rs147350387

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001009944.3(PKD1):​c.8123C>T​(p.Thr2708Met) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0154 in 1,573,306 control chromosomes in the GnomAD database, including 229 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. T2708T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.011 ( 19 hom., cov: 20)
Exomes 𝑓: 0.016 ( 210 hom. )

Consequence

PKD1
NM_001009944.3 missense

Scores

2
10
6

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: 9.37

Publications

15 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 -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.011215836).
BP6
Variant 16-2104536-G-A is Benign according to our data. Variant chr16-2104536-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 257011.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0114 (1709/150234) while in subpopulation NFE AF = 0.0188 (1268/67612). AF 95% confidence interval is 0.0179. There are 19 homozygotes in GnomAd4. There are 755 alleles in the male GnomAd4 subpopulation. Median coverage is 20. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 19 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PKD1NM_001009944.3 linkc.8123C>T p.Thr2708Met missense_variant Exon 22 of 46 ENST00000262304.9 NP_001009944.3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PKD1ENST00000262304.9 linkc.8123C>T p.Thr2708Met missense_variant Exon 22 of 46 1 NM_001009944.3 ENSP00000262304.4 P98161-1

Frequencies

GnomAD3 genomes
AF:
0.0114
AC:
1710
AN:
150116
Hom.:
19
Cov.:
20
show subpopulations
Gnomad AFR
AF:
0.00300
Gnomad AMI
AF:
0.00220
Gnomad AMR
AF:
0.0107
Gnomad ASJ
AF:
0.00434
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00106
Gnomad FIN
AF:
0.0112
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0188
Gnomad OTH
AF:
0.00869
GnomAD2 exomes
AF:
0.00968
AC:
1474
AN:
152302
AF XY:
0.00986
show subpopulations
Gnomad AFR exome
AF:
0.00243
Gnomad AMR exome
AF:
0.00704
Gnomad ASJ exome
AF:
0.00453
Gnomad EAS exome
AF:
0.000338
Gnomad FIN exome
AF:
0.0109
Gnomad NFE exome
AF:
0.0174
Gnomad OTH exome
AF:
0.00919
GnomAD4 exome
AF:
0.0158
AC:
22553
AN:
1423072
Hom.:
210
Cov.:
30
AF XY:
0.0155
AC XY:
10936
AN XY:
706240
show subpopulations
African (AFR)
AF:
0.00299
AC:
98
AN:
32736
American (AMR)
AF:
0.00655
AC:
270
AN:
41216
Ashkenazi Jewish (ASJ)
AF:
0.00454
AC:
116
AN:
25526
East Asian (EAS)
AF:
0.000207
AC:
8
AN:
38692
South Asian (SAS)
AF:
0.00133
AC:
110
AN:
82414
European-Finnish (FIN)
AF:
0.0138
AC:
669
AN:
48330
Middle Eastern (MID)
AF:
0.00195
AC:
8
AN:
4102
European-Non Finnish (NFE)
AF:
0.0188
AC:
20491
AN:
1091236
Other (OTH)
AF:
0.0133
AC:
783
AN:
58820
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.437
Heterozygous variant carriers
0
963
1925
2888
3850
4813
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
750
1500
2250
3000
3750
<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:
0.0114
AC:
1709
AN:
150234
Hom.:
19
Cov.:
20
AF XY:
0.0103
AC XY:
755
AN XY:
73348
show subpopulations
African (AFR)
AF:
0.00299
AC:
121
AN:
40496
American (AMR)
AF:
0.0107
AC:
162
AN:
15142
Ashkenazi Jewish (ASJ)
AF:
0.00434
AC:
15
AN:
3454
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4962
South Asian (SAS)
AF:
0.00106
AC:
5
AN:
4732
European-Finnish (FIN)
AF:
0.0112
AC:
118
AN:
10538
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0188
AC:
1268
AN:
67612
Other (OTH)
AF:
0.00860
AC:
18
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
77
154
230
307
384
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
22
44
66
88
110
<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:
0.0148
Hom.:
7
Bravo
AF:
0.0104
ESP6500AA
AF:
0.00269
AC:
11
ESP6500EA
AF:
0.0158
AC:
129
ExAC
AF:
0.00428
AC:
462

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:12
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:5
Jul 17, 2018
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Feb 11, 2020
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 27499327, 24374109) -

May 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PKD1: BS1, BS2 -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

not specified Benign:2
-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jun 09, 2025
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Polycystic kidney disease, adult type Benign:2
Apr 07, 2022
Fulgent Genetics, Fulgent Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 20, 2020
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

The PKD1 p.Thr2708Met variant was identified in 10 of 1016 proband chromosomes (frequency: 0.01) from individuals or families with ADPKD (classified as a polymorphism) and was not identified in 100 control chromosomes from healthy individuals (Bataille 2011, Garcia-Gonzalez 2007, Rossetti 2001, Rossetti 2012). This variant has been seen in one individual from our laboratory as co-occurring with a pathogenic variant increasing the likelihood it may not have clinical significance. The variant was also identified in dbSNP (ID: rs147350387) as “N/A”. The variant was identified in the 1000 Genomes Project in 20 of 5000 chromosomes (frequency: 0.004); in NHLBI GO Exome Sequencing Project in 129 of 8168 European American (frequency: 0.016) and 11 of 4082 African American (frequency: 0.0027) alleles. In the Exome Aggregation Consortium database (March 14, 2016) in 114 of 17104 chromosomes of which 1 was homozygous (frequency: 0.00666) in the following populations: 101 of 6264 European (Non-Finnish) – frequency 0.01612; 6 of 7956 South Asian- frequency 0.0007541; 3 of 490 Latinos- frequency 0.006122; 2 of 60 Finnish - frequency 0.03333; 1 of 1246 African - frequency 0.0008026 and 1 of 164 Other- frequency: 0.006098) alleles. The variant was identified in ADPKD Mutation Database classified as likely neutral. The p.Thr2708 residue is conserved across mammals and other organisms, and computational analyses (PolyPhen-2, SIFT, AlignGVGD, BLOSUM, MutationTaster) suggest that the variant may impact the protein; however, this information is not predictive enough to assume pathogenicity. The variant occurs outside of the splicing consensus sequence and in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer, HumanSpliceFinder) 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 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
Jan 01, 2019
Molecular Genetics of Inherited Kidney Disorders Laboratory, Garvan Institute of Medical Research
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:research

- -

PKD1-related disorder Benign:1
Oct 09, 2019
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as 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
0.29
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.14
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.73
D;.
Eigen
Uncertain
0.47
Eigen_PC
Uncertain
0.33
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.89
D;D
MetaRNN
Benign
0.011
T;T
MetaSVM
Benign
-0.63
T
MutationAssessor
Uncertain
2.8
M;M
PhyloP100
9.4
PrimateAI
Uncertain
0.59
T
PROVEAN
Uncertain
-3.4
D;D
REVEL
Uncertain
0.39
Sift
Uncertain
0.0010
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
1.0
D;D
Vest4
0.59
MVP
0.78
ClinPred
0.016
T
GERP RS
4.2
Varity_R
0.40
gMVP
0.71
Mutation Taster
=80/20
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: rs147350387; hg19: chr16-2154537; COSMIC: COSV99032379; COSMIC: COSV99032379; API