X-3612316-C-T

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_005044.5(PRKX):​c.961G>A​(p.Val321Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000771 in 1,206,412 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 21 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00036 ( 0 hom., 8 hem., cov: 22)
Exomes 𝑓: 0.000048 ( 0 hom. 13 hem. )

Consequence

PRKX
NM_005044.5 missense

Scores

1
5
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.07
Variant links:
Genes affected
PRKX (HGNC:9441): (protein kinase cAMP-dependent X-linked catalytic subunit) This gene encodes a serine threonine protein kinase that has similarity to the catalytic subunit of cyclic AMP dependent protein kinases. The encoded protein is developmentally regulated and may be involved in renal epithelial morphogenesis. This protein may also be involved in macrophage and granulocyte maturation. Abnormal recombination between this gene and a related pseudogene on chromosome Y is a frequent cause of sex reversal disorder in XX males and XY females. Pseudogenes of this gene are found on chromosomes X, 15 and Y. [provided by RefSeq, Feb 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0788362).
BS2
High Hemizygotes in GnomAd4 at 8 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PRKXNM_005044.5 linkuse as main transcriptc.961G>A p.Val321Met missense_variant 8/9 ENST00000262848.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PRKXENST00000262848.6 linkuse as main transcriptc.961G>A p.Val321Met missense_variant 8/91 NM_005044.5 P1
PRKXENST00000425240.1 linkuse as main transcriptn.663G>A non_coding_transcript_exon_variant 7/75
PRKXENST00000462736.1 linkuse as main transcript upstream_gene_variant 3

Frequencies

GnomAD3 genomes
AF:
0.000352
AC:
39
AN:
110646
Hom.:
0
Cov.:
22
AF XY:
0.000243
AC XY:
8
AN XY:
32884
show subpopulations
Gnomad AFR
AF:
0.00115
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000292
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:
0.000670
GnomAD3 exomes
AF:
0.000112
AC:
20
AN:
179117
Hom.:
0
AF XY:
0.0000157
AC XY:
1
AN XY:
63843
show subpopulations
Gnomad AFR exome
AF:
0.00115
Gnomad AMR exome
AF:
0.0000377
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:
0.0000497
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000484
AC:
53
AN:
1095711
Hom.:
0
Cov.:
30
AF XY:
0.0000360
AC XY:
13
AN XY:
361193
show subpopulations
Gnomad4 AFR exome
AF:
0.00122
Gnomad4 AMR exome
AF:
0.0000859
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:
0.00000951
Gnomad4 OTH exome
AF:
0.000196
GnomAD4 genome
AF:
0.000361
AC:
40
AN:
110701
Hom.:
0
Cov.:
22
AF XY:
0.000243
AC XY:
8
AN XY:
32949
show subpopulations
Gnomad4 AFR
AF:
0.00118
Gnomad4 AMR
AF:
0.000292
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:
0.000661
Alfa
AF:
0.0000427
Hom.:
1
Bravo
AF:
0.000461
ESP6500AA
AF:
0.00156
AC:
6
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000988
AC:
12

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 GeneticsSep 19, 2022The c.961G>A (p.V321M) alteration is located in exon 8 (coding exon 8) of the PRKX gene. This alteration results from a G to A substitution at nucleotide position 961, causing the valine (V) at amino acid position 321 to be replaced by a methionine (M). 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
0.17
BayesDel_addAF
Benign
-0.64
T
BayesDel_noAF
Benign
-0.73
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Benign
0.34
T
FATHMM_MKL
Benign
0.41
N
LIST_S2
Uncertain
0.92
D
M_CAP
Benign
0.058
D
MetaRNN
Benign
0.079
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Pathogenic
3.0
M
MutationTaster
Benign
0.81
D
PrimateAI
Uncertain
0.72
T
PROVEAN
Benign
-1.7
N
REVEL
Benign
0.11
Sift
Uncertain
0.0060
D
Sift4G
Uncertain
0.039
D
Polyphen
0.96
D
Vest4
0.25
MVP
0.32
MPC
0.93
ClinPred
0.073
T
GERP RS
1.7
Varity_R
0.12
gMVP
0.44

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs139150166; hg19: chrX-3530357; COSMIC: COSV53325335; COSMIC: COSV53325335; API