chr16-31091334-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM1PP5

The NM_024006.6(VKORC1):​c.292C>T​(p.Arg98Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000583 in 1,613,336 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000063 ( 0 hom. )

Consequence

VKORC1
NM_024006.6 missense

Scores

4
2
10

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 0.653
Variant links:
Genes affected
VKORC1 (HGNC:23663): (vitamin K epoxide reductase complex subunit 1) This gene encodes the catalytic subunit of the vitamin K epoxide reductase complex, which is responsible for the reduction of inactive vitamin K 2,3-epoxide to active vitamin K in the endoplasmic reticulum membrane. Vitamin K is a required co-factor for carboxylation of glutamic acid residues by vitamin K-dependent gamma-carboxylase in blood-clotting enzymes. Allelic variation in this gene is associated with vitamin k-dependent clotting factors combined deficiency of 2, and increased resistance or sensitivity to warfarin, an inhibitor of vitamin K epoxide reductase. Pseudogenes of this gene are located on chromosomes 1 and X. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM1
In a chain Vitamin K epoxide reductase complex subunit 1 (size 162) in uniprot entity VKOR1_HUMAN there are 22 pathogenic changes around while only 0 benign (100%) in NM_024006.6
PP5
Variant 16-31091334-G-A is Pathogenic according to our data. Variant chr16-31091334-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 2206.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr16-31091334-G-A is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
VKORC1NM_024006.6 linkuse as main transcriptc.292C>T p.Arg98Trp missense_variant 3/3 ENST00000394975.3 NP_076869.1
VKORC1NM_001311311.2 linkuse as main transcriptc.376C>T p.Arg126Trp missense_variant 4/4 NP_001298240.1
VKORC1NM_206824.3 linkuse as main transcriptc.182C>T p.Ala61Val missense_variant 2/2 NP_996560.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
VKORC1ENST00000394975.3 linkuse as main transcriptc.292C>T p.Arg98Trp missense_variant 3/31 NM_024006.6 ENSP00000378426 P1Q9BQB6-1

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152218
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000725
AC:
18
AN:
248290
Hom.:
0
AF XY:
0.0000744
AC XY:
10
AN XY:
134442
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000291
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000329
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000134
Gnomad OTH exome
AF:
0.000165
GnomAD4 exome
AF:
0.0000630
AC:
92
AN:
1461118
Hom.:
0
Cov.:
31
AF XY:
0.0000605
AC XY:
44
AN XY:
726788
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000348
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000747
Gnomad4 OTH exome
AF:
0.0000663
GnomAD4 genome
AF:
0.0000131
AC:
2
AN:
152218
Hom.:
0
Cov.:
32
AF XY:
0.0000269
AC XY:
2
AN XY:
74364
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000128
Hom.:
0
Bravo
AF:
0.0000340
ExAC
AF:
0.0000906
AC:
11

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Vitamin K-dependent clotting factors, combined deficiency of, type 2 Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMFeb 05, 2004- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.098
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Pathogenic
0.17
CADD
Benign
20
DANN
Uncertain
1.0
Eigen
Benign
-0.20
Eigen_PC
Benign
-0.35
FATHMM_MKL
Benign
0.081
N
LIST_S2
Benign
0.69
T;T;T;T;T
M_CAP
Pathogenic
0.33
D
MetaRNN
Uncertain
0.51
D;D;D;D;D
MetaSVM
Pathogenic
0.98
D
MutationTaster
Benign
3.1e-13
A;A;A;A;A;A
PROVEAN
Benign
-0.25
N;N;N;D;D
REVEL
Benign
0.19
Sift
Pathogenic
0.0
D;D;D;T;T
Sift4G
Benign
0.48
T;D;T;D;D
Polyphen
0.24
.;B;.;.;.
Vest4
0.11
MVP
0.85
ClinPred
0.22
T
GERP RS
1.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

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: rs72547528; hg19: chr16-31102655; COSMIC: COSV54923357; COSMIC: COSV54923357; API