chrX-20188499-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM2PP2PP3_Moderate

The NM_004586.3(RPS6KA3):​c.629C>A​(p.Thr210Lys) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000112 in 895,289 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 23)
Exomes 𝑓: 0.0000011 ( 0 hom. 0 hem. )

Consequence

RPS6KA3
NM_004586.3 missense, splice_region

Scores

9
6
2
Splicing: ADA: 0.001695
2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 9.60
Variant links:
Genes affected
RPS6KA3 (HGNC:10432): (ribosomal protein S6 kinase A3) This gene encodes a member of the RSK (ribosomal S6 kinase) family of serine/threonine kinases. This kinase contains 2 non-identical kinase catalytic domains and phosphorylates various substrates, including members of the mitogen-activated kinase (MAPK) signalling pathway. The activity of this protein has been implicated in controlling cell growth and differentiation. Mutations in this gene have been associated with Coffin-Lowry syndrome (CLS). [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 5 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), RPS6KA3. . Gene score misZ 4.5208 (greater than the threshold 3.09). GenCC has associacion of gene with intellectual disability, X-linked 19, Coffin-Lowry syndrome, non-syndromic X-linked intellectual disability, symptomatic form of Coffin-Lowry syndrome in female carriers.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.924

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RPS6KA3NM_004586.3 linkuse as main transcriptc.629C>A p.Thr210Lys missense_variant, splice_region_variant 8/22 ENST00000379565.9 NP_004577.1 P51812A0A384MDW3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RPS6KA3ENST00000379565.9 linkuse as main transcriptc.629C>A p.Thr210Lys missense_variant, splice_region_variant 8/221 NM_004586.3 ENSP00000368884.3 P51812

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD4 exome
AF:
0.00000112
AC:
1
AN:
895289
Hom.:
0
Cov.:
16
AF XY:
0.00
AC XY:
0
AN XY:
260677
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:
0.00000150
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23
Alfa
AF:
0.000445
Hom.:
0

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.31
D
BayesDel_noAF
Pathogenic
0.20
CADD
Pathogenic
30
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.49
T;T;.;.;.;.;.;T;.;.;.;T
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.96
.;D;.;.;.;.;.;D;.;.;D;D
M_CAP
Uncertain
0.11
D
MetaRNN
Pathogenic
0.92
D;D;D;D;D;D;D;D;D;D;D;D
MetaSVM
Benign
-0.79
T
MutationAssessor
Uncertain
2.8
M;M;.;.;.;.;.;.;.;.;.;.
PrimateAI
Pathogenic
0.92
D
PROVEAN
Pathogenic
-5.3
D;.;.;.;.;.;.;D;.;.;.;.
REVEL
Uncertain
0.58
Sift
Pathogenic
0.0
D;.;.;.;.;.;.;D;.;.;.;.
Sift4G
Pathogenic
0.0
D;.;.;.;.;.;.;.;.;.;.;.
Polyphen
1.0
D;D;P;P;P;P;P;.;P;P;P;D
Vest4
0.85
MutPred
0.82
Gain of ubiquitination at T210 (P = 0.023);Gain of ubiquitination at T210 (P = 0.023);.;.;.;.;.;.;.;.;.;.;
MVP
0.92
MPC
2.9
ClinPred
1.0
D
GERP RS
4.3
Varity_R
1.0
gMVP
0.99

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0017
dbscSNV1_RF
Benign
0.036
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: rs1325953089; hg19: chrX-20206617; API