rs147294651

Variant summary

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

The NM_006063.3(KLHL41):​c.398G>A​(p.Gly133Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00175 in 1,614,058 control chromosomes in the GnomAD database, including 25 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0014 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0018 ( 24 hom. )

Consequence

KLHL41
NM_006063.3 missense

Scores

1
2
15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 2.93
Variant links:
Genes affected
KLHL41 (HGNC:16905): (kelch like family member 41) This gene is a member of the kelch-like family. The encoded protein contains a BACK domain, a BTB/POZ domain, and 5 Kelch repeats. This protein is thought to function in skeletal muscle development and maintenance. Mutations in this gene have been associated with nemaline myopathy (NM), a rare congenital muscle disorder. [provided by RefSeq, Mar 2015]

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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=0.012224913).
BP6
Variant 2-169510176-G-A is Benign according to our data. Variant chr2-169510176-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 474871.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.00139 (212/152196) while in subpopulation SAS AF= 0.00872 (42/4816). AF 95% confidence interval is 0.00663. There are 1 homozygotes in gnomad4. There are 119 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 24 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KLHL41NM_006063.3 linkuse as main transcriptc.398G>A p.Gly133Asp missense_variant 1/6 ENST00000284669.2 NP_006054.2 O60662-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KLHL41ENST00000284669.2 linkuse as main transcriptc.398G>A p.Gly133Asp missense_variant 1/61 NM_006063.3 ENSP00000284669.1 O60662-1
ENSG00000251569ENST00000513963.1 linkuse as main transcriptc.925-4398G>A intron_variant 2 ENSP00000424363.1 E9PBE3

Frequencies

GnomAD3 genomes
AF:
0.00140
AC:
213
AN:
152078
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000982
Gnomad ASJ
AF:
0.00259
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00892
Gnomad FIN
AF:
0.000567
Gnomad MID
AF:
0.0190
Gnomad NFE
AF:
0.00185
Gnomad OTH
AF:
0.00144
GnomAD3 exomes
AF:
0.00224
AC:
561
AN:
250590
Hom.:
4
AF XY:
0.00267
AC XY:
362
AN XY:
135768
show subpopulations
Gnomad AFR exome
AF:
0.0000636
Gnomad AMR exome
AF:
0.00121
Gnomad ASJ exome
AF:
0.00288
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00810
Gnomad FIN exome
AF:
0.000185
Gnomad NFE exome
AF:
0.00192
Gnomad OTH exome
AF:
0.00312
GnomAD4 exome
AF:
0.00179
AC:
2617
AN:
1461862
Hom.:
24
Cov.:
32
AF XY:
0.00202
AC XY:
1469
AN XY:
727238
show subpopulations
Gnomad4 AFR exome
AF:
0.000448
Gnomad4 AMR exome
AF:
0.00141
Gnomad4 ASJ exome
AF:
0.00268
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00837
Gnomad4 FIN exome
AF:
0.000150
Gnomad4 NFE exome
AF:
0.00135
Gnomad4 OTH exome
AF:
0.00222
GnomAD4 genome
AF:
0.00139
AC:
212
AN:
152196
Hom.:
1
Cov.:
32
AF XY:
0.00160
AC XY:
119
AN XY:
74390
show subpopulations
Gnomad4 AFR
AF:
0.000120
Gnomad4 AMR
AF:
0.000981
Gnomad4 ASJ
AF:
0.00259
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00872
Gnomad4 FIN
AF:
0.000567
Gnomad4 NFE
AF:
0.00185
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.00193
Hom.:
1
Bravo
AF:
0.00118
TwinsUK
AF:
0.00243
AC:
9
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00151
AC:
13
ExAC
AF:
0.00220
AC:
267
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.00338
EpiControl
AF:
0.00284

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJul 01, 2024KLHL41: BS2 -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 01, 2019- -
KLHL41-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesMar 01, 2019This 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). -
Nemaline myopathy 9 Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 20, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.32
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.32
CADD
Uncertain
25
DANN
Benign
0.97
DEOGEN2
Benign
0.031
T
Eigen
Benign
0.040
Eigen_PC
Benign
0.15
FATHMM_MKL
Benign
0.72
D
LIST_S2
Uncertain
0.93
D
MetaRNN
Benign
0.012
T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
-0.12
N
PrimateAI
Pathogenic
0.80
T
PROVEAN
Benign
-1.5
N
REVEL
Benign
0.11
Sift
Benign
0.33
T
Sift4G
Uncertain
0.049
D
Polyphen
0.57
P
Vest4
0.54
MVP
0.77
MPC
0.52
ClinPred
0.023
T
GERP RS
4.3
Varity_R
0.13
gMVP
0.62

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs147294651; hg19: chr2-170366686; API