chr19-49399142-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP5_Moderate

The ENST00000447857.8(KASH5):​c.747G>A​(p.Ala249Ala) variant causes a splice region, synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00136 in 1,548,766 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Likely pathogenic (★).

Frequency

Genomes: 𝑓 0.0010 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0014 ( 1 hom. )

Consequence

KASH5
ENST00000447857.8 splice_region, synonymous

Scores

2
Splicing: ADA: 0.9941
2

Clinical Significance

Likely pathogenic criteria provided, single submitter P:2

Conservation

PhyloP100: 0.752
Variant links:
Genes affected
KASH5 (HGNC:26520): (KASH domain containing 5) Predicted to enable dynein complex binding activity. Predicted to be involved in several processes, including cytoskeleton organization; homologous chromosome segregation; and spindle localization. Predicted to act upstream of or within double-strand break repair via homologous recombination; oogenesis; and spermatogenesis. Predicted to be integral component of membrane. Predicted to be part of meiotic nuclear membrane microtubule tethering complex. Predicted to be active in chromosome; meiotic spindle pole; and nuclear outer membrane. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 19-49399142-G-A is Pathogenic according to our data. Variant chr19-49399142-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 1232307.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KASH5NM_144688.5 linkuse as main transcriptc.747G>A p.Ala249Ala splice_region_variant, synonymous_variant 8/20 ENST00000447857.8 NP_653289.3 Q8N6L0

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KASH5ENST00000447857.8 linkuse as main transcriptc.747G>A p.Ala249Ala splice_region_variant, synonymous_variant 8/201 NM_144688.5 ENSP00000404220.2 Q8N6L0

Frequencies

GnomAD3 genomes
AF:
0.000999
AC:
152
AN:
152208
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000282
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00194
Gnomad OTH
AF:
0.00191
GnomAD3 exomes
AF:
0.000689
AC:
104
AN:
151008
Hom.:
0
AF XY:
0.000673
AC XY:
54
AN XY:
80252
show subpopulations
Gnomad AFR exome
AF:
0.000253
Gnomad AMR exome
AF:
0.000127
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000939
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000129
Gnomad NFE exome
AF:
0.00163
Gnomad OTH exome
AF:
0.000234
GnomAD4 exome
AF:
0.00140
AC:
1954
AN:
1396442
Hom.:
1
Cov.:
31
AF XY:
0.00133
AC XY:
918
AN XY:
688872
show subpopulations
Gnomad4 AFR exome
AF:
0.000159
Gnomad4 AMR exome
AF:
0.000144
Gnomad4 ASJ exome
AF:
0.0000399
Gnomad4 EAS exome
AF:
0.0000280
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.000508
Gnomad4 NFE exome
AF:
0.00173
Gnomad4 OTH exome
AF:
0.000882
GnomAD4 genome
AF:
0.000998
AC:
152
AN:
152324
Hom.:
0
Cov.:
32
AF XY:
0.000805
AC XY:
60
AN XY:
74488
show subpopulations
Gnomad4 AFR
AF:
0.000241
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000282
Gnomad4 NFE
AF:
0.00194
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.00124
Hom.:
0
Bravo
AF:
0.000839
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Genetic non-acquired premature ovarian failure Pathogenic:1
Likely pathogenic, criteria provided, single submitterresearchCenter for Reproductive Medicine, Shandong Provincial Hospital Affiliated to Shandong UniversitySep 07, 2021- -
Premature ovarian failure 22 Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMOct 23, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.52
CADD
Benign
20
DANN
Benign
0.35

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.99
dbscSNV1_RF
Pathogenic
0.92
SpliceAI score (max)
0.85
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.23
Position offset: 25
DS_DL_spliceai
0.85
Position offset: 0

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: rs200723797; hg19: chr19-49902399; COSMIC: COSV71357860; COSMIC: COSV71357860; API