rs143581690

Variant summary

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

The NM_000297.4(PKD2):​c.1546G>T​(p.Val516Leu) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000311 in 1,587,502 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00045 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00030 ( 1 hom. )

Consequence

PKD2
NM_000297.4 missense, splice_region

Scores

2
16
Splicing: ADA: 0.001253
2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 1.36
Variant links:
Genes affected
PKD2 (HGNC:9009): (polycystin 2, transient receptor potential cation channel) This gene encodes a member of the polycystin protein family. The encoded protein is a multi-pass membrane protein that functions as a calcium permeable cation channel, and is involved in calcium transport and calcium signaling in renal epithelial cells. This protein interacts with polycystin 1, and they may be partners in a common signaling cascade involved in tubular morphogenesis. Mutations in this gene are associated with autosomal dominant polycystic kidney disease type 2. [provided by RefSeq, Mar 2011]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008757174).
BP6
Variant 4-88046868-G-T is Benign according to our data. Variant chr4-88046868-G-T is described in ClinVar as [Likely_benign]. Clinvar id is 237628.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr4-88046868-G-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.000446 (68/152314) while in subpopulation EAS AF= 0.0114 (59/5192). AF 95% confidence interval is 0.00904. There are 0 homozygotes in gnomad4. There are 38 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 68 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PKD2NM_000297.4 linkuse as main transcriptc.1546G>T p.Val516Leu missense_variant, splice_region_variant 6/15 ENST00000237596.7 NP_000288.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PKD2ENST00000237596.7 linkuse as main transcriptc.1546G>T p.Val516Leu missense_variant, splice_region_variant 6/151 NM_000297.4 ENSP00000237596 P1Q13563-1
PKD2ENST00000508588.5 linkuse as main transcriptc.-199+3411G>T intron_variant 2 ENSP00000427131

Frequencies

GnomAD3 genomes
AF:
0.000447
AC:
68
AN:
152196
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0113
Gnomad SAS
AF:
0.00124
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000916
AC:
230
AN:
251214
Hom.:
2
AF XY:
0.000869
AC XY:
118
AN XY:
135804
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000116
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0112
Gnomad SAS exome
AF:
0.000555
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000653
GnomAD4 exome
AF:
0.000297
AC:
426
AN:
1435188
Hom.:
1
Cov.:
26
AF XY:
0.000310
AC XY:
222
AN XY:
715756
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000895
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00792
Gnomad4 SAS exome
AF:
0.000829
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000460
Gnomad4 OTH exome
AF:
0.000555
GnomAD4 genome
AF:
0.000446
AC:
68
AN:
152314
Hom.:
0
Cov.:
32
AF XY:
0.000510
AC XY:
38
AN XY:
74484
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.0114
Gnomad4 SAS
AF:
0.00124
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000584
Hom.:
0
Bravo
AF:
0.000533
ExAC
AF:
0.000873
AC:
106
Asia WGS
AF:
0.00289
AC:
10
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Polycystic kidney disease Benign:1
Likely benign, no assertion criteria providedclinical testingDepartment of Pathology and Laboratory Medicine, Sinai Health System-The PKD2 p.Val516Leu variant was identified in 1 of 130 proband chromosomes (frequency: 0.008) from individuals or families with ADPKD and was present in 2 of 200 control chromosomes (frequency: 0.01) from healthy individuals (Yu 2011). The variant was also identified in dbSNP (ID: rs143581690) as "With other allele", ClinVar (classified as benign by Invitae and ARUP), and in ADPKD Mutation Database (as Likely Neutral). The variant was not identified in LOVD 3.0 or PKD1-LOVD. The variant was identified in control databases in 238 of 276964 chromosomes (2 homozygous) at a frequency of 0.0009 (Genome Aggregation Database Feb 27, 2017). The variant was observed in the following populations: East Asian in 213 of 18856 chromosomes (freq: 0.01), Other in 4 of 6458 chromosomes (freq: 0.0006), Latino in 4 of 34414 chromosomes (freq: 0.0001), and South Asian in 17 of 30780 chromosomes (freq: 0.0006), while the variant was not observed in the African, European, Ashkenazi Jewish, or Finnish populations. The p.Val516 residue is conserved in mammals but not in more distantly related organisms however 4 of 5 computational analyses (PolyPhen-2, SIFT, AlignGVGD, BLOSUM, MutationTaster) do not suggest a high likelihood of impact to the protein; this information is not predictive enough to rule out pathogenicity. The p.Val516Leu variant occurs in the last three bases of the exon. This position has been shown to be part of the splicing consensus sequence and variants involving this position sometimes affect splicing. In addition, 1 of 4 in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer) predict a greater than 10% 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. -
Autosomal dominant polycystic kidney disease Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 07, 2023- -
Polycystic kidney disease 2 Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesOct 04, 2017- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.089
BayesDel_addAF
Benign
-0.48
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
16
DANN
Benign
0.53
DEOGEN2
Benign
0.16
T
Eigen
Benign
-0.56
Eigen_PC
Benign
-0.35
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Uncertain
0.88
D
MetaRNN
Benign
0.0088
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.10
N
MutationTaster
Benign
0.97
D;D
PrimateAI
Benign
0.35
T
PROVEAN
Benign
1.1
N
REVEL
Benign
0.086
Sift
Benign
1.0
T
Sift4G
Benign
1.0
T
Polyphen
0.0
B
Vest4
0.20
MutPred
0.60
Gain of helix (P = 0.0861);
MVP
0.32
MPC
0.15
ClinPred
0.014
T
GERP RS
3.9
Varity_R
0.073
gMVP
0.70

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0013
dbscSNV1_RF
Benign
0.080
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: rs143581690; hg19: chr4-88968020; COSMIC: COSV52939136; COSMIC: COSV52939136; API