4-186251858-T-G

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000892.5(KLKB1):​c.1141T>G​(p.Ser381Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.12 in 1,610,182 control chromosomes in the GnomAD database, including 12,136 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.10 ( 923 hom., cov: 33)
Exomes 𝑓: 0.12 ( 11213 hom. )

Consequence

KLKB1
NM_000892.5 missense

Scores

17

Clinical Significance

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

Conservation

PhyloP100: 0.318

Publications

31 publications found
Variant links:
Genes affected
KLKB1 (HGNC:6371): (kallikrein B1) This gene encodes a glycoprotein that participates in the surface-dependent activation of blood coagulation, fibrinolysis, kinin generation and inflammation. The encoded preproprotein present in plasma as a non-covalent complex with high molecular weight kininogen undergoes proteolytic processing mediated by activated coagulation factor XII to generate a disulfide-linked, heterodimeric serine protease comprised of heavy and light chains. Certain mutations in this gene cause prekallikrein deficiency. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jan 2016]
KLKB1 Gene-Disease associations (from GenCC):
  • inherited prekallikrein deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.001221925).
BP6
Variant 4-186251858-T-G is Benign according to our data. Variant chr4-186251858-T-G is described in ClinVar as Benign. ClinVar VariationId is 1238651.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.192 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KLKB1NM_000892.5 linkc.1141T>G p.Ser381Ala missense_variant Exon 10 of 15 ENST00000264690.11 NP_000883.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KLKB1ENST00000264690.11 linkc.1141T>G p.Ser381Ala missense_variant Exon 10 of 15 1 NM_000892.5 ENSP00000264690.6
ENSG00000290316ENST00000511608.5 linkc.1282T>G p.Ser428Ala missense_variant Exon 10 of 15 5 ENSP00000426629.1

Frequencies

GnomAD3 genomes
AF:
0.104
AC:
15883
AN:
152170
Hom.:
924
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0600
Gnomad AMI
AF:
0.181
Gnomad AMR
AF:
0.107
Gnomad ASJ
AF:
0.0833
Gnomad EAS
AF:
0.0595
Gnomad SAS
AF:
0.203
Gnomad FIN
AF:
0.143
Gnomad MID
AF:
0.0605
Gnomad NFE
AF:
0.122
Gnomad OTH
AF:
0.0971
GnomAD2 exomes
AF:
0.120
AC:
30035
AN:
250684
AF XY:
0.126
show subpopulations
Gnomad AFR exome
AF:
0.0615
Gnomad AMR exome
AF:
0.0958
Gnomad ASJ exome
AF:
0.0937
Gnomad EAS exome
AF:
0.0620
Gnomad FIN exome
AF:
0.142
Gnomad NFE exome
AF:
0.123
Gnomad OTH exome
AF:
0.111
GnomAD4 exome
AF:
0.121
AC:
176808
AN:
1457894
Hom.:
11213
Cov.:
31
AF XY:
0.124
AC XY:
90161
AN XY:
725592
show subpopulations
African (AFR)
AF:
0.0591
AC:
1975
AN:
33416
American (AMR)
AF:
0.0949
AC:
4244
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.0894
AC:
2335
AN:
26108
East Asian (EAS)
AF:
0.0640
AC:
2541
AN:
39682
South Asian (SAS)
AF:
0.195
AC:
16843
AN:
86176
European-Finnish (FIN)
AF:
0.144
AC:
7608
AN:
52928
Middle Eastern (MID)
AF:
0.120
AC:
689
AN:
5764
European-Non Finnish (NFE)
AF:
0.121
AC:
133730
AN:
1108832
Other (OTH)
AF:
0.114
AC:
6843
AN:
60270
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.481
Heterozygous variant carriers
0
8273
16545
24818
33090
41363
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4812
9624
14436
19248
24060
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.104
AC:
15886
AN:
152288
Hom.:
923
Cov.:
33
AF XY:
0.108
AC XY:
8072
AN XY:
74458
show subpopulations
African (AFR)
AF:
0.0600
AC:
2496
AN:
41574
American (AMR)
AF:
0.107
AC:
1641
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.0833
AC:
289
AN:
3468
East Asian (EAS)
AF:
0.0594
AC:
308
AN:
5184
South Asian (SAS)
AF:
0.203
AC:
977
AN:
4824
European-Finnish (FIN)
AF:
0.143
AC:
1515
AN:
10600
Middle Eastern (MID)
AF:
0.0651
AC:
19
AN:
292
European-Non Finnish (NFE)
AF:
0.122
AC:
8272
AN:
68016
Other (OTH)
AF:
0.0966
AC:
204
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.508
Heterozygous variant carriers
0
751
1502
2253
3004
3755
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
198
396
594
792
990
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.114
Hom.:
3670
Bravo
AF:
0.0963
TwinsUK
AF:
0.118
AC:
437
ALSPAC
AF:
0.128
AC:
495
ESP6500AA
AF:
0.0624
AC:
275
ESP6500EA
AF:
0.117
AC:
1004
ExAC
AF:
0.121
AC:
14741
Asia WGS
AF:
0.137
AC:
475
AN:
3478
EpiCase
AF:
0.126
EpiControl
AF:
0.124

ClinVar

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

Submissions by phenotype

not provided Benign:2
Jun 09, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.077
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.28
CADD
Benign
14
DANN
Benign
0.97
DEOGEN2
Benign
0.0
.;T
Eigen
Benign
-0.94
Eigen_PC
Benign
-0.93
FATHMM_MKL
Benign
0.23
N
LIST_S2
Benign
0.0
.;T
MetaRNN
Benign
0.0012
T;T
MetaSVM
Benign
-0.90
T
MutationAssessor
Benign
0.0
.;.
PhyloP100
0.32
PrimateAI
Benign
0.35
T
PROVEAN
Benign
-0.73
N;.
REVEL
Benign
0.15
Sift
Benign
0.081
T;.
Sift4G
Benign
0.29
T;T
Vest4
0.11
ClinPred
0.00086
T
GERP RS
-2.6
gMVP
0.34
Mutation Taster
=98/2
polymorphism (auto)

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

Other links and lift over

dbSNP: rs4253301; hg19: chr4-187173012; COSMIC: COSV52996172; API