X-54202193-T-A

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The ENST00000354646.7(WNK3):​c.4871A>T​(p.Asn1624Ile) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000014 in 1,074,707 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 5 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 10/15 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 22)
Exomes 𝑓: 0.000014 ( 0 hom. 5 hem. )

Consequence

WNK3
ENST00000354646.7 missense, splice_region

Scores

3
4
Splicing: ADA: 0.0003844
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.33

Publications

0 publications found
Variant links:
Genes affected
WNK3 (HGNC:14543): (WNK lysine deficient protein kinase 3) This gene encodes a protein belonging to the 'with no lysine' family of serine-threonine protein kinases. These family members lack the catalytic lysine in subdomain II, and instead have a conserved lysine in subdomain I. This family member functions as a positive regulator of the transcellular Ca2+ transport pathway, and it plays a role in the increase of cell survival in a caspase-3-dependent pathway. Alternative splicing results in multiple transcript variants. [provided by RefSeq, May 2010]
WNK3 Gene-Disease associations (from GenCC):
  • Prieto syndrome
    Inheritance: XL Classification: MODERATE Submitted by: G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (REVEL=0.084).
BS2
High Hemizygotes in GnomAdExome4 at 5 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
WNK3NM_020922.5 linkc.4871A>T p.Asn1624Ile missense_variant, splice_region_variant Exon 23 of 24 NP_065973.2 Q9BYP7-1
WNK3NM_001002838.4 linkc.4700A>T p.Asp1567Val missense_variant, splice_region_variant Exon 22 of 23 NP_001002838.1 Q9BYP7-3
WNK3NM_001395166.1 linkc.4700A>T p.Asp1567Val missense_variant, splice_region_variant Exon 22 of 23 NP_001382095.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
WNK3ENST00000354646.7 linkc.4871A>T p.Asn1624Ile missense_variant, splice_region_variant Exon 23 of 24 1 ENSP00000346667.2 Q9BYP7-1
WNK3ENST00000375169.7 linkc.4700A>T p.Asp1567Val missense_variant, splice_region_variant Exon 22 of 23 5 ENSP00000364312.3 Q9BYP7-3

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD2 exomes
AF:
0.0000131
AC:
2
AN:
152593
AF XY:
0.00
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000304
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000140
AC:
15
AN:
1074707
Hom.:
0
Cov.:
29
AF XY:
0.0000145
AC XY:
5
AN XY:
344475
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
25830
American (AMR)
AF:
0.00
AC:
0
AN:
31941
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18886
East Asian (EAS)
AF:
0.00
AC:
0
AN:
29875
South Asian (SAS)
AF:
0.00
AC:
0
AN:
50530
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
39759
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4056
European-Non Finnish (NFE)
AF:
0.0000169
AC:
14
AN:
828659
Other (OTH)
AF:
0.0000221
AC:
1
AN:
45171
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.455
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
Cov.:
22
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000189

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Jun 03, 2022
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.4871A>T (p.N1624I) alteration is located in exon 23 (coding exon 22) of the WNK3 gene. This alteration results from a A to T substitution at nucleotide position 4871, causing the asparagine (N) at amino acid position 1624 to be replaced by an isoleucine (I). 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
0.13
BayesDel_addAF
Uncertain
0.050
T
BayesDel_noAF
Benign
-0.61
CADD
Benign
19
DANN
Uncertain
0.98
FATHMM_MKL
Uncertain
0.93
D
M_CAP
Benign
0.017
T
PhyloP100
2.3
ClinPred
0.69
D
GERP RS
3.7
Varity_R
0.33
Mutation Taster
=85/15
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00038
dbscSNV1_RF
Benign
0.020
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

Other links and lift over

dbSNP: rs1253641535; hg19: chrX-54228626; API