chr16-2091460-C-T

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM1BS2

The NM_001009944.3(PKD1):​c.11675G>A​(p.Arg3892His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000664 in 1,260,028 control chromosomes in the GnomAD database, including 3 homozygotes. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00036 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00070 ( 3 hom. )

Consequence

PKD1
NM_001009944.3 missense

Scores

3
8
8

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 2.33
Variant links:
Genes affected
PKD1 (HGNC:9008): (polycystin 1, transient receptor potential channel interacting) This gene encodes a member of the polycystin protein family. The encoded glycoprotein contains a large N-terminal extracellular region, multiple transmembrane domains and a cytoplasmic C-tail. It is an integral membrane protein that functions as a regulator of calcium permeable cation channels and intracellular calcium homoeostasis. It is also involved in cell-cell/matrix interactions and may modulate G-protein-coupled signal-transduction pathways. It plays a role in renal tubular development, and mutations in this gene cause autosomal dominant polycystic kidney disease type 1 (ADPKD1). ADPKD1 is characterized by the growth of fluid-filled cysts that replace normal renal tissue and result in end-stage renal failure. Splice variants encoding different isoforms have been noted for this gene. Also, six pseudogenes, closely linked in a known duplicated region on chromosome 16p, have been described. [provided by RefSeq, Oct 2008]
PKD1-AS1 (HGNC:56035): (PKD1 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM1
In a topological_domain Extracellular (size 214) in uniprot entity PKD1_HUMAN there are 39 pathogenic changes around while only 11 benign (78%) in NM_001009944.3
BS2
High AC in GnomAd4 at 54 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PKD1NM_001009944.3 linkuse as main transcriptc.11675G>A p.Arg3892His missense_variant 42/46 ENST00000262304.9 NP_001009944.3
PKD1-AS1NR_135175.1 linkuse as main transcriptn.25C>T non_coding_transcript_exon_variant 1/3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PKD1ENST00000262304.9 linkuse as main transcriptc.11675G>A p.Arg3892His missense_variant 42/461 NM_001009944.3 ENSP00000262304 P5P98161-1

Frequencies

GnomAD3 genomes
AF:
0.000364
AC:
54
AN:
148448
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000977
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000605
Gnomad ASJ
AF:
0.000293
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000585
Gnomad OTH
AF:
0.000491
GnomAD3 exomes
AF:
0.000768
AC:
8
AN:
10416
Hom.:
0
AF XY:
0.000866
AC XY:
6
AN XY:
6928
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:
0.00164
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000704
AC:
783
AN:
1111580
Hom.:
3
Cov.:
32
AF XY:
0.000712
AC XY:
383
AN XY:
538142
show subpopulations
Gnomad4 AFR exome
AF:
0.0000994
Gnomad4 AMR exome
AF:
0.000142
Gnomad4 ASJ exome
AF:
0.000313
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000395
Gnomad4 NFE exome
AF:
0.000795
Gnomad4 OTH exome
AF:
0.000723
GnomAD4 genome
AF:
0.000364
AC:
54
AN:
148448
Hom.:
0
Cov.:
33
AF XY:
0.000443
AC XY:
32
AN XY:
72264
show subpopulations
Gnomad4 AFR
AF:
0.0000977
Gnomad4 AMR
AF:
0.000605
Gnomad4 ASJ
AF:
0.000293
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000585
Gnomad4 OTH
AF:
0.000491
Alfa
AF:
0.000641
Hom.:
0
Bravo
AF:
0.000393
ExAC
AF:
0.000229
AC:
5

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpApr 14, 2022Variant summary: PKD1 c.11675G>A (p.Arg3892His) results in a non-conservative amino acid change located in the Polycystin cation channel (PKD1/PKD2) domain (IPR013122) of the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.00037 (54 heterozygotes) in 147232 control chromosomes (gnomAD v3.1, genomes dataset). The high number of heterozygous carriers argues against a fully penetrant autosomal dominant disease association for the variant. The variant, c.11675G>A, has been reported in the literature in at least two adult individuals affected with polycystic kidney disease, however without supportive evidence for causality (Neumann_2013, Audrezet_2016). In addition, the variant was also reported in early onset polycystic kidney disease, together with other variants, therefore the authors of this study proposed hypomorphic role for this variant, with a potential biallelic or digenic inheritance (Durkie_2020). To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. One clinical diagnostic laboratory has submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation, and classified the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. -
Polycystic kidney disease, adult type Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsApr 27, 2022- -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAthena DiagnosticsMar 09, 2021- -
PKD1-related disorder Uncertain:1
Uncertain significance, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesMay 29, 2024The PKD1 c.11675G>A variant is predicted to result in the amino acid substitution p.Arg3892His. This variant was previously reported in one patient with polycystic kidney disease (PKD), but no functional or genetic studies were performed to help assess the pathogenicity of this variant (Neumann et al. 2013. PubMed ID: 23300259). This variant along with a truncating variant in the PKD2 gene was reported in one case with very early onset PKD; and in the second case with very early onset PKD, this variant was reported in the compound heterozygous state with another PKD1 variant, suggesting this variant could be a hypomorphic allele. By itself, this type of variant may cause no disease or only relatively mild disease. However, in combination with other pathogenic variants, it may contribute to disease severity (Durkie et al. 2021. PubMed ID: 33168999). This variant is reported in 0.096% of alleles in individuals of Ashkenazi Jewish descent in gnomAD. At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.18
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.30
T;.
Eigen
Uncertain
0.24
Eigen_PC
Benign
0.11
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Uncertain
0.88
D;D
M_CAP
Pathogenic
0.98
D
MetaRNN
Uncertain
0.61
D;D
MetaSVM
Uncertain
-0.19
T
MutationAssessor
Uncertain
2.6
M;.
MutationTaster
Benign
0.98
D;D
PrimateAI
Pathogenic
0.87
D
PROVEAN
Benign
-1.9
N;N
REVEL
Pathogenic
0.83
Sift
Benign
0.14
T;T
Sift4G
Uncertain
0.0090
D;D
Polyphen
1.0
D;D
Vest4
0.39
MutPred
0.66
Loss of sheet (P = 0.0457);.;
MVP
0.94
ClinPred
0.29
T
GERP RS
4.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.8
Varity_R
0.39
gMVP
0.54

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: rs748887038; hg19: chr16-2141461; API