rs140189010
Variant summary
Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2
The NM_001009944.3(PKD1):c.10304G>A(p.Arg3435Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00512 in 1,608,934 control chromosomes in the GnomAD database, including 30 homozygotes. 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 Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R3435W) has been classified as Uncertain significance.
Frequency
Consequence
NM_001009944.3 missense
Scores
Clinical Significance
Conservation
Publications
- autosomal dominant polycystic kidney diseaseInheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
- polycystic kidney disease 1Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Laboratory for Molecular Medicine, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
- autosomal recessive polycystic kidney diseaseInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
- Caroli diseaseInheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
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ACMG classification
Our verdict: Benign. The variant received -20 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| PKD1 | NM_001009944.3 | c.10304G>A | p.Arg3435Gln | missense_variant | Exon 33 of 46 | ENST00000262304.9 | NP_001009944.3 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| PKD1 | ENST00000262304.9 | c.10304G>A | p.Arg3435Gln | missense_variant | Exon 33 of 46 | 1 | NM_001009944.3 | ENSP00000262304.4 | ||
| PKD1 | ENST00000423118.5 | c.10301G>A | p.Arg3434Gln | missense_variant | Exon 33 of 46 | 1 | ENSP00000399501.1 | |||
| PKD1 | ENST00000487932.5 | n.*1497G>A | non_coding_transcript_exon_variant | Exon 20 of 30 | 5 | ENSP00000457132.1 | ||||
| PKD1 | ENST00000487932.5 | n.*1497G>A | 3_prime_UTR_variant | Exon 20 of 30 | 5 | ENSP00000457132.1 |
Frequencies
GnomAD3 genomes AF: 0.00311 AC: 473AN: 152252Hom.: 3 Cov.: 33 show subpopulations
GnomAD2 exomes AF: 0.00242 AC: 591AN: 244014 AF XY: 0.00235 show subpopulations
GnomAD4 exome AF: 0.00533 AC: 7765AN: 1456564Hom.: 27 Cov.: 33 AF XY: 0.00515 AC XY: 3735AN XY: 724850 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.00310 AC: 473AN: 152370Hom.: 3 Cov.: 33 AF XY: 0.00263 AC XY: 196AN XY: 74518 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Benign:4
PKD1: BP4, BS2 -
This variant is associated with the following publications: (PMID: 27567292) -
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Polycystic kidney disease, adult type Benign:2
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not specified Benign:1
Variant summary: PKD1 c.10304G>A (p.Arg3435Gln) results in a conservative amino acid change in the encoded protein sequence. Four of four in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 0.0024 in 244014 control chromosomes, predominantly at a frequency of 0.0047 within the Non-Finnish European subpopulation in the gnomAD database. The observed variant frequency within Non-Finnish European control individuals in the gnomAD database exceeds the estimated maximal expected allele frequency for a pathogenic variant in PKD1 causing PKD1-Biallelic Autosomal Recessive Polycystic Kidney Disease phenotype. To our knowledge, no experimental evidence demonstrating its impact on protein function has been reported. ClinVar contains an entry for this variant (Variation ID: 256888). Based on the evidence outlined above, the variant was classified as likely benign. -
Polycystic kidney disease Benign:1
The PKD1 p.Arg3435Gln variant was identified in 6 of 460 proband chromosomes (frequency: 0.01) from individuals with autosomal dominant polycystic kidney disease (Rossetti 2012). The variant was also identified in dbSNP (rs140189010) as “with likely benign allele”, ClinVar (interpreted as "likely benign" by PreventionGenetics and 1 other submitter), LOVD 3.0 and ADPKD Mutation Database. The variant was not identified in PKD1-LOVD. The variant was identified in control databases in 693 of 271,186 chromosomes at a frequency of 0.003, increasing the likelihood this could be a low frequency benign variant (Genome Aggregation Database Feb 27, 2017). The variant was observed in the following populations: African in 25 of 23,576 chromosomes (freq: 0.001), Other in 11 of 6390 chromosomes (freq: 0.002), Latino in 19 of 34,358 chromosomes (freq: 0.0005), European in 609 of 124,992 chromosomes (freq: 0.005), Ashkenazi Jewish in 2 of 10,044 chromosomes (freq: 0.0002), Finnish in 26 of 22,306 chromosomes (freq: 0.001) and South Asian in 1 of 30,740 chromosomes (freq: 0.00003); it was not observed in the East Asian population. The p.Arg3435 residue is not conserved in mammals and computational analyses (PolyPhen-2, SIFT, AlignGVGD, BLOSUM, MutationTaster) do not suggest a high likelihood of impact to the protein; however, this information is not predictive enough to rule out pathogenicity. The variant occurs outside of the splicing consensus sequence and in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer) do not predict a difference in splicing. In summary, based on the above information, the clinical significance of this variant cannot be determined with certainty at this time although we would lean towards a more benign role for this variant. This variant is classified as likely benign. -
PKD1-related disorder Benign:1
This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at