chr19-50907030-G-A

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP7BS1BS2

The NM_004917.5(KLK4):​c.669C>T​(p.Phe223=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0118 in 1,614,132 control chromosomes in the GnomAD database, including 176 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.012 ( 19 hom., cov: 32)
Exomes 𝑓: 0.012 ( 157 hom. )

Consequence

KLK4
NM_004917.5 synonymous

Scores

2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.495
Variant links:
Genes affected
KLK4 (HGNC:6365): (kallikrein related peptidase 4) Kallikreins are a subgroup of serine proteases having diverse physiological functions. Growing evidence suggests that many kallikreins are implicated in carcinogenesis and some have potential as novel cancer and other disease biomarkers. This gene is one of the fifteen kallikrein subfamily members located in a cluster on chromosome 19. In some tissues its expression is hormonally regulated. The expression pattern of a similar mouse protein in murine developing teeth supports a role for the protein in the degradation of enamel proteins. Several transcript variants encoding different proteins have been found for this gene. [provided by RefSeq, Dec 2014]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.88).
BP7
Synonymous conserved (PhyloP=-0.495 with no splicing effect.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0117 (1776/152268) while in subpopulation NFE AF= 0.0151 (1027/68020). AF 95% confidence interval is 0.0143. There are 19 homozygotes in gnomad4. There are 941 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 19 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KLK4NM_004917.5 linkuse as main transcriptc.669C>T p.Phe223= synonymous_variant 6/6 ENST00000324041.6
KLK4NM_001302961.2 linkuse as main transcriptc.384C>T p.Phe128= synonymous_variant 5/5
KLK4NR_126566.2 linkuse as main transcriptn.658C>T non_coding_transcript_exon_variant 5/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KLK4ENST00000324041.6 linkuse as main transcriptc.669C>T p.Phe223= synonymous_variant 6/61 NM_004917.5 P1

Frequencies

GnomAD3 genomes
AF:
0.0117
AC:
1775
AN:
152150
Hom.:
19
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00188
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00517
Gnomad ASJ
AF:
0.00202
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000829
Gnomad FIN
AF:
0.0530
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0151
Gnomad OTH
AF:
0.00813
GnomAD3 exomes
AF:
0.0119
AC:
3005
AN:
251476
Hom.:
38
AF XY:
0.0120
AC XY:
1625
AN XY:
135914
show subpopulations
Gnomad AFR exome
AF:
0.00185
Gnomad AMR exome
AF:
0.00619
Gnomad ASJ exome
AF:
0.00109
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.00170
Gnomad FIN exome
AF:
0.0453
Gnomad NFE exome
AF:
0.0144
Gnomad OTH exome
AF:
0.0134
GnomAD4 exome
AF:
0.0118
AC:
17313
AN:
1461864
Hom.:
157
Cov.:
32
AF XY:
0.0117
AC XY:
8542
AN XY:
727234
show subpopulations
Gnomad4 AFR exome
AF:
0.00140
Gnomad4 AMR exome
AF:
0.00660
Gnomad4 ASJ exome
AF:
0.00157
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00176
Gnomad4 FIN exome
AF:
0.0466
Gnomad4 NFE exome
AF:
0.0122
Gnomad4 OTH exome
AF:
0.0108
GnomAD4 genome
AF:
0.0117
AC:
1776
AN:
152268
Hom.:
19
Cov.:
32
AF XY:
0.0126
AC XY:
941
AN XY:
74456
show subpopulations
Gnomad4 AFR
AF:
0.00188
Gnomad4 AMR
AF:
0.00516
Gnomad4 ASJ
AF:
0.00202
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000830
Gnomad4 FIN
AF:
0.0530
Gnomad4 NFE
AF:
0.0151
Gnomad4 OTH
AF:
0.00805
Alfa
AF:
0.0125
Hom.:
10
Bravo
AF:
0.00767
Asia WGS
AF:
0.00289
AC:
10
AN:
3478
EpiCase
AF:
0.0142
EpiControl
AF:
0.0122

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.88
CADD
Benign
2.6
DANN
Benign
0.39

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: rs35945487; hg19: chr19-51410286; COSMIC: COSV60676678; COSMIC: COSV60676678; API