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chr22-38479627-A-G

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_006855.4(KDELR3):ā€‹c.227A>Gā€‹(p.Tyr76Cys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00231 in 1,613,984 control chromosomes in the GnomAD database, including 13 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.0017 ( 2 hom., cov: 31)
Exomes š‘“: 0.0024 ( 11 hom. )

Consequence

KDELR3
NM_006855.4 missense

Scores

3
9
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.35
Variant links:
Genes affected
KDELR3 (HGNC:6306): (KDEL endoplasmic reticulum protein retention receptor 3) This gene encodes a member of the KDEL endoplasmic reticulum protein retention receptor family. Retention of resident soluble proteins in the lumen of the endoplasmic reticulum (ER) is achieved in both yeast and animal cells by their continual retrieval from the cis-Golgi, or a pre-Golgi compartment. Sorting of these proteins is dependent on a C-terminal tetrapeptide signal, usually lys-asp-glu-leu (KDEL) in animal cells, and his-asp-glu-leu (HDEL) in S. cerevisiae. This process is mediated by a receptor that recognizes, and binds the tetrapeptide-containing protein, and returns it to the ER. In yeast, the sorting receptor encoded by a single gene, ERD2, is a seven-transmembrane protein. Unlike yeast, several human homologs of the ERD2 gene, constituting the KDEL receptor gene family, have been described. KDELR3 was the third member of the family to be identified. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Jul 2013]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.18365392).
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KDELR3NM_006855.4 linkuse as main transcriptc.227A>G p.Tyr76Cys missense_variant 3/5 ENST00000216014.9
KDELR3NM_016657.3 linkuse as main transcriptc.227A>G p.Tyr76Cys missense_variant 3/4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KDELR3ENST00000216014.9 linkuse as main transcriptc.227A>G p.Tyr76Cys missense_variant 3/51 NM_006855.4 P1O43731-1
KDELR3ENST00000409006.3 linkuse as main transcriptc.227A>G p.Tyr76Cys missense_variant 3/41 O43731-2
KDELR3ENST00000471268.1 linkuse as main transcriptn.166A>G non_coding_transcript_exon_variant 3/55

Frequencies

GnomAD3 genomes
AF:
0.00168
AC:
256
AN:
152206
Hom.:
2
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000700
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00177
Gnomad ASJ
AF:
0.00144
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00279
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.00143
AC:
359
AN:
251474
Hom.:
0
AF XY:
0.00152
AC XY:
206
AN XY:
135916
show subpopulations
Gnomad AFR exome
AF:
0.000554
Gnomad AMR exome
AF:
0.00107
Gnomad ASJ exome
AF:
0.00109
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000653
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.00249
Gnomad OTH exome
AF:
0.00261
GnomAD4 exome
AF:
0.00238
AC:
3473
AN:
1461660
Hom.:
11
Cov.:
32
AF XY:
0.00234
AC XY:
1704
AN XY:
727150
show subpopulations
Gnomad4 AFR exome
AF:
0.000388
Gnomad4 AMR exome
AF:
0.00127
Gnomad4 ASJ exome
AF:
0.00138
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000812
Gnomad4 FIN exome
AF:
0.0000374
Gnomad4 NFE exome
AF:
0.00288
Gnomad4 OTH exome
AF:
0.00248
GnomAD4 genome
AF:
0.00168
AC:
256
AN:
152324
Hom.:
2
Cov.:
31
AF XY:
0.00144
AC XY:
107
AN XY:
74482
show subpopulations
Gnomad4 AFR
AF:
0.000698
Gnomad4 AMR
AF:
0.00177
Gnomad4 ASJ
AF:
0.00144
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.00279
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.00246
Hom.:
2
Bravo
AF:
0.00181
TwinsUK
AF:
0.00297
AC:
11
ALSPAC
AF:
0.00311
AC:
12
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00291
AC:
25
ExAC
AF:
0.00130
AC:
158

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMay 26, 2022The c.227A>G (p.Y76C) alteration is located in exon 3 (coding exon 3) of the KDELR3 gene. This alteration results from a A to G substitution at nucleotide position 227, causing the tyrosine (Y) at amino acid position 76 to be replaced by a cysteine (C). 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
Benign
0.089
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Uncertain
-0.020
CADD
Pathogenic
28
DANN
Uncertain
1.0
DEOGEN2
Benign
0.19
T;.
Eigen
Pathogenic
0.70
Eigen_PC
Uncertain
0.59
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Uncertain
0.90
D;D
M_CAP
Benign
0.057
D
MetaRNN
Benign
0.18
T;T
MetaSVM
Benign
-0.61
T
MutationAssessor
Pathogenic
3.5
H;H
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.77
T
PROVEAN
Pathogenic
-7.4
D;D
REVEL
Uncertain
0.40
Sift
Uncertain
0.0010
D;D
Sift4G
Uncertain
0.0040
D;D
Polyphen
1.0
D;D
Vest4
0.90
MVP
0.63
MPC
0.64
ClinPred
0.11
T
GERP RS
3.6
Varity_R
0.74
gMVP
0.90

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: rs138428820; hg19: chr22-38875632; COSMIC: COSV99318473; COSMIC: COSV99318473; API