X-3615856-G-A

Variant summary

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

The NM_005044.5(PRKX):​c.910C>T​(p.Arg304Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000556 in 1,205,877 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 15 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00017 ( 0 hom., 4 hem., cov: 22)
Exomes 𝑓: 0.000044 ( 0 hom. 11 hem. )

Consequence

PRKX
NM_005044.5 missense

Scores

2
6
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.53
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 -4 ACMG points.

BS2
High Hemizygotes in GnomAd4 at 4 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PRKXNM_005044.5 linkuse as main transcriptc.910C>T p.Arg304Cys missense_variant 7/9 ENST00000262848.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PRKXENST00000262848.6 linkuse as main transcriptc.910C>T p.Arg304Cys missense_variant 7/91 NM_005044.5 P1
PRKXENST00000425240.1 linkuse as main transcriptn.612C>T non_coding_transcript_exon_variant 6/75

Frequencies

GnomAD3 genomes
AF:
0.000170
AC:
19
AN:
111512
Hom.:
0
Cov.:
22
AF XY:
0.000119
AC XY:
4
AN XY:
33700
show subpopulations
Gnomad AFR
AF:
0.000554
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000377
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000864
AC:
15
AN:
173597
Hom.:
0
AF XY:
0.0000510
AC XY:
3
AN XY:
58859
show subpopulations
Gnomad AFR exome
AF:
0.000637
Gnomad AMR exome
AF:
0.0000750
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:
0.0000392
Gnomad OTH exome
AF:
0.000460
GnomAD4 exome
AF:
0.0000439
AC:
48
AN:
1094365
Hom.:
0
Cov.:
29
AF XY:
0.0000305
AC XY:
11
AN XY:
360067
show subpopulations
Gnomad4 AFR exome
AF:
0.000759
Gnomad4 AMR exome
AF:
0.0000860
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:
0.0000238
Gnomad4 OTH exome
AF:
0.000109
GnomAD4 genome
AF:
0.000170
AC:
19
AN:
111512
Hom.:
0
Cov.:
22
AF XY:
0.000119
AC XY:
4
AN XY:
33700
show subpopulations
Gnomad4 AFR
AF:
0.000554
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000377
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000102
Hom.:
0
Bravo
AF:
0.000230
ESP6500AA
AF:
0.000522
AC:
2
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000115
AC:
14

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 GeneticsDec 21, 2023The c.910C>T (p.R304C) 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 910, causing the arginine (R) at amino acid position 304 to be replaced by a cysteine (C). 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
0.18
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.50
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.36
T
FATHMM_MKL
Benign
0.76
D
LIST_S2
Uncertain
0.88
D
M_CAP
Benign
0.0073
T
MetaRNN
Uncertain
0.50
D
MetaSVM
Benign
-1.1
T
MutationAssessor
Pathogenic
3.4
M
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.59
T
PROVEAN
Pathogenic
-5.3
D
REVEL
Benign
0.24
Sift
Uncertain
0.022
D
Sift4G
Uncertain
0.058
T
Polyphen
1.0
D
Vest4
0.57
MVP
0.26
MPC
1.8
ClinPred
0.29
T
GERP RS
2.7
Varity_R
0.30
gMVP
0.62

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: rs141998823; hg19: chrX-3533897; COSMIC: COSV99468378; COSMIC: COSV99468378; API