chr7-92022864-A-AAAC

Variant summary

Our verdict is Benign. Variant got -15 ACMG points: 1P and 16B. PM4_SupportingBP6_Very_StrongBA1

The NM_005751.5(AKAP9):​c.4004_4006dup​(p.Lys1335_Leu1336insGln) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.395 in 1,603,344 control chromosomes in the GnomAD database, including 129,701 homozygotes. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.45 ( 16438 hom., cov: 0)
Exomes 𝑓: 0.39 ( 113263 hom. )

Consequence

AKAP9
NM_005751.5 inframe_insertion

Scores

Not classified

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:14

Conservation

PhyloP100: 1.00
Variant links:
Genes affected
AKAP9 (HGNC:379): (A-kinase anchoring protein 9) The A-kinase anchor proteins (AKAPs) are a group of structurally diverse proteins which have the common function of binding to the regulatory subunit of protein kinase A (PKA) and confining the holoenzyme to discrete locations within the cell. This gene encodes a member of the AKAP family. Alternate splicing of this gene results in at least two isoforms that localize to the centrosome and the Golgi apparatus, and interact with numerous signaling proteins from multiple signal transduction pathways. These signaling proteins include type II protein kinase A, serine/threonine kinase protein kinase N, protein phosphatase 1, protein phosphatase 2a, protein kinase C-epsilon and phosphodiesterase 4D3. [provided by RefSeq, Aug 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -15 ACMG points.

PM4
Nonframeshift variant in NON repetitive region in NM_005751.5. Strenght limited to Supporting due to length of the change: 1aa.
BP6
Variant 7-92022864-A-AAAC is Benign according to our data. Variant chr7-92022864-A-AAAC is described in ClinVar as [Likely_benign]. Clinvar id is 190508.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.625 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AKAP9NM_005751.5 linkuse as main transcriptc.4004_4006dup p.Lys1335_Leu1336insGln inframe_insertion 14/50 ENST00000356239.8 NP_005742.4
AKAP9NM_147185.3 linkuse as main transcriptc.4004_4006dup p.Lys1335_Leu1336insGln inframe_insertion 14/50 NP_671714.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AKAP9ENST00000356239.8 linkuse as main transcriptc.4004_4006dup p.Lys1335_Leu1336insGln inframe_insertion 14/501 NM_005751.5 ENSP00000348573 P4Q99996-2

Frequencies

GnomAD3 genomes
AF:
0.449
AC:
68175
AN:
151718
Hom.:
16402
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.631
Gnomad AMI
AF:
0.232
Gnomad AMR
AF:
0.375
Gnomad ASJ
AF:
0.544
Gnomad EAS
AF:
0.197
Gnomad SAS
AF:
0.402
Gnomad FIN
AF:
0.384
Gnomad MID
AF:
0.385
Gnomad NFE
AF:
0.387
Gnomad OTH
AF:
0.450
GnomAD3 exomes
AF:
0.390
AC:
97595
AN:
250214
Hom.:
20067
AF XY:
0.390
AC XY:
52691
AN XY:
135266
show subpopulations
Gnomad AFR exome
AF:
0.637
Gnomad AMR exome
AF:
0.315
Gnomad ASJ exome
AF:
0.548
Gnomad EAS exome
AF:
0.192
Gnomad SAS exome
AF:
0.408
Gnomad FIN exome
AF:
0.391
Gnomad NFE exome
AF:
0.390
Gnomad OTH exome
AF:
0.398
GnomAD4 exome
AF:
0.389
AC:
565279
AN:
1451508
Hom.:
113263
Cov.:
32
AF XY:
0.390
AC XY:
281644
AN XY:
722602
show subpopulations
Gnomad4 AFR exome
AF:
0.639
Gnomad4 AMR exome
AF:
0.322
Gnomad4 ASJ exome
AF:
0.542
Gnomad4 EAS exome
AF:
0.205
Gnomad4 SAS exome
AF:
0.404
Gnomad4 FIN exome
AF:
0.386
Gnomad4 NFE exome
AF:
0.386
Gnomad4 OTH exome
AF:
0.402
GnomAD4 genome
AF:
0.450
AC:
68269
AN:
151836
Hom.:
16438
Cov.:
0
AF XY:
0.447
AC XY:
33145
AN XY:
74224
show subpopulations
Gnomad4 AFR
AF:
0.631
Gnomad4 AMR
AF:
0.375
Gnomad4 ASJ
AF:
0.544
Gnomad4 EAS
AF:
0.197
Gnomad4 SAS
AF:
0.402
Gnomad4 FIN
AF:
0.384
Gnomad4 NFE
AF:
0.387
Gnomad4 OTH
AF:
0.449
Alfa
AF:
0.430
Hom.:
2618
Bravo
AF:
0.456
Asia WGS
AF:
0.347
AC:
1210
AN:
3478
EpiCase
AF:
0.393
EpiControl
AF:
0.401

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:14
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:8
Benign, criteria provided, single submitterresearchBiesecker Lab/Clinical Genomics Section, National Institutes of HealthJun 24, 2013- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineApr 25, 2016Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency in dbSNP (all): 865/2184=40% -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingGeneDxSep 30, 2016This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jun 08, 2015- -
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpAug 12, 2019Variant summary: AKAP9 c.4004_4006dupAAC (p.Lys1335_Leu1336insGln) results in an in-frame insertion that is predicted to insert Gln amino acid into the encoded protein. The variant allele was found at a frequency of 0.4 in 281434 control chromosomes, predominantly at a frequency of 0.63 within the African or African-American subpopulation in the gnomAD database, including 4942 homozygotes. Therefore, suggesting the variant is the major allele observed in population(s) of African-American origin. Four ClinVar submissions from clinical diagnostic laboratories (evaluation after 2014) cite the variant three times a benign and once as likely benign. Based on the evidence outlined above, the variant was classified as benign. -
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Cardiovascular phenotype Benign:2
Benign, criteria provided, single submitterclinical testingAmbry GeneticsSep 17, 2012- -
Benign, criteria provided, single submitterclinical testingAmbry GeneticsSep 17, 2012- -
Long QT syndrome 11 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabDec 05, 2021- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingMolecular Diagnostic Laboratory for Inherited Cardiovascular Disease, Montreal Heart Institute-- -
Congenital long QT syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Long QT syndrome Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs10644111; hg19: chr7-91652178; API