chr2-27099556-G-A

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_006488.3(KHK):​c.790G>A​(p.Val264Ile) variant causes a missense change. The variant allele was found at a frequency of 0.00166 in 1,614,144 control chromosomes in the GnomAD database, including 5 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0015 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0017 ( 4 hom. )

Consequence

KHK
NM_006488.3 missense

Scores

4
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: 6.44
Variant links:
Genes affected
KHK (HGNC:6315): (ketohexokinase) This gene encodes ketohexokinase that catalyzes conversion of fructose to fructose-1-phosphate. The product of this gene is the first enzyme with a specialized pathway that catabolizes dietary fructose. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2008]
CGREF1 (HGNC:16962): (cell growth regulator with EF-hand domain 1) Predicted to enable calcium ion binding activity. Predicted to be involved in negative regulation of cell population proliferation. Predicted to be located in extracellular region. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.016144037).
BP6
Variant 2-27099556-G-A is Benign according to our data. Variant chr2-27099556-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 335497.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1}.
BS2
High Homozygotes in GnomAdExome4 at 4 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KHKNM_006488.3 linkuse as main transcriptc.790G>A p.Val264Ile missense_variant 7/8 ENST00000260598.10 NP_006479.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KHKENST00000260598.10 linkuse as main transcriptc.790G>A p.Val264Ile missense_variant 7/82 NM_006488.3 ENSP00000260598 P3P50053-1

Frequencies

GnomAD3 genomes
AF:
0.00150
AC:
229
AN:
152170
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000531
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00452
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000943
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00193
Gnomad OTH
AF:
0.00288
GnomAD3 exomes
AF:
0.00121
AC:
304
AN:
251246
Hom.:
1
AF XY:
0.00121
AC XY:
165
AN XY:
135812
show subpopulations
Gnomad AFR exome
AF:
0.000492
Gnomad AMR exome
AF:
0.00289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.000131
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00156
Gnomad OTH exome
AF:
0.00228
GnomAD4 exome
AF:
0.00167
AC:
2446
AN:
1461856
Hom.:
4
Cov.:
33
AF XY:
0.00163
AC XY:
1187
AN XY:
727232
show subpopulations
Gnomad4 AFR exome
AF:
0.000508
Gnomad4 AMR exome
AF:
0.00266
Gnomad4 ASJ exome
AF:
0.000115
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.000151
Gnomad4 FIN exome
AF:
0.0000749
Gnomad4 NFE exome
AF:
0.00196
Gnomad4 OTH exome
AF:
0.00179
GnomAD4 genome
AF:
0.00150
AC:
229
AN:
152288
Hom.:
1
Cov.:
32
AF XY:
0.00148
AC XY:
110
AN XY:
74458
show subpopulations
Gnomad4 AFR
AF:
0.000529
Gnomad4 AMR
AF:
0.00451
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000943
Gnomad4 NFE
AF:
0.00193
Gnomad4 OTH
AF:
0.00285
Alfa
AF:
0.00162
Hom.:
1
Bravo
AF:
0.00160
TwinsUK
AF:
0.00135
AC:
5
ALSPAC
AF:
0.00259
AC:
10
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00140
AC:
12
ExAC
AF:
0.00103
AC:
125
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00142
EpiControl
AF:
0.00148

ClinVar

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

Submissions by phenotype

Essential fructosuria Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJun 08, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.11
CADD
Benign
22
DANN
Benign
0.97
DEOGEN2
Benign
0.29
.;T
Eigen
Benign
-0.31
Eigen_PC
Benign
-0.15
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Benign
0.83
T;T
M_CAP
Benign
0.051
D
MetaRNN
Benign
0.016
T;T
MetaSVM
Benign
-0.77
T
MutationAssessor
Uncertain
2.2
M;M
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-0.29
N;N
REVEL
Uncertain
0.36
Sift
Benign
0.16
T;T
Sift4G
Benign
0.45
T;T
Polyphen
0.0070
B;B
Vest4
0.46
MVP
0.53
MPC
0.15
ClinPred
0.049
T
GERP RS
3.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.11
gMVP
0.69

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: rs114353144; hg19: chr2-27322424; COSMIC: COSV53148659; COSMIC: COSV53148659; API