4-169585461-C-T
Variant summary
Our verdict is Uncertain significance. The variant received 3 ACMG points: 3P and 0B. PP3_ModeratePP5
The NM_001199397.3(NEK1):c.695G>A(p.Arg232His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000192 in 1,613,140 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R232C) has been classified as Uncertain significance.
Frequency
Consequence
NM_001199397.3 missense
Scores
Clinical Significance
Conservation
Publications
- amyotrophic lateral sclerosis, susceptibility to, 24Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, ClinGen
- short-rib thoracic dysplasia 6 with or without polydactylyInheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
- orofaciodigital syndrome type IIInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- short rib-polydactyly syndrome, Majewski typeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Uncertain_significance. The variant received 3 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  0.0000197  AC: 3AN: 152066Hom.:  0  Cov.: 32 show subpopulations 
GnomAD2 exomes  AF:  0.0000201  AC: 5AN: 248896 AF XY:  0.0000296   show subpopulations 
GnomAD4 exome  AF:  0.0000192  AC: 28AN: 1461074Hom.:  1  Cov.: 30 AF XY:  0.0000261  AC XY: 19AN XY: 726842 show subpopulations 
Age Distribution
GnomAD4 genome  0.0000197  AC: 3AN: 152066Hom.:  0  Cov.: 32 AF XY:  0.0000269  AC XY: 2AN XY: 74282 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
Motor neuron disease    Pathogenic:1 
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not specified    Uncertain:1 
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Short-rib thoracic dysplasia 6 with or without polydactyly    Uncertain:1 
This variant has not been reported in the literature in individuals affected with NEK1-related conditions. This variant is present in population databases (rs772747361, gnomAD 0.01%). This sequence change replaces arginine, which is basic and polar, with histidine, which is basic and polar, at codon 232 of the NEK1 protein (p.Arg232His). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt NEK1 protein function. ClinVar contains an entry for this variant (Variation ID: 266044). -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at