X-20155454-G-A

Variant summary

Our verdict is Likely benign. Variant got -1 ACMG points: 3P and 4B. PM2PP2BP4_ModerateBP6_Moderate

The NM_004586.3(RPS6KA3):​c.2167C>T​(p.Arg723Cys) variant causes a missense change. The variant allele was found at a frequency of 0.00000274 in 1,096,753 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R723H) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 23)
Exomes 𝑓: 0.0000027 ( 0 hom. 1 hem. )

Consequence

RPS6KA3
NM_004586.3 missense

Scores

4
13

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 4.71
Variant links:
Genes affected
RPS6KA3 (HGNC:10432): (ribosomal protein S6 kinase A3) This gene encodes a member of the RSK (ribosomal S6 kinase) family of serine/threonine kinases. This kinase contains 2 non-identical kinase catalytic domains and phosphorylates various substrates, including members of the mitogen-activated kinase (MAPK) signalling pathway. The activity of this protein has been implicated in controlling cell growth and differentiation. Mutations in this gene have been associated with Coffin-Lowry syndrome (CLS). [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), RPS6KA3. . Gene score misZ 4.5208 (greater than the threshold 3.09). GenCC has associacion of gene with intellectual disability, X-linked 19, Coffin-Lowry syndrome, non-syndromic X-linked intellectual disability, symptomatic form of Coffin-Lowry syndrome in female carriers.
BP4
Computational evidence support a benign effect (MetaRNN=0.16443244).
BP6
Variant X-20155454-G-A is Benign according to our data. Variant chrX-20155454-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 3156209.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RPS6KA3NM_004586.3 linkuse as main transcriptc.2167C>T p.Arg723Cys missense_variant 22/22 ENST00000379565.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RPS6KA3ENST00000379565.9 linkuse as main transcriptc.2167C>T p.Arg723Cys missense_variant 22/221 NM_004586.3 P4

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD4 exome
AF:
0.00000274
AC:
3
AN:
1096753
Hom.:
0
Cov.:
29
AF XY:
0.00000276
AC XY:
1
AN XY:
362137
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000284
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000331
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000119
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsOct 26, 2023This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.063
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Benign
0.17
T;T;.;.;.;.;.;.;.;.;.;T
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Uncertain
0.95
.;D;.;.;.;.;.;D;.;.;D;D
M_CAP
Benign
0.023
T
MetaRNN
Benign
0.16
T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.92
T
MutationAssessor
Benign
-1.9
N;N;.;.;.;.;.;.;.;.;.;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.70
T
PROVEAN
Benign
0.020
N;.;.;.;.;.;.;.;.;.;.;.
REVEL
Benign
0.15
Sift
Benign
0.092
T;.;.;.;.;.;.;.;.;.;.;.
Sift4G
Benign
0.12
T;.;.;.;.;.;.;.;.;.;.;.
Polyphen
0.0
B;B;B;B;B;B;B;.;B;B;B;B
Vest4
0.16
MutPred
0.32
Loss of MoRF binding (P = 0.0025);Loss of MoRF binding (P = 0.0025);.;.;.;.;.;.;.;.;.;.;
MVP
0.55
MPC
1.9
ClinPred
0.51
D
GERP RS
6.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.30
gMVP
0.72

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs35026425; hg19: chrX-20173572; API