X-21426608-G-A
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Variant summary
Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP2
The NM_014927.5(CNKSR2):c.176G>A(p.Arg59His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000249 in 1,205,590 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.0000090 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.0000018 ( 0 hom. 1 hem. )
Consequence
CNKSR2
NM_014927.5 missense
NM_014927.5 missense
Scores
7
6
4
Clinical Significance
Conservation
PhyloP100: 7.66
Genes affected
CNKSR2 (HGNC:19701): (connector enhancer of kinase suppressor of Ras 2) This gene encodes a multidomain protein that functions as a scaffold protein to mediate the mitogen-activated protein kinase pathways downstream from Ras. This gene product is induced by vitamin D and inhibits apoptosis in certain cancer cells. It may also play a role in ternary complex assembly of synaptic proteins at the postsynaptic membrane and coupling of signal transduction to membrane/cytoskeletal remodeling. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2009]
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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;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), CNKSR2. . Gene score misZ 3.6053 (greater than the threshold 3.09). GenCC has associacion of gene with X-linked complex neurodevelopmental disorder, intellectual disability, X-linked, syndromic, Houge type, non-syndromic X-linked intellectual disability, undetermined early-onset epileptic encephalopathy.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
CNKSR2 | NM_014927.5 | c.176G>A | p.Arg59His | missense_variant | 2/22 | ENST00000379510.5 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
CNKSR2 | ENST00000379510.5 | c.176G>A | p.Arg59His | missense_variant | 2/22 | 1 | NM_014927.5 | P1 |
Frequencies
GnomAD3 genomes AF: 0.00000896 AC: 1AN: 111548Hom.: 0 Cov.: 23 AF XY: 0.00 AC XY: 0AN XY: 33724
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GnomAD3 exomes AF: 0.00000572 AC: 1AN: 174809Hom.: 0 AF XY: 0.0000166 AC XY: 1AN XY: 60109
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GnomAD4 exome AF: 0.00000183 AC: 2AN: 1094042Hom.: 0 Cov.: 30 AF XY: 0.00000278 AC XY: 1AN XY: 360068
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GnomAD4 genome AF: 0.00000896 AC: 1AN: 111548Hom.: 0 Cov.: 23 AF XY: 0.00 AC XY: 0AN XY: 33724
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Intellectual disability, X-linked, syndromic, Houge type Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Department of Clinical Genetics, Copenhagen University Hospital, Rigshospitalet | Aug 01, 2021 | - - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
BayesDel_addAF
Benign
T
BayesDel_noAF
Benign
CADD
Pathogenic
DANN
Pathogenic
DEOGEN2
Uncertain
.;.;.;.;.;.;.;.;.;.;T;.;.
FATHMM_MKL
Pathogenic
D
LIST_S2
Pathogenic
D;D;D;D;D;D;D;D;D;D;D;D;D
M_CAP
Pathogenic
D
MetaRNN
Uncertain
D;D;D;D;D;D;D;D;D;D;D;D;D
MetaSVM
Benign
T
MutationAssessor
Pathogenic
M;.;M;.;M;.;.;.;.;.;M;.;.
MutationTaster
Benign
D;D;D;D
PrimateAI
Pathogenic
D
PROVEAN
Uncertain
.;.;D;.;D;D;.;.;.;.;D;.;.
REVEL
Uncertain
Sift
Uncertain
.;.;D;.;D;D;.;.;.;.;D;.;.
Sift4G
Uncertain
.;.;D;.;D;D;.;.;.;.;D;.;.
Polyphen
0.98
.;.;.;.;.;.;.;.;.;.;D;.;.
Vest4
0.48, 0.48, 0.50, 0.46
MutPred
Gain of disorder (P = 0.0871);Gain of disorder (P = 0.0871);Gain of disorder (P = 0.0871);Gain of disorder (P = 0.0871);Gain of disorder (P = 0.0871);Gain of disorder (P = 0.0871);Gain of disorder (P = 0.0871);Gain of disorder (P = 0.0871);Gain of disorder (P = 0.0871);Gain of disorder (P = 0.0871);Gain of disorder (P = 0.0871);Gain of disorder (P = 0.0871);Gain of disorder (P = 0.0871);
MVP
0.88
MPC
2.0
ClinPred
D
GERP RS
Varity_R
gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at