chr1-77287107-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_174858.3(AK5):​c.227G>A​(p.Arg76Gln) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000565 in 1,417,090 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.0000056 ( 0 hom. )

Consequence

AK5
NM_174858.3 missense

Scores

2
10
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.70
Variant links:
Genes affected
AK5 (HGNC:365): (adenylate kinase 5) This gene encodes a member of the adenylate kinase family, which is involved in regulating the adenine nucleotide composition within a cell by catalyzing the reversible transfer of phosphate groups among adenine nucleotides. This member is related to the UMP/CMP kinase of several species. It is located in the cytosol and expressed exclusively in brain. Alternatively spliced transcript variants encoding distinct isoforms have been identified for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
AK5NM_174858.3 linkuse as main transcriptc.227G>A p.Arg76Gln missense_variant 2/14 ENST00000354567.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
AK5ENST00000354567.7 linkuse as main transcriptc.227G>A p.Arg76Gln missense_variant 2/141 NM_174858.3 P1Q9Y6K8-1
AK5ENST00000344720.9 linkuse as main transcriptc.149G>A p.Arg50Gln missense_variant 2/141 Q9Y6K8-3
AK5ENST00000478407.1 linkuse as main transcriptc.149G>A p.Arg50Gln missense_variant 2/55
AK5ENST00000317704.8 linkuse as main transcriptn.483G>A non_coding_transcript_exon_variant 2/62

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD3 exomes
AF:
0.00000447
AC:
1
AN:
223820
Hom.:
0
AF XY:
0.00000821
AC XY:
1
AN XY:
121750
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:
0.00000962
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000565
AC:
8
AN:
1417090
Hom.:
0
Cov.:
30
AF XY:
0.00000567
AC XY:
4
AN XY:
705028
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:
0.0000127
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000642
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31
ExAC
AF:
0.00000824
AC:
1

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 08, 2023The c.227G>A (p.R76Q) alteration is located in exon 2 (coding exon 2) of the AK5 gene. This alteration results from a G to A substitution at nucleotide position 227, causing the arginine (R) at amino acid position 76 to be replaced by a glutamine (Q). 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
Uncertain
0.37
BayesDel_addAF
Uncertain
0.10
D
BayesDel_noAF
Uncertain
-0.060
CADD
Pathogenic
32
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.026
T;.;T
Eigen
Uncertain
0.51
Eigen_PC
Uncertain
0.59
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.95
D;D;D
M_CAP
Benign
0.041
D
MetaRNN
Uncertain
0.65
D;D;D
MetaSVM
Uncertain
-0.24
T
MutationAssessor
Benign
1.8
L;.;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.67
T
PROVEAN
Benign
-1.1
N;N;N
REVEL
Uncertain
0.35
Sift
Benign
0.20
T;T;T
Sift4G
Benign
0.29
T;T;T
Polyphen
1.0
D;.;.
Vest4
0.45
MutPred
0.66
Loss of methylation at R76 (P = 0.0545);.;.;
MVP
0.87
MPC
1.4
ClinPred
0.95
D
GERP RS
4.7
Varity_R
0.19
gMVP
0.55

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs751153431; hg19: chr1-77752792; COSMIC: COSV58355247; API