chrX-21440698-C-G
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Variant summary
Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM2PP2PP3_Moderate
The NM_014927.5(CNKSR2):āc.436C>Gā(p.Pro146Ala) variant causes a missense change. The variant allele was found at a frequency of 0.00000257 in 1,169,049 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā ).
Frequency
Genomes: š 0.0000090 ( 0 hom., 0 hem., cov: 22)
Exomes š: 0.0000019 ( 0 hom. 1 hem. )
Consequence
CNKSR2
NM_014927.5 missense
NM_014927.5 missense
Scores
5
8
4
Clinical Significance
Conservation
PhyloP100: 5.57
Genes affected
CNKSR2 (HGNC:19701): (connector enhancer of kinase suppressor of Ras 2) This gene encodes a multidomain protein that functions as a scaffold protein to mediate the mitogen-activated protein kinase pathways downstream from Ras. This gene product is induced by vitamin D and inhibits apoptosis in certain cancer cells. It may also play a role in ternary complex assembly of synaptic proteins at the postsynaptic membrane and coupling of signal transduction to membrane/cytoskeletal remodeling. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2009]
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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), CNKSR2. . Gene score misZ 3.6053 (greater than the threshold 3.09). GenCC has associacion of gene with X-linked complex neurodevelopmental disorder, intellectual disability, X-linked, syndromic, Houge type, non-syndromic X-linked intellectual disability, undetermined early-onset epileptic encephalopathy.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.933
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
CNKSR2 | NM_014927.5 | c.436C>G | p.Pro146Ala | missense_variant | 4/22 | ENST00000379510.5 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
CNKSR2 | ENST00000379510.5 | c.436C>G | p.Pro146Ala | missense_variant | 4/22 | 1 | NM_014927.5 | P1 |
Frequencies
GnomAD3 genomes AF: 0.00000898 AC: 1AN: 111316Hom.: 0 Cov.: 22 AF XY: 0.00 AC XY: 0AN XY: 33602
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GnomAD4 exome AF: 0.00000189 AC: 2AN: 1057733Hom.: 0 Cov.: 21 AF XY: 0.00000302 AC XY: 1AN XY: 330763
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GnomAD4 genome AF: 0.00000898 AC: 1AN: 111316Hom.: 0 Cov.: 22 AF XY: 0.00 AC XY: 0AN XY: 33602
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
not provided Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | GeneDx | Nov 07, 2023 | Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Has not been previously published as pathogenic or benign to our knowledge - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
BayesDel_addAF
Uncertain
D
BayesDel_noAF
Benign
CADD
Uncertain
DANN
Uncertain
DEOGEN2
Uncertain
.;.;.;.;.;.;.;.;.;.;D;.;.
FATHMM_MKL
Pathogenic
D
LIST_S2
Uncertain
D;D;D;D;D;D;D;D;D;D;D;D;D
M_CAP
Uncertain
D
MetaRNN
Pathogenic
D;D;D;D;D;D;D;D;D;D;D;D;D
MetaSVM
Benign
T
MutationAssessor
Uncertain
M;.;M;.;M;.;.;.;.;.;M;.;.
MutationTaster
Benign
D;D;D;D
PrimateAI
Uncertain
T
PROVEAN
Pathogenic
.;.;D;.;D;D;.;.;.;.;D;.;.
REVEL
Uncertain
Sift
Benign
.;.;T;.;D;D;.;.;.;.;T;.;.
Sift4G
Pathogenic
.;.;D;.;D;D;.;.;.;.;D;.;.
Polyphen
1.0
.;.;.;.;.;.;.;.;.;.;D;.;.
Vest4
0.76, 0.71, 0.76, 0.74
MutPred
Gain of catalytic residue at P146 (P = 0.0526);Gain of catalytic residue at P146 (P = 0.0526);Gain of catalytic residue at P146 (P = 0.0526);Gain of catalytic residue at P146 (P = 0.0526);Gain of catalytic residue at P146 (P = 0.0526);Gain of catalytic residue at P146 (P = 0.0526);Gain of catalytic residue at P146 (P = 0.0526);Gain of catalytic residue at P146 (P = 0.0526);Gain of catalytic residue at P146 (P = 0.0526);Gain of catalytic residue at P146 (P = 0.0526);Gain of catalytic residue at P146 (P = 0.0526);Gain of catalytic residue at P146 (P = 0.0526);Gain of catalytic residue at P146 (P = 0.0526);
MVP
0.68
MPC
1.9
ClinPred
D
GERP RS
Varity_R
gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at