chrX-3612234-G-A

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The NM_005044.5(PRKX):​c.1043C>T​(p.Pro348Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000331 in 1,206,900 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 11 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000090 ( 0 hom., 2 hem., cov: 22)
Exomes 𝑓: 0.000027 ( 0 hom. 9 hem. )

Consequence

PRKX
NM_005044.5 missense

Scores

5
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.59
Variant links:
Genes affected
PRKX (HGNC:9441): (protein kinase cAMP-dependent X-linked catalytic subunit) This gene encodes a serine threonine protein kinase that has similarity to the catalytic subunit of cyclic AMP dependent protein kinases. The encoded protein is developmentally regulated and may be involved in renal epithelial morphogenesis. This protein may also be involved in macrophage and granulocyte maturation. Abnormal recombination between this gene and a related pseudogene on chromosome Y is a frequent cause of sex reversal disorder in XX males and XY females. Pseudogenes of this gene are found on chromosomes X, 15 and Y. [provided by RefSeq, Feb 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.27028382).
BS2
High Hemizygotes in GnomAd4 at 2 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PRKXNM_005044.5 linkuse as main transcriptc.1043C>T p.Pro348Leu missense_variant 8/9 ENST00000262848.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PRKXENST00000262848.6 linkuse as main transcriptc.1043C>T p.Pro348Leu missense_variant 8/91 NM_005044.5 P1
PRKXENST00000462736.1 linkuse as main transcriptn.48C>T non_coding_transcript_exon_variant 1/33
PRKXENST00000496648.1 linkuse as main transcriptn.22C>T non_coding_transcript_exon_variant 1/23

Frequencies

GnomAD3 genomes
AF:
0.0000902
AC:
10
AN:
110846
Hom.:
0
Cov.:
22
AF XY:
0.0000605
AC XY:
2
AN XY:
33074
show subpopulations
Gnomad AFR
AF:
0.000296
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000189
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000223
AC:
4
AN:
179464
Hom.:
0
AF XY:
0.0000312
AC XY:
2
AN XY:
64174
show subpopulations
Gnomad AFR exome
AF:
0.000154
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000743
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000124
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000274
AC:
30
AN:
1096054
Hom.:
0
Cov.:
30
AF XY:
0.0000249
AC XY:
9
AN XY:
361534
show subpopulations
Gnomad4 AFR exome
AF:
0.000114
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000166
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000238
Gnomad4 OTH exome
AF:
0.0000435
GnomAD4 genome
AF:
0.0000902
AC:
10
AN:
110846
Hom.:
0
Cov.:
22
AF XY:
0.0000605
AC XY:
2
AN XY:
33074
show subpopulations
Gnomad4 AFR
AF:
0.000296
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000189
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000142
Hom.:
1
Bravo
AF:
0.000151
ESP6500AA
AF:
0.000261
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000165
AC:
2

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsAug 15, 2023The c.1043C>T (p.P348L) alteration is located in exon 8 (coding exon 8) of the PRKX gene. This alteration results from a C to T substitution at nucleotide position 1043, causing the proline (P) at amino acid position 348 to be replaced by a leucine (L). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.43
CADD
Benign
17
DANN
Benign
0.78
DEOGEN2
Benign
0.39
T
FATHMM_MKL
Uncertain
0.88
D
LIST_S2
Benign
0.74
T
M_CAP
Uncertain
0.29
D
MetaRNN
Benign
0.27
T
MetaSVM
Benign
-0.84
T
MutationAssessor
Benign
1.5
L
MutationTaster
Benign
1.0
D
PrimateAI
Benign
0.31
T
PROVEAN
Uncertain
-4.2
D
REVEL
Benign
0.27
Sift
Uncertain
0.021
D
Sift4G
Uncertain
0.043
D
Polyphen
0.35
B
Vest4
0.26
MVP
0.84
MPC
0.78
ClinPred
0.18
T
GERP RS
3.5
Varity_R
0.20
gMVP
0.47

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: rs149966538; hg19: chrX-3530275; COSMIC: COSV99468798; COSMIC: COSV99468798; API