21-43746121-C-T

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_003681.5(PDXK):​c.374C>T​(p.Ser125Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00294 in 1,612,004 control chromosomes in the GnomAD database, including 17 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0022 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0030 ( 17 hom. )

Consequence

PDXK
NM_003681.5 missense

Scores

5
14

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 3.29
Variant links:
Genes affected
PDXK (HGNC:8819): (pyridoxal kinase) The protein encoded by this gene phosphorylates vitamin B6, a step required for the conversion of vitamin B6 to pyridoxal-5-phosphate, an important cofactor in intermediary metabolism. The encoded protein is cytoplasmic and probably acts as a homodimer. Alternatively spliced transcript variants have been described, but their biological validity has not been determined. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.014126718).
BP6
Variant 21-43746121-C-T is Benign according to our data. Variant chr21-43746121-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 1013193.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAdExome4 at 17 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PDXKNM_003681.5 linkuse as main transcriptc.374C>T p.Ser125Leu missense_variant 5/11 ENST00000291565.9 NP_003672.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PDXKENST00000291565.9 linkuse as main transcriptc.374C>T p.Ser125Leu missense_variant 5/111 NM_003681.5 ENSP00000291565.4 O00764-1

Frequencies

GnomAD3 genomes
AF:
0.00222
AC:
338
AN:
152136
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000604
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000393
Gnomad ASJ
AF:
0.00115
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00124
Gnomad FIN
AF:
0.00311
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00384
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.00218
AC:
549
AN:
251384
Hom.:
6
AF XY:
0.00215
AC XY:
292
AN XY:
135898
show subpopulations
Gnomad AFR exome
AF:
0.000677
Gnomad AMR exome
AF:
0.000347
Gnomad ASJ exome
AF:
0.000992
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00118
Gnomad FIN exome
AF:
0.00397
Gnomad NFE exome
AF:
0.00339
Gnomad OTH exome
AF:
0.00147
GnomAD4 exome
AF:
0.00301
AC:
4399
AN:
1459750
Hom.:
17
Cov.:
29
AF XY:
0.00297
AC XY:
2156
AN XY:
726364
show subpopulations
Gnomad4 AFR exome
AF:
0.000359
Gnomad4 AMR exome
AF:
0.000358
Gnomad4 ASJ exome
AF:
0.000804
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00148
Gnomad4 FIN exome
AF:
0.00419
Gnomad4 NFE exome
AF:
0.00348
Gnomad4 OTH exome
AF:
0.00214
GnomAD4 genome
AF:
0.00221
AC:
337
AN:
152254
Hom.:
0
Cov.:
32
AF XY:
0.00201
AC XY:
150
AN XY:
74442
show subpopulations
Gnomad4 AFR
AF:
0.000602
Gnomad4 AMR
AF:
0.000392
Gnomad4 ASJ
AF:
0.00115
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00104
Gnomad4 FIN
AF:
0.00311
Gnomad4 NFE
AF:
0.00384
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.00302
Hom.:
0
Bravo
AF:
0.00182
TwinsUK
AF:
0.00324
AC:
12
ALSPAC
AF:
0.00156
AC:
6
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00349
AC:
30
ExAC
AF:
0.00252
AC:
306
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00354
EpiControl
AF:
0.00284

ClinVar

Significance: Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenNov 01, 2024PDXK: BP4, BS2 -
Neuropathy, hereditary motor and sensory, type VIc, with optic atrophy Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsJul 21, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.29
T
BayesDel_noAF
Benign
-0.19
CADD
Benign
21
DANN
Benign
0.97
DEOGEN2
Benign
0.36
.;T;T
Eigen
Benign
-0.16
Eigen_PC
Benign
-0.17
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.89
D;D;D
M_CAP
Benign
0.055
D
MetaRNN
Benign
0.014
T;T;T
MetaSVM
Benign
-0.51
T
MutationAssessor
Uncertain
2.6
.;M;.
PrimateAI
Benign
0.39
T
PROVEAN
Uncertain
-2.8
D;D;D
REVEL
Uncertain
0.30
Sift
Benign
0.059
T;T;T
Sift4G
Benign
0.33
T;T;T
Polyphen
0.45
B;P;.
Vest4
0.48
MVP
0.69
MPC
0.56
ClinPred
0.036
T
GERP RS
3.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.50
gMVP
0.78

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: rs77734576; hg19: chr21-45166002; COSMIC: COSV52362691; COSMIC: COSV52362691; API