X-50192815-A-C
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Variant summary
Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2
The NM_003886.3(AKAP4):āc.1898T>Gā(p.Leu633Arg) variant causes a missense change. The variant allele was found at a frequency of 0.000237 in 1,210,234 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 84 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (ā ).
Frequency
Genomes: š 0.00011 ( 0 hom., 2 hem., cov: 23)
Exomes š: 0.00025 ( 0 hom. 82 hem. )
Consequence
AKAP4
NM_003886.3 missense
NM_003886.3 missense
Scores
1
8
8
Clinical Significance
Conservation
PhyloP100: 5.17
Genes affected
AKAP4 (HGNC:374): (A-kinase anchoring protein 4) The A-kinase anchor proteins (AKAPs) are a group of structurally diverse proteins, which have the common function of binding to the regulatory subunit of protein kinase A (PKA) and confining the holoenzyme to discrete locations within the cell. This gene encodes a member of the AKAP family. The encoded protein is localized to the sperm flagellum and may be involved in the regulation of sperm motility. Alternative splicing of this gene results in two transcript variants encoding different isoforms. [provided by RefSeq, Jul 2008]
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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 2 gene
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
AKAP4 | NM_003886.3 | c.1898T>G | p.Leu633Arg | missense_variant | 5/6 | ENST00000358526.7 | NP_003877.2 | |
AKAP4 | NM_139289.2 | c.1871T>G | p.Leu624Arg | missense_variant | 5/6 | NP_647450.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
AKAP4 | ENST00000358526.7 | c.1898T>G | p.Leu633Arg | missense_variant | 5/6 | 1 | NM_003886.3 | ENSP00000351327 | ||
AKAP4 | ENST00000376064.7 | c.1871T>G | p.Leu624Arg | missense_variant | 5/6 | 1 | ENSP00000365232 | P1 | ||
AKAP4 | ENST00000481402.5 | n.2010T>G | non_coding_transcript_exon_variant | 5/6 | 1 |
Frequencies
GnomAD3 genomes AF: 0.000107 AC: 12AN: 112012Hom.: 0 Cov.: 23 AF XY: 0.0000585 AC XY: 2AN XY: 34166
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GnomAD3 exomes AF: 0.000185 AC: 34AN: 183315Hom.: 0 AF XY: 0.000103 AC XY: 7AN XY: 67801
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GnomAD4 exome AF: 0.000250 AC: 275AN: 1098222Hom.: 0 Cov.: 32 AF XY: 0.000226 AC XY: 82AN XY: 363580
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GnomAD4 genome AF: 0.000107 AC: 12AN: 112012Hom.: 0 Cov.: 23 AF XY: 0.0000585 AC XY: 2AN XY: 34166
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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 submitter | clinical testing | Ambry Genetics | Jun 11, 2021 | The c.1898T>G (p.L633R) alteration is located in exon 5 (coding exon 5) of the AKAP4 gene. This alteration results from a T to G substitution at nucleotide position 1898, causing the leucine (L) at amino acid position 633 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
BayesDel_addAF
Benign
T
BayesDel_noAF
Uncertain
CADD
Uncertain
DANN
Uncertain
DEOGEN2
Benign
T;.
FATHMM_MKL
Uncertain
D
LIST_S2
Benign
T;T
M_CAP
Benign
D
MetaRNN
Uncertain
D;D
MetaSVM
Benign
T
MutationAssessor
Uncertain
M;.
MutationTaster
Benign
N;N;N;N
PrimateAI
Uncertain
T
PROVEAN
Benign
N;N
REVEL
Benign
Sift
Uncertain
D;D
Sift4G
Uncertain
D;D
Polyphen
D;.
Vest4
MVP
MPC
ClinPred
T
GERP RS
Varity_R
gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at