20-63247727-G-C

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_152864.4(NKAIN4):​c.322C>G​(p.Arg108Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000745 in 1,342,686 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R108C) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 34)
Exomes 𝑓: 7.4e-7 ( 0 hom. )

Consequence

NKAIN4
NM_152864.4 missense

Scores

1
17

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.74

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: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.20535931).

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.322C>Gp.Arg108Gly
missense
Exon 4 of 7NP_690603.3
NKAIN4
NM_001363747.1
c.136C>Gp.Arg46Gly
missense
Exon 4 of 7NP_001350676.1A6NNM2
NKAIN4
NM_001363718.1
c.136C>Gp.Arg46Gly
missense
Exon 4 of 6NP_001350647.1J3JS66

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NKAIN4
ENST00000370316.8
TSL:1 MANE Select
c.322C>Gp.Arg108Gly
missense
Exon 4 of 7ENSP00000359340.3Q8IVV8
NKAIN4
ENST00000370317.3
TSL:5
c.112C>Gp.Arg38Gly
missense
Exon 2 of 6ENSP00000359341.3J9JIE8
NKAIN4
ENST00000370307.6
TSL:5
c.136C>Gp.Arg46Gly
missense
Exon 4 of 7ENSP00000359330.2A6NNM2

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD4 exome
AF:
7.45e-7
AC:
1
AN:
1342686
Hom.:
0
Cov.:
34
AF XY:
0.00
AC XY:
0
AN XY:
655806
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
29838
American (AMR)
AF:
0.00
AC:
0
AN:
27776
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
22000
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35032
South Asian (SAS)
AF:
0.00
AC:
0
AN:
70060
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
46466
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5368
European-Non Finnish (NFE)
AF:
9.52e-7
AC:
1
AN:
1050652
Other (OTH)
AF:
0.00
AC:
0
AN:
55494
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.225
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
34

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.089
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Benign
-0.55
CADD
Benign
14
DANN
Benign
0.76
DEOGEN2
Benign
0.011
T
Eigen
Benign
-0.80
Eigen_PC
Benign
-0.81
FATHMM_MKL
Benign
0.48
N
LIST_S2
Benign
0.85
T
M_CAP
Benign
0.0077
T
MetaRNN
Benign
0.21
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.6
L
PhyloP100
1.7
PrimateAI
Benign
0.38
T
PROVEAN
Uncertain
-3.8
D
REVEL
Benign
0.044
Sift
Benign
0.11
T
Sift4G
Benign
0.19
T
Polyphen
0.0010
B
Vest4
0.15
MutPred
0.45
Loss of MoRF binding (P = 0.0217)
MVP
0.13
MPC
0.016
ClinPred
0.27
T
GERP RS
-0.45
Varity_R
0.13
gMVP
0.16
Mutation Taster
=73/27
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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

dbSNP: rs766062224; hg19: chr20-61879079; API