6-35620178-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_004117.4(FKBP5):​c.347C>A​(p.Ala116Asp) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)

Consequence

FKBP5
NM_004117.4 missense

Scores

1
7
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.45
Variant links:
Genes affected
FKBP5 (HGNC:3721): (FKBP prolyl isomerase 5) The protein encoded by this gene is a member of the immunophilin protein family, which play a role in immunoregulation and basic cellular processes involving protein folding and trafficking. This encoded protein is a cis-trans prolyl isomerase that binds to the immunosuppressants FK506 and rapamycin. It is thought to mediate calcineurin inhibition. It also interacts functionally with mature hetero-oligomeric progesterone receptor complexes along with the 90 kDa heat shock protein and P23 protein. This gene has been found to have multiple polyadenylation sites. Alternative splicing results in multiple transcript variants.[provided by RefSeq, Mar 2009]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FKBP5NM_004117.4 linkuse as main transcriptc.347C>A p.Ala116Asp missense_variant 4/11 ENST00000357266.9
FKBP5NM_001145775.3 linkuse as main transcriptc.347C>A p.Ala116Asp missense_variant 5/12
FKBP5NM_001145776.2 linkuse as main transcriptc.347C>A p.Ala116Asp missense_variant 4/11
FKBP5NM_001145777.2 linkuse as main transcriptc.347C>A p.Ala116Asp missense_variant 4/7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FKBP5ENST00000357266.9 linkuse as main transcriptc.347C>A p.Ala116Asp missense_variant 4/111 NM_004117.4 P1Q13451-1
FKBP5ENST00000536438.5 linkuse as main transcriptc.347C>A p.Ala116Asp missense_variant 5/121 P1Q13451-1
FKBP5ENST00000539068.5 linkuse as main transcriptc.347C>A p.Ala116Asp missense_variant 4/111 P1Q13451-1
FKBP5ENST00000542713.1 linkuse as main transcriptc.347C>A p.Ala116Asp missense_variant 4/72 Q13451-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
30
GnomAD4 genome
Cov.:
32

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 GeneticsApr 13, 2022The c.347C>A (p.A116D) alteration is located in exon 5 (coding exon 3) of the FKBP5 gene. This alteration results from a C to A substitution at nucleotide position 347, causing the alanine (A) at amino acid position 116 to be replaced by an aspartic acid (D). 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
0.29
BayesDel_addAF
Uncertain
0.11
D
BayesDel_noAF
Uncertain
-0.080
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Benign
0.32
T;T;T;.
Eigen
Benign
0.077
Eigen_PC
Benign
0.21
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.92
D;.;.;D
M_CAP
Benign
0.044
D
MetaRNN
Uncertain
0.46
T;T;T;T
MetaSVM
Benign
-0.37
T
MutationAssessor
Benign
1.2
L;L;L;L
MutationTaster
Benign
1.0
D;D;D;D;D;D
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
-2.3
N;N;N;D
REVEL
Uncertain
0.45
Sift
Benign
0.070
T;T;T;T
Sift4G
Benign
0.23
T;T;T;T
Polyphen
0.15
B;B;B;.
Vest4
0.43
MutPred
0.45
Loss of catalytic residue at A116 (P = 0.0548);Loss of catalytic residue at A116 (P = 0.0548);Loss of catalytic residue at A116 (P = 0.0548);Loss of catalytic residue at A116 (P = 0.0548);
MVP
0.97
MPC
0.47
ClinPred
0.82
D
GERP RS
4.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.54
gMVP
0.68

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr6-35587955; API