rs1158714606

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP4

The NM_000455.5(STK11):​c.1236C>A​(p.Asn412Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Uncertain significance in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. N412S) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

STK11
NM_000455.5 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 3.54

Publications

0 publications found
Variant links:
Genes affected
STK11 (HGNC:11389): (serine/threonine kinase 11) The protein encoded by this gene is a serine/threonine kinase that regulates cell polarity and energy metabolism and functions as a tumor suppressor. Mutations in this gene have been associated with the autosomal dominant Peutz-Jeghers syndrome, as well as with skin, pancreatic, and testicular cancers. [provided by RefSeq, May 2022]
STK11 Gene-Disease associations (from GenCC):
  • familial pancreatic carcinoma
    Inheritance: AD Classification: DEFINITIVE Submitted by: G2P
  • Peutz-Jeghers syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, Orphanet, Genomics England PanelApp, G2P
  • familial ovarian cancer
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.39475667).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
STK11NM_000455.5 linkc.1236C>A p.Asn412Lys missense_variant Exon 9 of 10 ENST00000326873.12 NP_000446.1
STK11NR_176325.1 linkn.2503C>A non_coding_transcript_exon_variant Exon 10 of 11

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
STK11ENST00000326873.12 linkc.1236C>A p.Asn412Lys missense_variant Exon 9 of 10 1 NM_000455.5 ENSP00000324856.6
STK11ENST00000585748.3 linkc.864C>A p.Asn288Lys missense_variant Exon 11 of 12 3 ENSP00000477641.2
STK11ENST00000593219.6 linkn.*1061C>A non_coding_transcript_exon_variant Exon 10 of 11 3 ENSP00000466610.1
STK11ENST00000593219.6 linkn.*1061C>A 3_prime_UTR_variant Exon 10 of 11 3 ENSP00000466610.1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1426952
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
706966
African (AFR)
AF:
0.00
AC:
0
AN:
32538
American (AMR)
AF:
0.00
AC:
0
AN:
39710
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25528
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37544
South Asian (SAS)
AF:
0.00
AC:
0
AN:
81740
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49234
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5438
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1096202
Other (OTH)
AF:
0.00
AC:
0
AN:
59018
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

STK11-related disorder Uncertain:1
May 26, 2023
PreventionGenetics, part of Exact Sciences
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The STK11 c.1236C>A variant is predicted to result in the amino acid substitution p.Asn412Lys. To our knowledge, this variant has not been reported in the literature or in a large population database (http://gnomad.broadinstitute.org), indicating this variant is rare. At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -

Peutz-Jeghers syndrome Uncertain:1
Feb 01, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces asparagine, which is neutral and polar, with lysine, which is basic and polar, at codon 412 of the STK11 protein (p.Asn412Lys). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with STK11-related conditions. ClinVar contains an entry for this variant (Variation ID: 651946). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is not expected to disrupt STK11 protein function with a negative predictive value of 95%. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Hereditary cancer-predisposing syndrome Uncertain:1
Aug 03, 2023
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The p.N412K variant (also known as c.1236C>A), located in coding exon 9 of the STK11 gene, results from a C to A substitution at nucleotide position 1236. The asparagine at codon 412 is replaced by lysine, an amino acid with similar properties. This amino acid position is conserved. In addition, this alteration is predicted to be tolerated by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.088
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Benign
0.35
T
Eigen
Benign
0.11
Eigen_PC
Benign
0.065
FATHMM_MKL
Uncertain
0.78
D
LIST_S2
Benign
0.68
T
M_CAP
Benign
0.041
D
MetaRNN
Benign
0.39
T
MetaSVM
Benign
-0.49
T
MutationAssessor
Benign
1.9
L
PhyloP100
3.5
PrimateAI
Benign
0.43
T
PROVEAN
Benign
0.020
N
REVEL
Benign
0.10
Sift
Benign
0.16
T
Sift4G
Benign
0.97
T
Polyphen
0.0030
B
Vest4
0.51
MutPred
0.23
Gain of glycosylation at N412 (P = 0.0163);
MVP
0.63
MPC
0.050
ClinPred
0.72
D
GERP RS
4.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.14
gMVP
0.38
Mutation Taster
=78/22
polymorphism

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

Other links and lift over

dbSNP: rs1158714606; hg19: chr19-1226580; API