Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BS1BS2
The NM_015158.5(KANK1):c.3554-6_3554-5delTT variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00966 in 1,465,332 control chromosomes in the GnomAD database, with no homozygous occurrence. 1/1 splice prediction tools predict no significant impact on normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.
KANK1 (HGNC:19309): (KN motif and ankyrin repeat domains 1) The protein encoded by this gene belongs to the Kank family of proteins, which contain multiple ankyrin repeat domains. This family member functions in cytoskeleton formation by regulating actin polymerization. This gene is a candidate tumor suppressor for renal cell carcinoma. Mutations in this gene cause cerebral palsy spastic quadriplegic type 2, a central nervous system development disorder. A t(5;9) translocation results in fusion of the platelet-derived growth factor receptor beta gene (PDGFRB) on chromosome 5 with this gene in a myeloproliferative neoplasm featuring severe thrombocythemia. Alternative splicing of this gene results in multiple transcript variants. A related pseudogene has been identified on chromosome 20. [provided by RefSeq, Dec 2014]
Variant frequency is greater than expected in population amr. gnomad4_exome allele frequency = 0.0107 (14130/1320620) while in subpopulation AMR AF= 0.0297 (960/32294). AF 95% confidence interval is 0.0282. There are 0 homozygotes in gnomad4_exome. There are 7269 alleles in male gnomad4_exome subpopulation. This position pass quality control queck.