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GeneBe

4-39407446-T-C

Variant summary

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

The NM_175737.4(KLB):c.497T>C(p.Val166Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000605 in 1,614,212 control chromosomes in the GnomAD database, including 5 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0032 ( 4 hom., cov: 32)
Exomes 𝑓: 0.00033 ( 1 hom. )

Consequence

KLB
NM_175737.4 missense

Scores

18

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 0.290
Variant links:
Genes affected
KLB (HGNC:15527): (klotho beta) Enables fibroblast growth factor binding activity and fibroblast growth factor receptor binding activity. Predicted to be involved in fibroblast growth factor receptor signaling pathway. Predicted to act upstream of or within positive regulation of MAPKKK cascade by fibroblast growth factor receptor signaling pathway and positive regulation of cell population proliferation. Predicted to be located in plasma membrane. Predicted to be active in endoplasmic reticulum. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0036249757).
BP6
Variant 4-39407446-T-C is Benign according to our data. Variant chr4-39407446-T-C is described in ClinVar as [Likely_benign]. Clinvar id is 713075.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAd at 4 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KLBNM_175737.4 linkuse as main transcriptc.497T>C p.Val166Ala missense_variant 1/5 ENST00000257408.5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KLBENST00000257408.5 linkuse as main transcriptc.497T>C p.Val166Ala missense_variant 1/51 NM_175737.4 P1

Frequencies

GnomAD3 genomes
AF:
0.00321
AC:
488
AN:
152234
Hom.:
4
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0114
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00105
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:
0.000478
GnomAD3 exomes
AF:
0.000746
AC:
187
AN:
250622
Hom.:
0
AF XY:
0.000552
AC XY:
75
AN XY:
135770
show subpopulations
Gnomad AFR exome
AF:
0.0107
Gnomad AMR exome
AF:
0.000318
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000529
Gnomad OTH exome
AF:
0.000164
GnomAD4 exome
AF:
0.000335
AC:
489
AN:
1461860
Hom.:
1
Cov.:
32
AF XY:
0.000309
AC XY:
225
AN XY:
727226
show subpopulations
Gnomad4 AFR exome
AF:
0.0117
Gnomad4 AMR exome
AF:
0.000537
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000719
Gnomad4 OTH exome
AF:
0.000944
GnomAD4 genome
AF:
0.00320
AC:
488
AN:
152352
Hom.:
4
Cov.:
32
AF XY:
0.00318
AC XY:
237
AN XY:
74492
show subpopulations
Gnomad4 AFR
AF:
0.0113
Gnomad4 AMR
AF:
0.00105
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:
0.000473
Alfa
AF:
0.000527
Hom.:
0
Bravo
AF:
0.00360
ESP6500AA
AF:
0.0123
AC:
54
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000890
AC:
108
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.00

ClinVar

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

Submissions by phenotype

KLB-related disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesFeb 25, 2019This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeSep 26, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.062
BayesDel_addAF
Benign
-0.74
T
BayesDel_noAF
Benign
-0.83
Cadd
Benign
0.030
Dann
Benign
0.46
DEOGEN2
Benign
0.011
T
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.081
N
LIST_S2
Benign
0.25
T
MetaRNN
Benign
0.0036
T
MetaSVM
Benign
-0.96
T
MutationAssessor
Benign
-1.1
N
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.32
T
PROVEAN
Benign
1.4
N
REVEL
Benign
0.025
Sift
Benign
0.65
T
Sift4G
Benign
0.91
T
Polyphen
0.0
B
Vest4
0.073
MVP
0.072
MPC
0.70
ClinPred
0.0057
T
GERP RS
-2.9
Varity_R
0.088
gMVP
0.50

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs35733674; hg19: chr4-39409066; COSMIC: COSV99962146; COSMIC: COSV99962146; API