rs140980374

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001009944.3(PKD1):​c.4264G>A​(p.Ala1422Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00544 in 1,611,388 control chromosomes in the GnomAD database, including 52 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0050 ( 4 hom., cov: 33)
Exomes 𝑓: 0.0055 ( 48 hom. )

Consequence

PKD1
NM_001009944.3 missense

Scores

18

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: -0.0600
Variant links:
Genes affected
PKD1 (HGNC:9008): (polycystin 1, transient receptor potential channel interacting) This gene encodes a member of the polycystin protein family. The encoded glycoprotein contains a large N-terminal extracellular region, multiple transmembrane domains and a cytoplasmic C-tail. It is an integral membrane protein that functions as a regulator of calcium permeable cation channels and intracellular calcium homoeostasis. It is also involved in cell-cell/matrix interactions and may modulate G-protein-coupled signal-transduction pathways. It plays a role in renal tubular development, and mutations in this gene cause autosomal dominant polycystic kidney disease type 1 (ADPKD1). ADPKD1 is characterized by the growth of fluid-filled cysts that replace normal renal tissue and result in end-stage renal failure. Splice variants encoding different isoforms have been noted for this gene. Also, six pseudogenes, closely linked in a known duplicated region on chromosome 16p, have been described. [provided by RefSeq, Oct 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.004206896).
BP6
Variant 16-2110903-C-T is Benign according to our data. Variant chr16-2110903-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 256964.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-2110903-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population mid. gnomad4_exome allele frequency = 0.00549 (8012/1459086) while in subpopulation MID AF= 0.0489 (233/4762). AF 95% confidence interval is 0.0438. There are 48 homozygotes in gnomad4_exome. There are 3989 alleles in male gnomad4_exome subpopulation. Median coverage is 36. This position pass quality control queck.
BS2
High AC in GnomAd4 at 758 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PKD1NM_001009944.3 linkuse as main transcriptc.4264G>A p.Ala1422Thr missense_variant 15/46 ENST00000262304.9 NP_001009944.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PKD1ENST00000262304.9 linkuse as main transcriptc.4264G>A p.Ala1422Thr missense_variant 15/461 NM_001009944.3 ENSP00000262304 P5P98161-1

Frequencies

GnomAD3 genomes
AF:
0.00499
AC:
759
AN:
152184
Hom.:
4
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00111
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00661
Gnomad ASJ
AF:
0.0343
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00518
Gnomad FIN
AF:
0.00113
Gnomad MID
AF:
0.0475
Gnomad NFE
AF:
0.00613
Gnomad OTH
AF:
0.0110
GnomAD3 exomes
AF:
0.00591
AC:
1472
AN:
248902
Hom.:
12
AF XY:
0.00603
AC XY:
816
AN XY:
135334
show subpopulations
Gnomad AFR exome
AF:
0.000627
Gnomad AMR exome
AF:
0.00385
Gnomad ASJ exome
AF:
0.0337
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00477
Gnomad FIN exome
AF:
0.00152
Gnomad NFE exome
AF:
0.00673
Gnomad OTH exome
AF:
0.0102
GnomAD4 exome
AF:
0.00549
AC:
8012
AN:
1459086
Hom.:
48
Cov.:
36
AF XY:
0.00550
AC XY:
3989
AN XY:
725832
show subpopulations
Gnomad4 AFR exome
AF:
0.00179
Gnomad4 AMR exome
AF:
0.00391
Gnomad4 ASJ exome
AF:
0.0313
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00428
Gnomad4 FIN exome
AF:
0.00150
Gnomad4 NFE exome
AF:
0.00521
Gnomad4 OTH exome
AF:
0.00802
GnomAD4 genome
AF:
0.00498
AC:
758
AN:
152302
Hom.:
4
Cov.:
33
AF XY:
0.00485
AC XY:
361
AN XY:
74462
show subpopulations
Gnomad4 AFR
AF:
0.00111
Gnomad4 AMR
AF:
0.00660
Gnomad4 ASJ
AF:
0.0343
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00518
Gnomad4 FIN
AF:
0.00113
Gnomad4 NFE
AF:
0.00613
Gnomad4 OTH
AF:
0.0109
Alfa
AF:
0.00753
Hom.:
8
Bravo
AF:
0.00506
ESP6500AA
AF:
0.00205
AC:
9
ESP6500EA
AF:
0.00838
AC:
72
ExAC
AF:
0.00593
AC:
717
Asia WGS
AF:
0.00289
AC:
10
AN:
3478
EpiCase
AF:
0.00872
EpiControl
AF:
0.00836

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:5
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenFeb 01, 2024PKD1: BP4, BS1, BS2 -
Likely benign, criteria provided, single submitterclinical testingGeneDxOct 08, 2020This variant is associated with the following publications: (PMID: 17582161, 22383692) -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
not specified Benign:1
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Polycystic kidney disease, adult type Benign:1
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesDec 20, 2019- -
Polycystic kidney disease Benign:1
Benign, no assertion criteria providedclinical testingDepartment of Pathology and Laboratory Medicine, Sinai Health System-PKD1, EXON15, c.4264G>A, p.Ala1422Thr, (Alias c.4475G>A), Heterozygous, Benign The PKD1 p.Ala1422Thr variant was identified in 3 of 864 proband chromosomes (frequency: 0.003) from individuals or families with ADPKD, and was not identified in 242 control chromosomes from healthy individuals (Rossetti 2007, Rossetti 2012). The variant was also identified in dbSNP (ID: rs140980374) “With clinical significance allele not available”, in 1000 Genomes Project in 22 of 5000 chromosomes (frequency: 0.004), in NHLBI GO Exome Sequencing Project (ESP) in 72 of 8592 European American (frequency: 0.008) and 9 in 4394 (frequency: 0.002) African American alleles. This variant was identified in the Exome Aggregation Consortium database (March 2016) in 713 (5 homozygous) of 118566 chromosomes (freq. 0.006) in the following populations: other in 10 of 880 chromosomes (freq. 0.01), European (Non-Finnish) in 565 of 64594 chromosomes (freq. 0.009), South Asian in 76 of 16504 chromosomes (freq. 0.005), Latino in 45 of 11538 chromosomes (freq. 0.004), Finnish in 7 of 6602 chromosomes (freq. 0.001), and African in 10 of 9854 chromosomes (freq. 0.001), but was not seen in the East Asian populations, increasing the likelihood this could be a low frequency benign variant. However we cannot be certain that variant data from control databases is specific to PKD1 and not from one of the six PKD1 pseudogenes. Furthermore, the variant is listed in the GeneInsight COGR database as benign, as likely neutral in the ADPKD Mutation Database, and listed with no classification in the PKD1-LOVD 3.0 database. The p.Ala1422 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. Furthermore, the variant amino acid “Threonine” is present in macaque, increasing the likelihood that this variant does not have clinical significance. Computational analyses (PolyPhen-2, SIFT, AlignGVGD, BLOSUM, MutationTaster) do not suggest a high likelihood of impact to the protein. The variant occurs outside of the splicing consensus sequence and in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer, HumanSpliceFinder) do not predict a difference in splicing. The variant was observed as co-occurring with another pathogenic variant in one individual identified by our laboratory, increasing the likelihood this variant does not have clinical significance. In summary, based on the above information, this variant is classified as benign. -
Autosomal dominant polycystic kidney disease Benign:1
Likely benign, criteria provided, single submitterresearchMolecular Genetics of Inherited Kidney Disorders Laboratory, Garvan Institute of Medical ResearchJan 01, 2019- -
PKD1-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesSep 05, 2019This 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: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.068
BayesDel_addAF
Benign
-0.57
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
0.13
DANN
Benign
0.58
DEOGEN2
Benign
0.15
T;.
Eigen
Benign
-1.6
Eigen_PC
Benign
-1.6
FATHMM_MKL
Benign
0.088
N
LIST_S2
Benign
0.24
T;T
MetaRNN
Benign
0.0042
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.090
N;N
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.31
T
PROVEAN
Benign
0.14
N;N
REVEL
Benign
0.018
Sift
Benign
0.41
T;T
Sift4G
Benign
0.47
T;T
Polyphen
0.083
B;B
Vest4
0.085
MVP
0.55
ClinPred
0.00098
T
GERP RS
-1.8
Varity_R
0.027
gMVP
0.16

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: rs140980374; hg19: chr16-2160904; API