22-29125304-C-T

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_001039570.3(KREMEN1):​c.519C>T​(p.Asn173=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00238 in 1,614,150 control chromosomes in the GnomAD database, including 95 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.013 ( 47 hom., cov: 31)
Exomes 𝑓: 0.0013 ( 48 hom. )

Consequence

KREMEN1
NM_001039570.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 1.03
Variant links:
Genes affected
KREMEN1 (HGNC:17550): (kringle containing transmembrane protein 1) This gene encodes a high-affinity dickkopf homolog 1 (DKK1) transmembrane receptor that functionally cooperates with DKK1 to block wingless (WNT)/beta-catenin signaling. The encoded protein is a component of a membrane complex that modulates canonical WNT signaling through lipoprotein receptor-related protein 6 (LRP6). It contains extracellular kringle, WSC, and CUB domains. Mutations in this gene result in ectodermal dysplasia. This protein has also been found to be a functional receptor for Coxsackievirus A10 and may be an alternative entry receptor for SARS-CoV-2. [provided by RefSeq, Nov 2021]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.49).
BP6
Variant 22-29125304-C-T is Benign according to our data. Variant chr22-29125304-C-T is described in ClinVar as [Benign]. Clinvar id is 790773.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=1.03 with no splicing effect.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0128 (1943/152270) while in subpopulation AFR AF= 0.044 (1827/41544). AF 95% confidence interval is 0.0423. There are 47 homozygotes in gnomad4. There are 916 alleles in male gnomad4 subpopulation. Median coverage is 31. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 47 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KREMEN1NM_001039570.3 linkuse as main transcriptc.519C>T p.Asn173= synonymous_variant 5/9 ENST00000400335.9 NP_001034659.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KREMEN1ENST00000400335.9 linkuse as main transcriptc.519C>T p.Asn173= synonymous_variant 5/91 NM_001039570.3 ENSP00000383189 P1Q96MU8-3

Frequencies

GnomAD3 genomes
AF:
0.0127
AC:
1926
AN:
152152
Hom.:
46
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0437
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00484
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.000206
Gnomad OTH
AF:
0.0110
GnomAD3 exomes
AF:
0.00337
AC:
841
AN:
249462
Hom.:
17
AF XY:
0.00239
AC XY:
324
AN XY:
135338
show subpopulations
Gnomad AFR exome
AF:
0.0478
Gnomad AMR exome
AF:
0.00229
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000654
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000124
Gnomad OTH exome
AF:
0.000825
GnomAD4 exome
AF:
0.00129
AC:
1892
AN:
1461880
Hom.:
48
Cov.:
31
AF XY:
0.00109
AC XY:
791
AN XY:
727240
show subpopulations
Gnomad4 AFR exome
AF:
0.0458
Gnomad4 AMR exome
AF:
0.00259
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000580
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000522
Gnomad4 OTH exome
AF:
0.00278
GnomAD4 genome
AF:
0.0128
AC:
1943
AN:
152270
Hom.:
47
Cov.:
31
AF XY:
0.0123
AC XY:
916
AN XY:
74460
show subpopulations
Gnomad4 AFR
AF:
0.0440
Gnomad4 AMR
AF:
0.00484
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000415
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000206
Gnomad4 OTH
AF:
0.0109
Alfa
AF:
0.00651
Hom.:
10
Bravo
AF:
0.0145
Asia WGS
AF:
0.00260
AC:
9
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.000178

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 12, 2024- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.49
CADD
Benign
8.3
DANN
Benign
0.46

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs73882473; hg19: chr22-29521292; API