842
GnomAD4 genome
Cov.:
34

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.50
BayesDel_addAF
Uncertain
0.039
T
BayesDel_noAF
Benign
-0.18
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Benign
0.15
T
Eigen
Uncertain
0.40
Eigen_PC
Uncertain
0.22
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.85
D
M_CAP
Benign
0.041
D
MetaRNN
Pathogenic
0.97
D
MetaSVM
Benign
-0.83
T
MutationAssessor
Pathogenic
3.0
M
PhyloP100
6.6
PrimateAI
Uncertain
0.52
T
PROVEAN
Uncertain
-3.7
D
REVEL
Uncertain
0.36
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.0020
D
Polyphen
1.0
D
Vest4
0.76
MutPred
0.89
Loss of catalytic residue at Q153 (P = 0.3175)
MVP
0.28
MPC
0.045
ClinPred
0.99
D
GERP RS
3.5
Varity_R
0.74
gMVP
0.57
Mutation Taster
=35/65
disease causing

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

Other links and lift over

hg19: chr20-61878943; API