chr19-50908388-C-G

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_004917.5(KLK4):ā€‹c.583G>Cā€‹(p.Gly195Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000657 in 152,146 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 11/19 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: š‘“ 0.0000066 ( 0 hom., cov: 32)

Consequence

KLK4
NM_004917.5 missense

Scores

4
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.19
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 Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.2971744).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KLK4NM_004917.5 linkuse as main transcriptc.583G>C p.Gly195Arg missense_variant 5/6 ENST00000324041.6 NP_004908.4 Q9Y5K2A0A0C4DFQ5
KLK4NM_001302961.2 linkuse as main transcriptc.298G>C p.Gly100Arg missense_variant 4/5 NP_001289890.1 Q9Y5K2Q5BQA0
KLK4XM_011527545.4 linkuse as main transcriptc.*78G>C 3_prime_UTR_variant 4/4 XP_011525847.1
KLK4NR_126566.2 linkuse as main transcriptn.572G>C non_coding_transcript_exon_variant 4/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KLK4ENST00000324041.6 linkuse as main transcriptc.583G>C p.Gly195Arg missense_variant 5/61 NM_004917.5 ENSP00000326159.1 A0A0C4DFQ5

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152146
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
Cov.:
32
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152146
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74326
show subpopulations
Gnomad4 AFR
AF:
0.0000241
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:
0.00
Gnomad4 OTH
AF:
0.00

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 09, 2024The c.583G>C (p.G195R) alteration is located in exon 4 (coding exon 4) of the KLK4 gene. This alteration results from a G to C substitution at nucleotide position 583, causing the glycine (G) at amino acid position 195 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.53
BayesDel_addAF
Uncertain
0.029
T
BayesDel_noAF
Benign
-0.20
CADD
Benign
18
DANN
Benign
0.97
Eigen
Benign
-0.53
Eigen_PC
Benign
-0.73
FATHMM_MKL
Benign
0.055
N
LIST_S2
Benign
0.65
T
M_CAP
Benign
0.042
D
MetaRNN
Benign
0.30
T
MetaSVM
Benign
-0.37
T
PrimateAI
Uncertain
0.49
T
PROVEAN
Benign
-1.6
N
REVEL
Uncertain
0.34
Sift
Benign
0.13
T
Sift4G
Benign
0.46
T
Vest4
0.31
MutPred
0.48
Gain of methylation at G195 (P = 0.0184);
MVP
0.80
MPC
1.2
ClinPred
0.51
D
GERP RS
1.2
gMVP
0.68

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: rs2090452538; hg19: chr19-51411644; API