rs143312683

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS1

The NM_001009944.3(PKD1):​c.9718G>A​(p.Ala3240Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000509 in 1,599,862 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00043 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00052 ( 0 hom. )

Consequence

PKD1
NM_001009944.3 missense

Scores

19

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:3

Conservation

PhyloP100: 0.487

Publications

1 publications found
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]
PKD1 Gene-Disease associations (from GenCC):
  • autosomal dominant polycystic kidney disease
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
  • polycystic kidney disease 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Laboratory for Molecular Medicine, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • autosomal recessive polycystic kidney disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Caroli disease
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.020558327).
BP6
Variant 16-2100066-C-T is Benign according to our data. Variant chr16-2100066-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 522080.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.000427 (65/152360) while in subpopulation NFE AF = 0.000794 (54/68028). AF 95% confidence interval is 0.000625. There are 0 homozygotes in GnomAd4. There are 30 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PKD1NM_001009944.3 linkc.9718G>A p.Ala3240Thr missense_variant Exon 29 of 46 ENST00000262304.9 NP_001009944.3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PKD1ENST00000262304.9 linkc.9718G>A p.Ala3240Thr missense_variant Exon 29 of 46 1 NM_001009944.3 ENSP00000262304.4

Frequencies

GnomAD3 genomes
AF:
0.000427
AC:
65
AN:
152242
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.000864
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000470
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000794
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000403
AC:
91
AN:
225760
AF XY:
0.000397
show subpopulations
Gnomad AFR exome
AF:
0.000147
Gnomad AMR exome
AF:
0.0000941
Gnomad ASJ exome
AF:
0.000106
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000389
Gnomad NFE exome
AF:
0.000758
Gnomad OTH exome
AF:
0.000178
GnomAD4 exome
AF:
0.000518
AC:
750
AN:
1447502
Hom.:
0
Cov.:
32
AF XY:
0.000538
AC XY:
387
AN XY:
719352
show subpopulations
African (AFR)
AF:
0.000121
AC:
4
AN:
33154
American (AMR)
AF:
0.000118
AC:
5
AN:
42416
Ashkenazi Jewish (ASJ)
AF:
0.000116
AC:
3
AN:
25836
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39080
South Asian (SAS)
AF:
0.0000353
AC:
3
AN:
85006
European-Finnish (FIN)
AF:
0.000564
AC:
29
AN:
51438
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4130
European-Non Finnish (NFE)
AF:
0.000620
AC:
686
AN:
1106702
Other (OTH)
AF:
0.000335
AC:
20
AN:
59740
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.481
Heterozygous variant carriers
0
47
94
142
189
236
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
20
40
60
80
100
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000427
AC:
65
AN:
152360
Hom.:
0
Cov.:
32
AF XY:
0.000403
AC XY:
30
AN XY:
74504
show subpopulations
African (AFR)
AF:
0.0000240
AC:
1
AN:
41588
American (AMR)
AF:
0.000131
AC:
2
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.000864
AC:
3
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.000470
AC:
5
AN:
10628
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000794
AC:
54
AN:
68028
Other (OTH)
AF:
0.00
AC:
0
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
4
8
12
16
20
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000975
Hom.:
0
Bravo
AF:
0.000329
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000935
AC:
8
ExAC
AF:
0.000442
AC:
53

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Benign:2
Jan 30, 2020
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 16, 2025
Laboratory of Genetics, Children's Clinical University Hospital Latvia
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Uncertain:1
Dec 27, 2021
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.9718G>A (p.A3240T) alteration is located in exon 29 (coding exon 29) of the PKD1 gene. This alteration results from a G to A substitution at nucleotide position 9718, causing the alanine (A) at amino acid position 3240 to be replaced by a threonine (T). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Polycystic kidney disease Uncertain:1
-
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

The PKD1 p.Ala3240Thr variant was identified in 2 of 572 proband chromosomes (frequency: 0.003) from Czech and American individuals or families with ADPKD (Obeidova 2014, Rossetti 2012). The variant was also identified in dbSNP (ID: rs143312683) as “with uncertain significance allele”, ClinVar (classified as uncertain significance by Ambry Genetics), and ADPKD Mutation Database (classified as likely neutral). The variant was not identified in the LOVD 3.0 and PKD1-LOVD databases. The variant was identified in control databases in 119 of 252510 chromosomes at a frequency of 0.0005 (Genome Aggregation Database Feb 27, 2017). The variant was observed in the following populations: African in 3 of 21586 chromosomes (freq: 0.0001), Latino in 3 of 31912 chromosomes (freq: 0.00009), European Non-Finnish in 101 of 112472 chromosomes (freq: 0.0009), Ashkenazi Jewish in 1 of 9600 chromosomes (freq: 0.0001), European Finnish in 10 of 24550 chromosomes (freq: 0.0004), and South Asian in 1 of 29260 chromosomes (freq: 0.00003), while it was not observed in the Other or East Asian populations. In addition, we cannot be certain that data from control databases is specific to PKD1 and not from one of the six PKD1 pseudogenes. The p.Ala3240 residue is conserved in mammals but not in more distantly related organisms and four out of five computational analyses (PolyPhen-2, SIFT, AlignGVGD, BLOSUM, MutationTaster) do not suggest a high likelihood the Thr variant impacts the protein; 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. This variant is classified as a variant of uncertain significance. -

PKD1-related disorder Benign:1
Jan 07, 2023
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely 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
0.076
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
12
DANN
Benign
0.70
DEOGEN2
Benign
0.24
T;.
Eigen
Benign
-0.81
Eigen_PC
Benign
-0.85
FATHMM_MKL
Benign
0.099
N
LIST_S2
Benign
0.64
T;T
M_CAP
Benign
0.047
D
MetaRNN
Benign
0.021
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
2.0
M;M
PhyloP100
0.49
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-1.1
N;N
REVEL
Benign
0.078
Sift
Benign
0.29
T;T
Sift4G
Benign
0.31
T;T
Polyphen
0.58
P;B
Vest4
0.25
MVP
0.62
ClinPred
0.011
T
GERP RS
3.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.022
gMVP
0.17
Mutation Taster
=54/46
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: rs143312683; hg19: chr16-2150067; API