chr7-92102769-G-A

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_005751.5(AKAP9):​c.11273G>A​(p.Arg3758His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00165 in 1,614,176 control chromosomes in the GnomAD database, including 8 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0016 ( 1 hom., cov: 31)
Exomes 𝑓: 0.0017 ( 7 hom. )

Consequence

AKAP9
NM_005751.5 missense

Scores

1
17

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: 2.14
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]
CYP51A1 (HGNC:2649): (cytochrome P450 family 51 subfamily A member 1) This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. This endoplasmic reticulum protein participates in the synthesis of cholesterol by catalyzing the removal of the 14alpha-methyl group from lanosterol. Homologous genes are found in all three eukaryotic phyla, fungi, plants, and animals, suggesting that this is one of the oldest cytochrome P450 genes. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0048562586).
BP6
Variant 7-92102769-G-A is Benign according to our data. Variant chr7-92102769-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 191531.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92102769-G-A is described in Lovd as [Benign].
BS2
High AC in GnomAd4 at 237 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AKAP9NM_005751.5 linkuse as main transcriptc.11273G>A p.Arg3758His missense_variant 46/50 ENST00000356239.8 NP_005742.4
AKAP9NM_147185.3 linkuse as main transcriptc.11249G>A p.Arg3750His missense_variant 46/50 NP_671714.1
AKAP9NM_001379277.1 linkuse as main transcriptc.5918G>A p.Arg1973His missense_variant 25/29 NP_001366206.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AKAP9ENST00000356239.8 linkuse as main transcriptc.11273G>A p.Arg3758His missense_variant 46/501 NM_005751.5 ENSP00000348573 P4Q99996-2

Frequencies

GnomAD3 genomes
AF:
0.00156
AC:
237
AN:
152168
Hom.:
1
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000290
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00177
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00698
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00176
Gnomad OTH
AF:
0.00191
GnomAD3 exomes
AF:
0.00170
AC:
426
AN:
251302
Hom.:
4
AF XY:
0.00174
AC XY:
236
AN XY:
135818
show subpopulations
Gnomad AFR exome
AF:
0.000185
Gnomad AMR exome
AF:
0.00110
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00550
Gnomad NFE exome
AF:
0.00228
Gnomad OTH exome
AF:
0.00114
GnomAD4 exome
AF:
0.00166
AC:
2423
AN:
1461890
Hom.:
7
Cov.:
32
AF XY:
0.00165
AC XY:
1202
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.000239
Gnomad4 AMR exome
AF:
0.00139
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000232
Gnomad4 FIN exome
AF:
0.00474
Gnomad4 NFE exome
AF:
0.00182
Gnomad4 OTH exome
AF:
0.00116
GnomAD4 genome
AF:
0.00156
AC:
237
AN:
152286
Hom.:
1
Cov.:
31
AF XY:
0.00183
AC XY:
136
AN XY:
74454
show subpopulations
Gnomad4 AFR
AF:
0.000289
Gnomad4 AMR
AF:
0.00176
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00698
Gnomad4 NFE
AF:
0.00176
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.00138
Hom.:
0
Bravo
AF:
0.00125
TwinsUK
AF:
0.00243
AC:
9
ALSPAC
AF:
0.00234
AC:
9
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00209
AC:
18
ExAC
AF:
0.00156
AC:
189
EpiCase
AF:
0.00207
EpiControl
AF:
0.00190

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Likely benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpDec 10, 2023- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
not provided Benign:3
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -
Likely benign, criteria provided, single submitterresearchBiesecker Lab/Clinical Genomics Section, National Institutes of HealthJun 24, 2013- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Long QT syndrome 11 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabDec 05, 2021- -
Amyloidosis;C0007193:Primary dilated cardiomyopathy Benign:1
Benign, criteria provided, single submitterclinical testingCenter for Advanced Laboratory Medicine, UC San Diego Health, University of California San DiegoOct 30, 2018- -
Long QT syndrome Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 24, 2024- -
Cardiovascular phenotype Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsFeb 03, 2019This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.58
T
BayesDel_noAF
Benign
-0.61
CADD
Benign
22
DANN
Benign
0.88
DEOGEN2
Benign
0.30
.;T;.
Eigen
Benign
-0.57
Eigen_PC
Benign
-0.38
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Benign
0.85
D;D;T
M_CAP
Benign
0.0090
T
MetaRNN
Benign
0.0049
T;T;T
MetaSVM
Benign
-0.98
T
MutationTaster
Benign
0.55
N;N;N
PrimateAI
Benign
0.23
T
PROVEAN
Benign
-1.8
N;.;N
REVEL
Benign
0.018
Sift
Benign
0.43
T;.;T
Sift4G
Benign
0.45
.;.;T
Vest4
0.27
MVP
0.18
MPC
0.068
ClinPred
0.019
T
GERP RS
2.6
Varity_R
0.023
gMVP
0.14

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: rs141856443; hg19: chr7-91732083; COSMIC: COSV62348248; COSMIC: COSV62348248; API