chr3-71774503-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001126128.2(PROK2):ā€‹c.227A>Gā€‹(p.Asn76Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000715 in 1,398,878 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/23 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 7.1e-7 ( 0 hom. )

Consequence

PROK2
NM_001126128.2 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.803
Variant links:
Genes affected
PROK2 (HGNC:18455): (prokineticin 2) This gene encodes a protein expressed in the suprachiasmatic nucleus (SCN) circadian clock that may function as the output component of the circadian clock. The secreted form of the encoded protein may also serve as a chemoattractant for neuronal precursor cells in the olfactory bulb. Proteins from other vertebrates which are similar to this gene product were isolated based on homology to snake venom and secretions from frog skin, and have been shown to have diverse functions. Mutations in this gene are associated with Kallmann syndrome 4. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PROK2NM_001126128.2 linkuse as main transcriptc.227A>G p.Asn76Ser missense_variant 3/4 ENST00000295619.4 NP_001119600.1 Q9HC23-1
PROK2NM_021935.4 linkuse as main transcriptc.223-1675A>G intron_variant NP_068754.1 Q9HC23-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PROK2ENST00000295619.4 linkuse as main transcriptc.227A>G p.Asn76Ser missense_variant 3/41 NM_001126128.2 ENSP00000295619.3 Q9HC23-1
PROK2ENST00000353065.7 linkuse as main transcriptc.223-1675A>G intron_variant 1 ENSP00000295618.3 Q9HC23-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000642
AC:
1
AN:
155842
Hom.:
0
AF XY:
0.0000121
AC XY:
1
AN XY:
82618
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000920
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
7.15e-7
AC:
1
AN:
1398878
Hom.:
0
Cov.:
31
AF XY:
0.00000145
AC XY:
1
AN XY:
689964
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000280
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

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 GeneticsMay 18, 2023The c.227A>G (p.N76S) alteration is located in exon 3 (coding exon 3) of the PROK2 gene. This alteration results from a A to G substitution at nucleotide position 227, causing the asparagine (N) at amino acid position 76 to be replaced by a serine (S). 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
0.077
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.51
CADD
Benign
17
DANN
Benign
0.97
DEOGEN2
Benign
0.32
T
Eigen
Benign
-0.59
Eigen_PC
Benign
-0.35
FATHMM_MKL
Benign
0.69
D
LIST_S2
Benign
0.43
T
M_CAP
Benign
0.056
D
MetaRNN
Benign
0.12
T
MetaSVM
Benign
-0.84
T
MutationAssessor
Benign
-0.55
N
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-0.030
N
REVEL
Benign
0.25
Sift
Benign
0.37
T
Sift4G
Benign
0.83
T
Polyphen
0.0070
B
Vest4
0.089
MutPred
0.28
Gain of phosphorylation at N76 (P = 0.0227);
MVP
0.80
MPC
0.075
ClinPred
0.12
T
GERP RS
4.1
Varity_R
0.054
gMVP
0.33

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.46
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.46
Position offset: -1

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: rs1348400555; hg19: chr3-71823654; API