chr3-71781472-G-C

Variant summary

Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PM1PM2PM5PP3_Moderate

The NM_001126128.2(PROK2):ā€‹c.217C>Gā€‹(p.Arg73Gly) variant causes a missense change. The variant allele was found at a frequency of 0.00000479 in 1,461,762 control chromosomes in the GnomAD database, with no homozygous occurrence. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R73C) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000048 ( 0 hom. )

Consequence

PROK2
NM_001126128.2 missense

Scores

1
11
7

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 6.30
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 Likely_pathogenic. Variant got 8 ACMG points.

PM1
In a disulfide_bond (size 62) in uniprot entity PROK2_HUMAN there are 4 pathogenic changes around while only 1 benign (80%) in NM_001126128.2
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr3-71781472-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 3604.We mark this variant Likely_pathogenic, oryginal submissions are: {Uncertain_significance=1, Pathogenic=1}.
PP3
Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: max_spliceai. No scorers claiming Uncertain. No scorers claiming Benign.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PROK2NM_001126128.2 linkuse as main transcriptc.217C>G p.Arg73Gly missense_variant 2/4 ENST00000295619.4
PROK2NM_021935.4 linkuse as main transcriptc.217C>G p.Arg73Gly missense_variant 2/3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PROK2ENST00000295619.4 linkuse as main transcriptc.217C>G p.Arg73Gly missense_variant 2/41 NM_001126128.2 Q9HC23-1
PROK2ENST00000353065.7 linkuse as main transcriptc.217C>G p.Arg73Gly missense_variant 2/31 P1Q9HC23-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000795
AC:
2
AN:
251420
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135900
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000176
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000479
AC:
7
AN:
1461762
Hom.:
0
Cov.:
30
AF XY:
0.00000413
AC XY:
3
AN XY:
727192
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000540
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.33
BayesDel_addAF
Uncertain
0.059
T
BayesDel_noAF
Benign
-0.14
CADD
Pathogenic
35
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.56
.;D
Eigen
Uncertain
0.64
Eigen_PC
Uncertain
0.64
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.90
D;T
M_CAP
Benign
0.078
D
MetaRNN
Uncertain
0.58
D;D
MetaSVM
Uncertain
0.44
D
MutationAssessor
Benign
1.6
L;L
MutationTaster
Benign
0.97
D;D
PrimateAI
Benign
0.31
T
PROVEAN
Uncertain
-2.6
D;N
REVEL
Uncertain
0.56
Sift
Benign
0.034
D;D
Sift4G
Uncertain
0.014
D;D
Polyphen
0.99
.;D
Vest4
0.49
MutPred
0.60
Loss of MoRF binding (P = 0.0339);Loss of MoRF binding (P = 0.0339);
MVP
0.98
MPC
0.50
ClinPred
0.95
D
GERP RS
5.7
Varity_R
0.27
gMVP
0.65

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.92
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.92
Position offset: 0

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: rs121434272; hg19: chr3-71830623; API