X-41520523-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP2PP3

The NM_001367721.1(CASK):​c.2678C>A​(p.Thr893Lys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 22)
Exomes 𝑓: 0.0000018 ( 0 hom. 1 hem. )
Failed GnomAD Quality Control

Consequence

CASK
NM_001367721.1 missense

Scores

6
5
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.76
Variant links:
Genes affected
CASK (HGNC:1497): (calcium/calmodulin dependent serine protein kinase) This gene encodes a calcium/calmodulin-dependent serine protein kinase. The encoded protein is a MAGUK (membrane-associated guanylate kinase) protein family member. These proteins are scaffold proteins and the encoded protein is located at synapses in the brain. Mutations in this gene are associated with FG syndrome 4, intellectual disability and microcephaly with pontine and cerebellar hypoplasia, and a form of X-linked intellectual disability. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2017]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 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), CASK. . Gene score misZ 4.2502 (greater than the threshold 3.09). GenCC has associacion of gene with syndromic X-linked intellectual disability Najm type, X-linked syndromic intellectual disability, developmental and epileptic encephalopathy, FG syndrome 4.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.836

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CASKNM_001367721.1 linkuse as main transcriptc.2678C>A p.Thr893Lys missense_variant 27/27 ENST00000378163.7 NP_001354650.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CASKENST00000378163.7 linkuse as main transcriptc.2678C>A p.Thr893Lys missense_variant 27/275 NM_001367721.1 ENSP00000367405.1 O14936-1

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00000183
AC:
2
AN:
1090726
Hom.:
0
Cov.:
28
AF XY:
0.00000281
AC XY:
1
AN XY:
356392
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:
0.0000371
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
22

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Global developmental delay Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingHuman Genetics Bochum, Ruhr University BochumDec 06, 2022ACMG criteria used to clasify this variant: PP3_MOD, PM2_SUP -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.53
BayesDel_addAF
Pathogenic
0.27
D
BayesDel_noAF
Pathogenic
0.15
CADD
Uncertain
25
DANN
Benign
0.96
DEOGEN2
Benign
0.30
.;.;.;.;.;.;.;T;.;.;.;.;.;.
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.93
D;D;D;D;D;D;D;D;D;D;D;D;D;D
M_CAP
Pathogenic
0.76
D
MetaRNN
Pathogenic
0.84
D;D;D;D;D;D;D;D;D;D;D;D;D;D
MetaSVM
Benign
-0.63
T
MutationAssessor
Benign
1.8
.;.;.;.;.;.;.;L;.;.;.;.;.;.
PrimateAI
Pathogenic
0.92
D
PROVEAN
Uncertain
-3.6
.;.;.;.;.;D;.;D;.;.;.;.;.;.
REVEL
Uncertain
0.54
Sift
Benign
0.064
.;.;.;.;.;T;.;T;.;.;.;.;.;.
Sift4G
Uncertain
0.049
.;.;.;.;.;D;.;D;.;.;.;.;.;.
Polyphen
1.0
D;D;.;P;.;P;.;P;.;.;.;.;.;.
Vest4
0.80
MutPred
0.57
.;.;.;.;.;.;.;Gain of ubiquitination at T893 (P = 0.0276);.;.;.;.;.;.;
MVP
0.96
MPC
1.3
ClinPred
0.79
D
GERP RS
5.8
Varity_R
0.78
gMVP
0.82

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

No publications associated with this variant yet.

Other links and lift over

hg19: chrX-41379776; API