X-50192815-A-C

Variant summary

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

The NM_003886.3(AKAP4):ā€‹c.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

Scores

1
8
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.17
Variant links:
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]

Genome browser will be placed here

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
AKAP4NM_003886.3 linkuse as main transcriptc.1898T>G p.Leu633Arg missense_variant 5/6 ENST00000358526.7 NP_003877.2
AKAP4NM_139289.2 linkuse as main transcriptc.1871T>G p.Leu624Arg missense_variant 5/6 NP_647450.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AKAP4ENST00000358526.7 linkuse as main transcriptc.1898T>G p.Leu633Arg missense_variant 5/61 NM_003886.3 ENSP00000351327 Q5JQC9-1
AKAP4ENST00000376064.7 linkuse as main transcriptc.1871T>G p.Leu624Arg missense_variant 5/61 ENSP00000365232 P1Q5JQC9-2
AKAP4ENST00000481402.5 linkuse as main transcriptn.2010T>G non_coding_transcript_exon_variant 5/61

Frequencies

GnomAD3 genomes
AF:
0.000107
AC:
12
AN:
112012
Hom.:
0
Cov.:
23
AF XY:
0.0000585
AC XY:
2
AN XY:
34166
show subpopulations
Gnomad AFR
AF:
0.0000325
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:
0.000207
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000185
AC:
34
AN:
183315
Hom.:
0
AF XY:
0.000103
AC XY:
7
AN XY:
67801
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000365
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000625
Gnomad NFE exome
AF:
0.000391
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000250
AC:
275
AN:
1098222
Hom.:
0
Cov.:
32
AF XY:
0.000226
AC XY:
82
AN XY:
363580
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:
0.000123
Gnomad4 NFE exome
AF:
0.000313
Gnomad4 OTH exome
AF:
0.000130
GnomAD4 genome
AF:
0.000107
AC:
12
AN:
112012
Hom.:
0
Cov.:
23
AF XY:
0.0000585
AC XY:
2
AN XY:
34166
show subpopulations
Gnomad4 AFR
AF:
0.0000325
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:
0.000207
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000540
Hom.:
0
Bravo
AF:
0.0000567
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ExAC
AF:
0.000214
AC:
26
EpiCase
AF:
0.000164
EpiControl
AF:
0.000474

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 GeneticsJun 11, 2021The 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: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.67
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Uncertain
-0.070
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.16
T;.
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Benign
0.76
T;T
M_CAP
Benign
0.043
D
MetaRNN
Uncertain
0.63
D;D
MetaSVM
Benign
-1.1
T
MutationAssessor
Uncertain
2.5
M;.
MutationTaster
Benign
1.0
N;N;N;N
PrimateAI
Uncertain
0.65
T
PROVEAN
Benign
-1.1
N;N
REVEL
Benign
0.29
Sift
Uncertain
0.0060
D;D
Sift4G
Uncertain
0.0080
D;D
Polyphen
0.99
D;.
Vest4
0.87
MVP
0.71
MPC
0.76
ClinPred
0.22
T
GERP RS
5.1
Varity_R
0.57
gMVP
0.76

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: rs781948063; hg19: chrX-49957466; API