4-56821634-A-C

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_001271718.2(SPINK2):ā€‹c.29T>Gā€‹(p.Leu10Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000452 in 1,547,626 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000013 ( 0 hom., cov: 33)
Exomes š‘“: 0.0000036 ( 0 hom. )

Consequence

SPINK2
NM_001271718.2 missense

Scores

1
6
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.443
Variant links:
Genes affected
SPINK2 (HGNC:11245): (serine peptidase inhibitor Kazal type 2) This gene encodes a member of the family of serine protease inhibitors of the Kazal type (SPINK). The encoded protein acts as a trypsin and acrosin inhibitor in the genital tract and is localized in the spermatozoa. The protein has been associated with the progression of lymphomas. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Nov 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.796

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SPINK2NM_001271718.2 linkuse as main transcriptc.29T>G p.Leu10Arg missense_variant 1/4 ENST00000506738.6 NP_001258647.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SPINK2ENST00000506738.6 linkuse as main transcriptc.29T>G p.Leu10Arg missense_variant 1/42 NM_001271718.2 ENSP00000425961 A2

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152222
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000482
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.00
GnomAD3 exomes
AF:
0.00000693
AC:
1
AN:
144308
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
77812
show subpopulations
Gnomad AFR exome
AF:
0.000136
Gnomad AMR exome
AF:
0.00
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000358
AC:
5
AN:
1395404
Hom.:
0
Cov.:
32
AF XY:
0.00000290
AC XY:
2
AN XY:
688608
show subpopulations
Gnomad4 AFR exome
AF:
0.000160
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000131
AC:
2
AN:
152222
Hom.:
0
Cov.:
33
AF XY:
0.0000134
AC XY:
1
AN XY:
74370
show subpopulations
Gnomad4 AFR
AF:
0.0000482
Gnomad4 AMR
AF:
0.00
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:
0.00
Bravo
AF:
0.0000302

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJun 02, 2024The c.29T>G (p.L10R) alteration is located in exon 1 (coding exon 1) of the SPINK2 gene. This alteration results from a T to G substitution at nucleotide position 29, causing the leucine (L) at amino acid position 10 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.26
BayesDel_addAF
Benign
0.00051
T
BayesDel_noAF
Uncertain
0.020
CADD
Benign
18
DANN
Benign
0.45
DEOGEN2
Benign
0.39
T;.;T;.;.;.
Eigen
Benign
-0.66
Eigen_PC
Benign
-0.87
FATHMM_MKL
Benign
0.17
N
LIST_S2
Benign
0.23
T;T;T;T;T;T
M_CAP
Uncertain
0.19
D
MetaRNN
Pathogenic
0.80
D;D;D;D;D;D
MetaSVM
Benign
-0.46
T
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Uncertain
0.61
T
PROVEAN
Uncertain
-3.3
D;N;.;.;N;.
REVEL
Uncertain
0.55
Sift
Benign
0.086
T;D;.;.;D;.
Sift4G
Uncertain
0.0030
D;D;T;T;D;T
Polyphen
0.91
P;.;.;.;.;.
Vest4
0.70
MutPred
0.78
Gain of methylation at L10 (P = 0.006);Gain of methylation at L10 (P = 0.006);Gain of methylation at L10 (P = 0.006);Gain of methylation at L10 (P = 0.006);Gain of methylation at L10 (P = 0.006);Gain of methylation at L10 (P = 0.006);
MVP
0.85
MPC
0.64
ClinPred
0.55
D
GERP RS
1.6
Varity_R
0.22
gMVP
0.80

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs1054693437; hg19: chr4-57687800; API