X-46472957-A-C

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001129898.2(KRBOX4):ā€‹c.461A>Cā€‹(p.Lys154Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000356 in 112,248 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples 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 (ā˜…).

Frequency

Genomes: š‘“ 0.000036 ( 0 hom., 0 hem., cov: 22)
Exomes š‘“: 0.000019 ( 0 hom. 5 hem. )
Failed GnomAD Quality Control

Consequence

KRBOX4
NM_001129898.2 missense

Scores

3
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -1.45
Variant links:
Genes affected
KRBOX4 (HGNC:26007): (KRAB box domain containing 4) This encodes a zinc finger protein with an N-terminal KRAB (Kruppel-associated) domain found in transcriptional repressors. This gene is located in a region of the X chromosome thought to be involved in nonsyndromic X-linked cognitive disability. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Aug 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.19614872).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KRBOX4NM_001129898.2 linkuse as main transcriptc.461A>C p.Lys154Thr missense_variant 6/6 ENST00000344302.9 NP_001123370.1 Q5JUW0-1
KRBOX4NM_017776.3 linkuse as main transcriptc.446A>C p.Lys149Thr missense_variant 6/6 NP_060246.2 Q5JUW0-2
KRBOX4NM_001129899.2 linkuse as main transcriptc.*208A>C 3_prime_UTR_variant 7/7 NP_001123371.1 Q5JUW0-3
KRBOX4NM_001129900.2 linkuse as main transcriptc.*208A>C 3_prime_UTR_variant 7/7 NP_001123372.1 Q5JUW0

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KRBOX4ENST00000344302.9 linkuse as main transcriptc.461A>C p.Lys154Thr missense_variant 6/62 NM_001129898.2 ENSP00000345797.4 Q5JUW0-1
KRBOX4ENST00000487081.1 linkuse as main transcriptc.*205A>C 3_prime_UTR_variant 6/61 ENSP00000418076.1 Q5JUW0-3
KRBOX4ENST00000298190.10 linkuse as main transcriptc.446A>C p.Lys149Thr missense_variant 6/62 ENSP00000298190.6 Q5JUW0-2
KRBOX4ENST00000478600.5 linkuse as main transcriptc.238+9664A>C intron_variant 2 ENSP00000418146.1 C9J950

Frequencies

GnomAD3 genomes
AF:
0.0000356
AC:
4
AN:
112248
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
34404
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000751
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000110
AC:
2
AN:
182240
Hom.:
0
AF XY:
0.0000149
AC XY:
1
AN XY:
66932
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:
0.0000246
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000191
AC:
21
AN:
1097990
Hom.:
0
Cov.:
31
AF XY:
0.0000138
AC XY:
5
AN XY:
363364
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:
0.0000238
Gnomad4 OTH exome
AF:
0.0000217
GnomAD4 genome
AF:
0.0000356
AC:
4
AN:
112248
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
34404
show subpopulations
Gnomad4 AFR
AF:
0.00
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:
0.0000751
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000264

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 GeneticsNov 08, 2022The c.461A>C (p.K154T) alteration is located in exon 6 (coding exon 4) of the KRBOX4 gene. This alteration results from a A to C substitution at nucleotide position 461, causing the lysine (K) at amino acid position 154 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
0.17
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.64
CADD
Benign
16
DANN
Benign
0.96
DEOGEN2
Benign
0.12
T;.
FATHMM_MKL
Benign
0.034
N
LIST_S2
Benign
0.53
T;T
M_CAP
Benign
0.0028
T
MetaRNN
Benign
0.20
T;T
MetaSVM
Benign
-0.92
T
MutationAssessor
Benign
1.5
L;.
PrimateAI
Benign
0.30
T
PROVEAN
Uncertain
-2.8
D;D
REVEL
Benign
0.066
Sift
Uncertain
0.0030
D;D
Sift4G
Uncertain
0.021
D;D
Polyphen
0.99
D;D
Vest4
0.17
MVP
0.49
MPC
0.52
ClinPred
0.34
T
GERP RS
-0.60
Varity_R
0.22
gMVP
0.11

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: rs1186016682; hg19: chrX-46332392; API