rs143957574

Variant summary

Our verdict is Benign. Variant got -7 ACMG points: 2P and 9B. PM2BP4_StrongBP6BS1

The NM_032237.5(POMK):ā€‹c.20A>Gā€‹(p.Asn7Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000153 in 1,612,976 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 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: š‘“ 0.00075 ( 0 hom., cov: 32)
Exomes š‘“: 0.000092 ( 1 hom. )

Consequence

POMK
NM_032237.5 missense

Scores

19

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: 0.109
Variant links:
Genes affected
POMK (HGNC:26267): (protein O-mannose kinase) This gene encodes a protein that may be involved in the presentation of the laminin-binding O-linked carbohydrate chain of alpha-dystroglycan (a-DG), which forms transmembrane linkages between the extracellular matrix and the exoskeleton. Some pathogens use this O-linked carbohydrate unit for host entry. Loss of function compound heterozygous mutations in this gene were found in a human patient affected by the Walker-Warburg syndrome (WWS) phenotype. Mice lacking this gene contain misplaced neurons (heterotopia) in some regions of the brain, possibly from defects in neuronal migration. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, May 2013]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -7 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.0043215454).
BP6
Variant 8-43103568-A-G is Benign according to our data. Variant chr8-43103568-A-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 432418.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=2}.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.000748 (113/151088) while in subpopulation AFR AF= 0.00263 (108/41128). AF 95% confidence interval is 0.00222. There are 0 homozygotes in gnomad4. There are 46 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
POMKNM_032237.5 linkuse as main transcriptc.20A>G p.Asn7Ser missense_variant 4/5 ENST00000331373.10 NP_115613.1
POMKNM_001277971.2 linkuse as main transcriptc.20A>G p.Asn7Ser missense_variant 3/4 NP_001264900.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
POMKENST00000331373.10 linkuse as main transcriptc.20A>G p.Asn7Ser missense_variant 4/52 NM_032237.5 ENSP00000331258 P1

Frequencies

GnomAD3 genomes
AF:
0.000748
AC:
113
AN:
150970
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00263
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000197
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:
0.0000148
Gnomad OTH
AF:
0.000484
GnomAD3 exomes
AF:
0.000211
AC:
53
AN:
250966
Hom.:
0
AF XY:
0.000206
AC XY:
28
AN XY:
135652
show subpopulations
Gnomad AFR exome
AF:
0.00246
Gnomad AMR exome
AF:
0.000260
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000177
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.0000917
AC:
134
AN:
1461888
Hom.:
1
Cov.:
32
AF XY:
0.0000839
AC XY:
61
AN XY:
727248
show subpopulations
Gnomad4 AFR exome
AF:
0.00260
Gnomad4 AMR exome
AF:
0.000291
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000162
Gnomad4 OTH exome
AF:
0.000248
GnomAD4 genome
AF:
0.000748
AC:
113
AN:
151088
Hom.:
0
Cov.:
32
AF XY:
0.000623
AC XY:
46
AN XY:
73780
show subpopulations
Gnomad4 AFR
AF:
0.00263
Gnomad4 AMR
AF:
0.000197
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000148
Gnomad4 OTH
AF:
0.000478
Alfa
AF:
0.000224
Hom.:
1
Bravo
AF:
0.000895
ESP6500AA
AF:
0.00295
AC:
13
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.000214
AC:
26
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityFeb 28, 2020- -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxJan 03, 2020In silico analysis, which includes protein predictors and evolutionary conservation, supports that this variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -
Muscular dystrophy-dystroglycanopathy (congenital with brain and eye anomalies), type a, 12;C4015184:Limb-girdle muscular dystrophy due to POMK deficiency Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 06, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.071
BayesDel_addAF
Benign
-0.55
T
BayesDel_noAF
Benign
-0.57
CADD
Benign
1.8
DANN
Benign
0.36
DEOGEN2
Benign
0.0014
T;T;T
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.044
N
LIST_S2
Benign
0.49
T;T;.
M_CAP
Benign
0.042
D
MetaRNN
Benign
0.0043
T;T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
0.0
N;.;N
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.34
T
PROVEAN
Benign
-0.21
.;N;N
REVEL
Benign
0.056
Sift
Benign
0.64
.;T;T
Sift4G
Benign
0.74
T;T;T
Polyphen
0.0
B;.;B
Vest4
0.15
MVP
0.61
MPC
0.067
ClinPred
0.0059
T
GERP RS
0.33
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.014
gMVP
0.22

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: rs143957574; hg19: chr8-42958711; API