chr7-551448-C-T

Position:

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 2P and 5B. PM1BS1_SupportingBS2

The NM_001164760.2(PRKAR1B):​c.914G>A​(p.Arg305His) variant causes a missense change. The variant allele was found at a frequency of 0.000155 in 1,557,592 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R305C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00017 ( 0 hom. )

Consequence

PRKAR1B
NM_001164760.2 missense

Scores

2
9
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.02
Variant links:
Genes affected
PRKAR1B (HGNC:9390): (protein kinase cAMP-dependent type I regulatory subunit beta) The protein encoded by this gene is a regulatory subunit of cyclic AMP-dependent protein kinase A (PKA), which is involved in the signaling pathway of the second messenger cAMP. Two regulatory and two catalytic subunits form the PKA holoenzyme, disbands after cAMP binding. The holoenzyme is involved in many cellular events, including ion transport, metabolism, and transcription. Several transcript variants encoding the same protein have been found for this gene. [provided by RefSeq, Aug 2015]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 3 uncertain in NM_001164760.2
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0000526 (8/152134) while in subpopulation NFE AF= 0.0000882 (6/67996). AF 95% confidence interval is 0.0000376. There are 0 homozygotes in gnomad4. There are 7 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High AC in GnomAd4 at 8 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PRKAR1BNM_001164760.2 linkuse as main transcriptc.914G>A p.Arg305His missense_variant 10/11 ENST00000537384.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PRKAR1BENST00000537384.6 linkuse as main transcriptc.914G>A p.Arg305His missense_variant 10/115 NM_001164760.2 P1

Frequencies

GnomAD3 genomes
AF:
0.0000526
AC:
8
AN:
152134
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000483
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:
0.0000882
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000617
AC:
10
AN:
161976
Hom.:
0
AF XY:
0.0000927
AC XY:
8
AN XY:
86332
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000356
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000428
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000959
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000166
AC:
233
AN:
1405458
Hom.:
0
Cov.:
31
AF XY:
0.000138
AC XY:
96
AN XY:
693808
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.000119
Gnomad4 EAS exome
AF:
0.0000268
Gnomad4 SAS exome
AF:
0.0000250
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000207
Gnomad4 OTH exome
AF:
0.0000515
GnomAD4 genome
AF:
0.0000526
AC:
8
AN:
152134
Hom.:
0
Cov.:
33
AF XY:
0.0000942
AC XY:
7
AN XY:
74312
show subpopulations
Gnomad4 AFR
AF:
0.0000483
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:
0.0000882
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000127
Hom.:
0
Bravo
AF:
0.0000567
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000259
AC:
1
ExAC
AF:
0.0000287
AC:
3

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 GeneticsDec 16, 2022The c.914G>A (p.R305H) alteration is located in exon 10 (coding exon 9) of the PRKAR1B gene. This alteration results from a G to A substitution at nucleotide position 914, causing the arginine (R) at amino acid position 305 to be replaced by a histidine (H). 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
0.19
BayesDel_addAF
Uncertain
0.038
T
BayesDel_noAF
Uncertain
0.010
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.65
D;D;D;D;D
Eigen
Benign
0.022
Eigen_PC
Benign
0.14
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.93
D;.;.;.;.
M_CAP
Benign
0.047
D
MetaRNN
Uncertain
0.70
D;D;D;D;D
MetaSVM
Benign
-0.68
T
MutationAssessor
Benign
1.2
L;L;L;L;L
MutationTaster
Benign
1.0
D;D;D;D;D
PrimateAI
Pathogenic
0.85
D
PROVEAN
Uncertain
-2.4
N;N;N;N;N
REVEL
Uncertain
0.49
Sift
Benign
0.056
T;T;T;T;T
Sift4G
Uncertain
0.026
D;D;D;D;D
Polyphen
0.41
B;B;B;B;B
Vest4
0.85
MutPred
0.50
Loss of phosphorylation at S307 (P = 0.0589);Loss of phosphorylation at S307 (P = 0.0589);Loss of phosphorylation at S307 (P = 0.0589);Loss of phosphorylation at S307 (P = 0.0589);Loss of phosphorylation at S307 (P = 0.0589);
MVP
0.79
MPC
0.58
ClinPred
0.18
T
GERP RS
4.5
Varity_R
0.28
gMVP
0.65

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: rs748743633; hg19: chr7-591085; API