20-64083684-T-A

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_001353425.2(LKAAEAR1):​c.424A>T​(p.Ile142Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000634 in 1,418,896 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000055 ( 0 hom. )

Consequence

LKAAEAR1
NM_001353425.2 missense

Scores

7
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.203
Variant links:
Genes affected
LKAAEAR1 (HGNC:33718): (LKAAEAR motif containing 1)
OPRL1 (HGNC:8155): (opioid related nociceptin receptor 1) The protein encoded by this gene is a member of the 7 transmembrane-spanning G protein-coupled receptor family, and functions as a receptor for the endogenous, opioid-related neuropeptide, nociceptin/orphanin FQ. This receptor-ligand system modulates a variety of biological functions and neurobehavior, including stress responses and anxiety behavior, learning and memory, locomotor activity, and inflammatory and immune responses. A promoter region between this gene and the 5'-adjacent RGS19 (regulator of G-protein signaling 19) gene on the opposite strand functions bi-directionally as a core-promoter for both genes, suggesting co-operative transcriptional regulation of these two functionally related genes. Alternatively spliced transcript variants have been described for this gene. A recent study provided evidence for translational readthrough in this gene, and expression of an additional C-terminally extended isoform via the use of an alternative in-frame translation termination codon. [provided by RefSeq, Dec 2017]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.31504586).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
LKAAEAR1NM_001353425.2 linkuse as main transcriptc.424A>T p.Ile142Phe missense_variant 2/3 ENST00000302096.5
OPRL1NM_182647.4 linkuse as main transcriptc.-185+3332T>A intron_variant ENST00000336866.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
LKAAEAR1ENST00000302096.5 linkuse as main transcriptc.424A>T p.Ile142Phe missense_variant 2/32 NM_001353425.2 P1Q8TD35-1
OPRL1ENST00000336866.7 linkuse as main transcriptc.-185+3332T>A intron_variant 5 NM_182647.4 P1P41146-1

Frequencies

GnomAD3 genomes
AF:
0.0000132
AC:
2
AN:
151986
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000483
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:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000553
AC:
7
AN:
1266910
Hom.:
0
Cov.:
39
AF XY:
0.00000648
AC XY:
4
AN XY:
617558
show subpopulations
Gnomad4 AFR exome
AF:
0.000162
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:
0.00
Gnomad4 OTH exome
AF:
0.0000572
GnomAD4 genome
AF:
0.0000132
AC:
2
AN:
151986
Hom.:
0
Cov.:
33
AF XY:
0.0000135
AC XY:
1
AN XY:
74242
show subpopulations
Gnomad4 AFR
AF:
0.0000483
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000113

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 GeneticsJul 13, 2021The c.424A>T (p.I142F) alteration is located in exon 2 (coding exon 2) of the LKAAEAR1 gene. This alteration results from a A to T substitution at nucleotide position 424, causing the isoleucine (I) at amino acid position 142 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
Uncertain
0.56
BayesDel_addAF
Uncertain
0.029
T
BayesDel_noAF
Benign
-0.20
CADD
Benign
20
DANN
Benign
0.91
DEOGEN2
Benign
0.23
.;T
Eigen
Benign
-0.41
Eigen_PC
Benign
-0.63
FATHMM_MKL
Benign
0.018
N
LIST_S2
Benign
0.50
T;T
M_CAP
Uncertain
0.22
D
MetaRNN
Benign
0.32
T;T
MetaSVM
Benign
-0.76
T
MutationAssessor
Uncertain
2.4
M;M
MutationTaster
Benign
1.0
N;N;N;N
PROVEAN
Uncertain
-3.6
D;D
REVEL
Benign
0.17
Sift
Uncertain
0.0050
D;D
Sift4G
Uncertain
0.0060
D;D
Polyphen
1.0
D;.
Vest4
0.52
MutPred
0.25
Gain of ubiquitination at K146 (P = 0.1181);Gain of ubiquitination at K146 (P = 0.1181);
MVP
0.19
MPC
2.2
ClinPred
0.94
D
GERP RS
1.9
Varity_R
0.29
gMVP
0.23

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.19
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: rs950309128; hg19: chr20-62715037; COSMIC: COSV57478458; COSMIC: COSV57478458; API