rs141634296

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM2PM5PP3

The NM_001379610.1(SPINK1):​c.194G>T​(p.Arg65Leu) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000658 in 151,888 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R65Q) has been classified as Likely pathogenic.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)

Consequence

SPINK1
NM_001379610.1 missense, splice_region

Scores

2
16
Splicing: ADA: 0.9968
2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -1.44
Variant links:
Genes affected
SPINK1 (HGNC:11244): (serine peptidase inhibitor Kazal type 1) The protein encoded by this gene is a trypsin inhibitor, which is secreted from pancreatic acinar cells into pancreatic juice. It is thought to function in the prevention of trypsin-catalyzed premature activation of zymogens within the pancreas and the pancreatic duct. Mutations in this gene are associated with hereditary pancreatitis and tropical calcific pancreatitis. [provided by RefSeq, Oct 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 5 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr5-147828022-C-T is described in Lovd as [Likely_pathogenic].
PP3
Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF. No scorers claiming Uncertain. Scorers claiming Benign: max_spliceai.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SPINK1NM_001379610.1 linkuse as main transcriptc.194G>T p.Arg65Leu missense_variant, splice_region_variant 3/4 ENST00000296695.10 NP_001366539.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SPINK1ENST00000296695.10 linkuse as main transcriptc.194G>T p.Arg65Leu missense_variant, splice_region_variant 3/41 NM_001379610.1 ENSP00000296695 P1
SPINK1ENST00000510027.2 linkuse as main transcriptc.194G>T p.Arg65Leu missense_variant 3/33 ENSP00000427376
SPINK1ENST00000505722.1 linkuse as main transcriptn.109G>T splice_region_variant, non_coding_transcript_exon_variant 1/22

Frequencies

GnomAD3 genomes
AF:
0.00000658
AC:
1
AN:
151888
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD4 exome
Cov.:
29
GnomAD4 genome
AF:
0.00000658
AC:
1
AN:
151888
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74182
show subpopulations
Gnomad4 AFR
AF:
0.00
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:
0.0000147
Gnomad4 OTH
AF:
0.00

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Benign
-0.38
CADD
Benign
8.4
DANN
Uncertain
0.99
DEOGEN2
Benign
0.17
T;.
Eigen
Benign
-0.81
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.032
N
LIST_S2
Benign
0.38
T;T
M_CAP
Benign
0.026
D
MetaRNN
Benign
0.083
T;T
MetaSVM
Benign
-0.97
T
MutationTaster
Benign
0.99
N;N
PrimateAI
Benign
0.21
T
PROVEAN
Uncertain
-2.5
N;N
REVEL
Benign
0.15
Sift
Benign
0.25
T;D
Sift4G
Benign
0.29
T;D
Polyphen
0.0040
B;.
Vest4
0.20
MutPred
0.63
Gain of ubiquitination at K66 (P = 0.0472);Gain of ubiquitination at K66 (P = 0.0472);
MVP
0.49
MPC
0.020
ClinPred
0.070
T
GERP RS
-3.3
Varity_R
0.33
gMVP
0.71

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.77
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: rs141634296; hg19: chr5-147207585; API