X-87633908-A-G

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The ENST00000373119.9(KLHL4):ā€‹c.1709A>Gā€‹(p.Asn570Ser) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000476 in 1,198,374 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 22 hemizygotes 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‘“ 0.00012 ( 0 hom., 5 hem., cov: 23)
Exomes š‘“: 0.000040 ( 0 hom. 17 hem. )

Consequence

KLHL4
ENST00000373119.9 missense

Scores

2
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.52
Variant links:
Genes affected
KLHL4 (HGNC:6355): (kelch like family member 4) This gene encodes a member of the kelch family of proteins, which are characterized by kelch repeat motifs and a POZ/BTB protein-binding domain. It is thought that kelch repeats are actin binding domains. However, the specific function of this protein has not been determined. 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 -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.14221856).
BS2
High Hemizygotes in GnomAd4 at 5 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KLHL4NM_019117.5 linkuse as main transcriptc.1709A>G p.Asn570Ser missense_variant 8/11 ENST00000373119.9 NP_061990.2
KLHL4NM_057162.3 linkuse as main transcriptc.1709A>G p.Asn570Ser missense_variant 8/11 NP_476503.1
KLHL4XR_938403.3 linkuse as main transcriptn.1801A>G non_coding_transcript_exon_variant 8/12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KLHL4ENST00000373119.9 linkuse as main transcriptc.1709A>G p.Asn570Ser missense_variant 8/111 NM_019117.5 ENSP00000362211 P1Q9C0H6-1
KLHL4ENST00000373114.4 linkuse as main transcriptc.1709A>G p.Asn570Ser missense_variant 8/111 ENSP00000362206 Q9C0H6-2
KLHL4ENST00000652270.1 linkuse as main transcriptc.1709A>G p.Asn570Ser missense_variant, NMD_transcript_variant 8/12 ENSP00000498718 Q9C0H6-1

Frequencies

GnomAD3 genomes
AF:
0.000117
AC:
13
AN:
111519
Hom.:
0
Cov.:
23
AF XY:
0.000148
AC XY:
5
AN XY:
33687
show subpopulations
Gnomad AFR
AF:
0.0000979
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000286
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:
0.0000941
Gnomad OTH
AF:
0.00134
GnomAD3 exomes
AF:
0.0000590
AC:
10
AN:
169517
Hom.:
0
AF XY:
0.0000720
AC XY:
4
AN XY:
55539
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000198
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:
0.0000391
Gnomad OTH exome
AF:
0.000478
GnomAD4 exome
AF:
0.0000405
AC:
44
AN:
1086855
Hom.:
0
Cov.:
28
AF XY:
0.0000481
AC XY:
17
AN XY:
353539
show subpopulations
Gnomad4 AFR exome
AF:
0.0000382
Gnomad4 AMR exome
AF:
0.000235
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000193
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000359
Gnomad4 OTH exome
AF:
0.0000657
GnomAD4 genome
AF:
0.000117
AC:
13
AN:
111519
Hom.:
0
Cov.:
23
AF XY:
0.000148
AC XY:
5
AN XY:
33687
show subpopulations
Gnomad4 AFR
AF:
0.0000979
Gnomad4 AMR
AF:
0.000286
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000941
Gnomad4 OTH
AF:
0.00134
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000982
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000149
AC:
1
ExAC
AF:
0.0000742
AC:
9

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 GeneticsDec 30, 2023The c.1709A>G (p.N570S) alteration is located in exon 8 (coding exon 8) of the KLHL4 gene. This alteration results from a A to G substitution at nucleotide position 1709, causing the asparagine (N) at amino acid position 570 to be replaced by a serine (S). 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
0.066
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.60
CADD
Benign
18
DANN
Benign
0.97
DEOGEN2
Benign
0.25
T;.
FATHMM_MKL
Benign
0.66
D
LIST_S2
Uncertain
0.86
D;D
M_CAP
Benign
0.052
D
MetaRNN
Benign
0.14
T;T
MetaSVM
Benign
-0.64
T
MutationAssessor
Benign
1.7
L;L
MutationTaster
Benign
0.82
N;N
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-0.59
N;N
REVEL
Uncertain
0.30
Sift
Benign
0.14
T;T
Sift4G
Benign
0.27
T;T
Polyphen
0.0010
B;B
Vest4
0.13
MVP
0.39
MPC
0.24
ClinPred
0.073
T
GERP RS
2.0
Varity_R
0.064
gMVP
0.086

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.10
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: rs145858126; hg19: chrX-86888908; API