chrX-50192872-T-C

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The ENST00000358526.7(AKAP4):ā€‹c.1841A>Gā€‹(p.Lys614Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000471 in 1,210,398 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 17 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00021 ( 0 hom., 4 hem., cov: 22)
Exomes š‘“: 0.000030 ( 0 hom. 13 hem. )

Consequence

AKAP4
ENST00000358526.7 missense

Scores

4
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.56
Variant links:
Genes affected
AKAP4 (HGNC:374): (A-kinase anchoring protein 4) 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. The encoded protein is localized to the sperm flagellum and may be involved in the regulation of sperm motility. Alternative splicing of this gene results in two transcript variants encoding different isoforms. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.048437804).
BS2
High Hemizygotes in GnomAd4 at 4 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AKAP4NM_003886.3 linkuse as main transcriptc.1841A>G p.Lys614Arg missense_variant 5/6 ENST00000358526.7 NP_003877.2 Q5JQC9-1A0A384MQY7
AKAP4NM_139289.2 linkuse as main transcriptc.1814A>G p.Lys605Arg missense_variant 5/6 NP_647450.1 Q5JQC9-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AKAP4ENST00000358526.7 linkuse as main transcriptc.1841A>G p.Lys614Arg missense_variant 5/61 NM_003886.3 ENSP00000351327.2 Q5JQC9-1
AKAP4ENST00000376064.7 linkuse as main transcriptc.1814A>G p.Lys605Arg missense_variant 5/61 ENSP00000365232.3 Q5JQC9-2
AKAP4ENST00000481402.5 linkuse as main transcriptn.1953A>G non_coding_transcript_exon_variant 5/61

Frequencies

GnomAD3 genomes
AF:
0.000214
AC:
24
AN:
112218
Hom.:
0
Cov.:
22
AF XY:
0.000116
AC XY:
4
AN XY:
34362
show subpopulations
Gnomad AFR
AF:
0.000680
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000189
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:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000873
AC:
16
AN:
183284
Hom.:
0
AF XY:
0.000103
AC XY:
7
AN XY:
67750
show subpopulations
Gnomad AFR exome
AF:
0.00122
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000301
AC:
33
AN:
1098128
Hom.:
0
Cov.:
32
AF XY:
0.0000358
AC XY:
13
AN XY:
363488
show subpopulations
Gnomad4 AFR exome
AF:
0.00114
Gnomad4 AMR exome
AF:
0.0000568
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:
0.00
Gnomad4 OTH exome
AF:
0.0000217
GnomAD4 genome
AF:
0.000214
AC:
24
AN:
112270
Hom.:
0
Cov.:
22
AF XY:
0.000116
AC XY:
4
AN XY:
34424
show subpopulations
Gnomad4 AFR
AF:
0.000679
Gnomad4 AMR
AF:
0.000188
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000188
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.000272
ESP6500AA
AF:
0.000522
AC:
2
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000824
AC:
10

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 GeneticsJan 17, 2024The c.1841A>G (p.K614R) alteration is located in exon 5 (coding exon 5) of the AKAP4 gene. This alteration results from a A to G substitution at nucleotide position 1841, causing the lysine (K) at amino acid position 614 to be replaced by an arginine (R). 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
0.089
BayesDel_addAF
Benign
-0.62
T
BayesDel_noAF
Benign
-0.72
CADD
Benign
17
DANN
Uncertain
0.99
DEOGEN2
Benign
0.042
T;.
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Benign
0.76
T;T
M_CAP
Benign
0.018
T
MetaRNN
Benign
0.048
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Uncertain
2.5
M;.
MutationTaster
Benign
1.0
N;N;N;N
PrimateAI
Uncertain
0.51
T
PROVEAN
Benign
-0.25
N;N
REVEL
Benign
0.092
Sift
Benign
0.086
T;T
Sift4G
Benign
0.25
T;T
Polyphen
1.0
D;.
Vest4
0.23
MVP
0.59
MPC
0.35
ClinPred
0.11
T
GERP RS
5.1
Varity_R
0.10
gMVP
0.065

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: rs142687955; hg19: chrX-49957523; API