X-3615831-G-A

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_005044.5(PRKX):​c.935C>T​(p.Pro312Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000165 in 1,204,401 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 54 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000089 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.00017 ( 0 hom. 54 hem. )

Consequence

PRKX
NM_005044.5 missense

Scores

1
3
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.30
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 -4 ACMG points.

BS2
High Hemizygotes in GnomAdExome4 at 54 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PRKXNM_005044.5 linkuse as main transcriptc.935C>T p.Pro312Leu missense_variant 7/9 ENST00000262848.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PRKXENST00000262848.6 linkuse as main transcriptc.935C>T p.Pro312Leu missense_variant 7/91 NM_005044.5 P1
PRKXENST00000425240.1 linkuse as main transcriptn.637C>T non_coding_transcript_exon_variant 6/75

Frequencies

GnomAD3 genomes
AF:
0.0000894
AC:
10
AN:
111870
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
34036
show subpopulations
Gnomad AFR
AF:
0.0000324
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000954
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:
0.000150
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000153
AC:
26
AN:
169533
Hom.:
0
AF XY:
0.0000899
AC XY:
5
AN XY:
55643
show subpopulations
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 SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000351
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000173
AC:
189
AN:
1092531
Hom.:
0
Cov.:
29
AF XY:
0.000151
AC XY:
54
AN XY:
358759
show subpopulations
Gnomad4 AFR exome
AF:
0.0000759
Gnomad4 AMR exome
AF:
0.000144
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000378
Gnomad4 FIN exome
AF:
0.0000248
Gnomad4 NFE exome
AF:
0.000201
Gnomad4 OTH exome
AF:
0.000218
GnomAD4 genome
AF:
0.0000894
AC:
10
AN:
111870
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
34036
show subpopulations
Gnomad4 AFR
AF:
0.0000324
Gnomad4 AMR
AF:
0.0000954
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000150
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000113
Hom.:
1
Bravo
AF:
0.0000793
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000297
AC:
2
ExAC
AF:
0.000148
AC:
18

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 GeneticsOct 05, 2022The c.935C>T (p.P312L) alteration is located in exon 7 (coding exon 7) of the PRKX gene. This alteration results from a C to T substitution at nucleotide position 935, causing the proline (P) at amino acid position 312 to be replaced by a leucine (L). 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
0.10
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.58
CADD
Benign
11
DANN
Benign
0.28
DEOGEN2
Benign
0.25
T
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.79
T
M_CAP
Benign
0.013
T
MetaRNN
Uncertain
0.45
T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
-0.23
N
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.68
T
PROVEAN
Uncertain
-2.8
D
REVEL
Benign
0.27
Sift
Benign
0.54
T
Sift4G
Benign
0.71
T
Polyphen
0.027
B
Vest4
0.69
MVP
0.34
MPC
0.75
ClinPred
0.097
T
GERP RS
3.7
Varity_R
0.35
gMVP
0.64

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: rs138517585; hg19: chrX-3533872; COSMIC: COSV53325388; COSMIC: COSV53325388; API