X-3615853-A-T

Variant summary

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

The NM_005044.5(PRKX):​c.913T>A​(p.Ser305Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000365 in 1,094,533 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 22)
Exomes 𝑓: 0.0000037 ( 0 hom. 2 hem. )

Consequence

PRKX
NM_005044.5 missense

Scores

1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.191
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]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.08707404).
BS2
High Hemizygotes in GnomAdExome4 at 2 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PRKXNM_005044.5 linkuse as main transcriptc.913T>A p.Ser305Thr missense_variant 7/9 ENST00000262848.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PRKXENST00000262848.6 linkuse as main transcriptc.913T>A p.Ser305Thr missense_variant 7/91 NM_005044.5 P1
PRKXENST00000425240.1 linkuse as main transcriptn.615T>A non_coding_transcript_exon_variant 6/75

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD3 exomes
AF:
0.00000576
AC:
1
AN:
173717
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
58945
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:
0.0000131
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000365
AC:
4
AN:
1094533
Hom.:
0
Cov.:
29
AF XY:
0.00000555
AC XY:
2
AN XY:
360239
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
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:
0.00000476
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
22
Alfa
AF:
0.000111
Hom.:
0

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 15, 2021The c.913T>A (p.S305T) alteration is located in exon 7 (coding exon 7) of the PRKX gene. This alteration results from a T to A substitution at nucleotide position 913, causing the serine (S) at amino acid position 305 to be replaced by a threonine (T). 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
0.071
BayesDel_addAF
Benign
-0.64
T
BayesDel_noAF
Benign
-1.1
CADD
Benign
0.013
DANN
Benign
0.22
DEOGEN2
Benign
0.27
T
FATHMM_MKL
Benign
0.029
N
LIST_S2
Benign
0.71
T
M_CAP
Benign
0.0026
T
MetaRNN
Benign
0.087
T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
0.30
N
MutationTaster
Benign
1.0
N
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
-1.0
N
REVEL
Benign
0.038
Sift
Benign
0.89
T
Sift4G
Benign
0.53
T
Polyphen
0.0
B
Vest4
0.20
MutPred
0.25
Loss of MoRF binding (P = 0.1319);
MVP
0.34
MPC
0.67
ClinPred
0.012
T
GERP RS
-7.4
Varity_R
0.076
gMVP
0.20

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: rs778063938; hg19: chrX-3533894; COSMIC: COSV53324330; COSMIC: COSV53324330; API