chr16-29798644-G-A

Variant summary

Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PM1PM2PM5PP3_StrongPP5_Very_Strong

The NM_007317.3(KIF22):​c.446G>A​(p.Arg149Gln) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R149L) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 32)

Consequence

KIF22
NM_007317.3 missense

Scores

9
8
2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:9U:1

Conservation

PhyloP100: 6.06
Variant links:
Genes affected
KIF22 (HGNC:6391): (kinesin family member 22) The protein encoded by this gene is a member of the kinesin-like protein family. The family members are microtubule-dependent molecular motors that transport organelles within cells and move chromosomes during cell division. The C-terminal half of this protein has been shown to bind DNA. Studies with the Xenopus homolog suggests its essential role in metaphase chromosome alignment and maintenance. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jan 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 18 ACMG points.

PM1
In a helix (size 15) in uniprot entity KIF22_HUMAN there are 8 pathogenic changes around while only 1 benign (89%) in NM_007317.3
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr16-29798644-G-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 30336.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.964
PP5
Variant 16-29798644-G-A is Pathogenic according to our data. Variant chr16-29798644-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 30335.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-29798644-G-A is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KIF22NM_007317.3 linkuse as main transcriptc.446G>A p.Arg149Gln missense_variant 4/14 ENST00000160827.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KIF22ENST00000160827.9 linkuse as main transcriptc.446G>A p.Arg149Gln missense_variant 4/141 NM_007317.3 P2Q14807-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
36
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:9Uncertain:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Spondyloepimetaphyseal dysplasia with multiple dislocations Pathogenic:5Uncertain:1
Pathogenic, criteria provided, single submitterclinical testingVictorian Clinical Genetics Services, Murdoch Childrens Research InstituteMay 06, 2021Based on the classification scheme VCGS_Germline_v1.3.4, this variant is classified as Pathogenic. Following criteria are met: 0105 - The mechanism of disease for this gene is not clearly established. Dominant negative is a suggested mechanism for this gene (PMID: 22152678). (I) 0107 - This gene is associated with autosomal dominant disease. (I) 0200 - Variant is predicted to result in a missense amino acid change from arginine to glutamine. (I) 0251 - This variant is heterozygous. (I) 0301 - Variant is absent from gnomAD (both v2 and v3). (SP) 0309 - An alternative amino acid change at the same position has been observed in gnomAD (v2) (14 heterozygotes, 0 homozygotes). (I) 0502 - Missense variant with conflicting in silico predictions and uninformative conservation. (I) 0602 - Variant is located in a hotspot region or cluster of pathogenic variants. Multiple pathogenic missense variants have been reported within the region this variant is found (PMID: 22152677, PMID: 22152678). (SP) 0705 - No comparable missense variants have previous evidence for pathogenicity. However, an alternative missense variant (p.Arg149Leu) with a stronger Grantham change has been reported once as de novo in an individual with spondyloepimetaphyseal dysplasia with joint laxity (SEMDJL), and was classified as pathogenic (ClinVar, OMIM, PMID: 22152678). (I) 0801 - This variant has strong previous evidence of pathogenicity in unrelated individuals. This variant has been reported several times as pathogenic (ClinVar), and has been observed in many families or de novo individuals with SEMDJL (PMID: 22152677, PMID: 22152678). (SP) 1102 - Strong phenotype match for this individual. (SP) 1208 - Inheritance information for this variant is not currently available in this individual. (I) Legend: (SP) - Supporting pathogenic, (I) - Information, (SB) - Supporting benign -
Pathogenic, criteria provided, single submitterclinical testingRevvity Omics, RevvityJun 19, 2023- -
Uncertain significance, criteria provided, single submitterresearchCenter for Genomic Medicine, King Faisal Specialist Hospital and Research CenterMar 25, 2024- -
Pathogenic, no assertion criteria providedliterature onlyOMIMDec 09, 2011- -
Pathogenic, criteria provided, single submitterclinical testingNeuberg Centre For Genomic Medicine, NCGM-The missense variant p.R149Q in KIF22 (NM_007317.3) has been previously reported in multiple affected indviduals (Boyden ED et al; Min BJ et al). It has been submitted to the ClinVar database as Pathogenic. The p.R149Q variant is novel (not in any individuals) in gnomAD Exomes and is novel (not in any individuals) in 1000 Genomes. The p.R149Q missense variant is predicted to be damaging by both SIFT and PolyPhen2. The arginine residue at codon 149 of KIF22 is conserved in all mammalian species. The nucleotide c.446 in KIF22 is predicted conserved by GERP++ and PhyloP across 100 vertebrates. For these reasons, this variant has been classified as Pathogenic. -
Pathogenic, criteria provided, single submitterclinical testingFoundation for Research in Genetics and Endocrinology, FRIGE's Institute of Human GeneticsMay 14, 2024A heterozygous missense variant in exon 4 of the KIF22 gene that results in the amino acid substitution of Glutamine for Arginine at codon 149 was detected . The observed variant has previously been reported in patients affected with Spondyloepimetaphyseal Dysplasia with Joint Laxity [PMID: 22152677] and functional studies demonstrate a damaging effect on inactivation of anaphase [PMID: 35730929]. This variant has not been reported in the 1000 genomes, gnomAD (v3.1), gnomdAD (v2.1) and topmed databases. The in silico prediction of the variant is damaging by PolyPhen-2 (HumDiv), SIFT and MutationTaster2. The reference codon is conserved across species. -
not provided Pathogenic:2
Pathogenic, criteria provided, single submitterclinical testingInvitaeDec 30, 2023This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 149 of the KIF22 protein (p.Arg149Gln). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individual(s) with spondyloepimetaphyseal dysplasia with joint laxity, leptodactylic type (PMID: 22152677, 22152678). In at least one individual the variant was observed to be de novo. It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 30335). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt KIF22 protein function with a negative predictive value of 80%. Experimental studies are conflicting or provide insufficient evidence to determine the effect of this variant on KIF22 function (PMID: 22152678). For these reasons, this variant has been classified as Pathogenic. -
Pathogenic, criteria provided, single submitterclinical testingGeneDxAug 04, 2023Published functional studies demonstrate a damaging effect on inactivation of anaphase (Thompson et al., 2022); Not observed at significant frequency in large population cohorts (gnomAD); This variant is associated with the following publications: (PMID: 22152677, 22152678, 35730929) -
Inborn genetic diseases Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingAmbry GeneticsNov 20, 2017- -
See cases Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingInstitute of Human Genetics, University Hospital MuensterApr 25, 2023ACMG categories: PS3,PM1,PM2,PP3,PP5 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Pathogenic
0.37
D
BayesDel_noAF
Pathogenic
0.29
CADD
Pathogenic
30
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.83
.;D;.;.;.
Eigen
Pathogenic
0.90
Eigen_PC
Pathogenic
0.88
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.90
.;D;D;D;D
M_CAP
Uncertain
0.097
D
MetaRNN
Pathogenic
0.96
D;D;D;D;D
MetaSVM
Uncertain
0.22
D
MutationAssessor
Uncertain
2.7
.;M;.;.;.
MutationTaster
Benign
1.0
D;D;D;D;D
PrimateAI
Uncertain
0.74
T
PROVEAN
Uncertain
-3.6
D;D;.;D;D
REVEL
Pathogenic
0.78
Sift
Uncertain
0.0050
D;D;.;D;D
Sift4G
Uncertain
0.022
D;D;T;D;D
Polyphen
1.0
.;D;.;.;.
Vest4
0.73
MutPred
0.88
.;Gain of disorder (P = 0.1778);.;.;.;
MVP
0.92
MPC
0.91
ClinPred
0.98
D
GERP RS
6.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.9
Varity_R
0.63
gMVP
0.85

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs193922922; hg19: chr16-29809965; COSMIC: COSV50717990; COSMIC: COSV50717990; API