NM_001164760.2:c.1003C>T

Variant summary

Our verdict is Pathogenic. The variant received 16 ACMG points: 16P and 0B. PM1PM2PP3_StrongPP5_Very_Strong

The NM_001164760.2(PRKAR1B):​c.1003C>T​(p.Arg335Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 13/22 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R335Q) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

PRKAR1B
NM_001164760.2 missense

Scores

16
2
1

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:5

Conservation

PhyloP100: 2.04

Publications

4 publications found
Variant links:
Genes affected
PRKAR1B (HGNC:9390): (protein kinase cAMP-dependent type I regulatory subunit beta) The protein encoded by this gene is a regulatory subunit of cyclic AMP-dependent protein kinase A (PKA), which is involved in the signaling pathway of the second messenger cAMP. Two regulatory and two catalytic subunits form the PKA holoenzyme, disbands after cAMP binding. The holoenzyme is involved in many cellular events, including ion transport, metabolism, and transcription. Several transcript variants encoding the same protein have been found for this gene. [provided by RefSeq, Aug 2015]
PRKAR1B Gene-Disease associations (from GenCC):
  • Marbach-Schaaf neurodevelopmental syndrome
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • PRKAR1B-related neurodegenerative dementia with intermediate filaments
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 16 ACMG points.

PM1
In a binding_site (size 0) in uniprot entity KAP1_HUMAN
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.982
PP5
Variant 7-550573-G-A is Pathogenic according to our data. Variant chr7-550573-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 1172535.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PRKAR1BNM_001164760.2 linkc.1003C>T p.Arg335Trp missense_variant Exon 11 of 11 ENST00000537384.6 NP_001158232.1 P31321

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PRKAR1BENST00000537384.6 linkc.1003C>T p.Arg335Trp missense_variant Exon 11 of 11 5 NM_001164760.2 ENSP00000440449.1 P31321

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
224182
AF XY:
0.00
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1441246
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
715972
African (AFR)
AF:
0.00
AC:
0
AN:
32504
American (AMR)
AF:
0.00
AC:
0
AN:
40810
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25148
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39404
South Asian (SAS)
AF:
0.00
AC:
0
AN:
83944
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51042
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5314
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1103868
Other (OTH)
AF:
0.00
AC:
0
AN:
59212
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Pathogenic:3
Feb 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PRKAR1B: PS2:Very Strong, PM2, PS4:Moderate, PP3, PS3:Supporting -

-
Laboratoire de Génétique Moléculaire, CHU Bordeaux
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 15, 2021
Institute of Medical Genetics and Applied Genomics, University Hospital Tübingen
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

PRKAR1B-related neurodevelopmental disorder Pathogenic:1
May 17, 2021
Undiagnosed Diseases Network, NIH
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Marbach-Schaaf neurodevelopmental syndrome Pathogenic:1
Dec 23, 2021
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.46
D
BayesDel_noAF
Pathogenic
0.43
CADD
Pathogenic
30
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.96
D;D;D;D;D
Eigen
Pathogenic
0.79
Eigen_PC
Uncertain
0.64
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Pathogenic
0.99
D;.;.;.;.
M_CAP
Pathogenic
0.50
D
MetaRNN
Pathogenic
0.98
D;D;D;D;D
MetaSVM
Pathogenic
1.0
D
MutationAssessor
Pathogenic
4.7
H;H;H;H;H
PhyloP100
2.0
PrimateAI
Pathogenic
0.93
D
PROVEAN
Pathogenic
-5.8
D;D;D;D;D
REVEL
Pathogenic
0.92
Sift
Pathogenic
0.0
D;D;D;D;D
Sift4G
Pathogenic
0.0
D;D;D;D;D
Polyphen
1.0
D;D;D;D;D
Vest4
0.92
MutPred
0.90
Gain of catalytic residue at R335 (P = 0.0267);Gain of catalytic residue at R335 (P = 0.0267);Gain of catalytic residue at R335 (P = 0.0267);Gain of catalytic residue at R335 (P = 0.0267);Gain of catalytic residue at R335 (P = 0.0267);
MVP
1.0
MPC
1.2
ClinPred
1.0
D
GERP RS
4.7
Varity_R
0.80
gMVP
0.94
Mutation Taster
=30/70
disease causing

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: rs1475000361; hg19: chr7-590210; COSMIC: COSV100816886; API