rs1488871976
Variant summary
Our verdict is Likely pathogenic. The variant received 7 ACMG points: 7P and 0B. PM2PP3_StrongPP5
The NM_004984.4(KIF5A):c.572G>A(p.Arg191His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000205 in 1,460,334 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 14/22 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R191C) has been classified as Uncertain significance.
Frequency
Consequence
NM_004984.4 missense
Scores
Clinical Significance
Conservation
Publications
- amyotrophic lateral sclerosis, susceptibility to, 25Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Illumina, Labcorp Genetics (formerly Invitae)
- inherited neurodegenerative disorderInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- myoclonus, intractable, neonatalInheritance: AD Classification: DEFINITIVE, STRONG, MODERATE, LIMITED Submitted by: Ambry Genetics, Illumina, G2P, Labcorp Genetics (formerly Invitae)
- hereditary spastic paraplegia 10Inheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
- autosomal dominant Charcot-Marie-Tooth disease type 2 due to KIF5A mutationInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Likely_pathogenic. The variant received 7 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| KIF5A | ENST00000455537.7 | c.572G>A | p.Arg191His | missense_variant | Exon 7 of 29 | 1 | NM_004984.4 | ENSP00000408979.2 | ||
| KIF5A | ENST00000674619.1 | c.572G>A | p.Arg191His | missense_variant | Exon 7 of 30 | ENSP00000502270.1 | ||||
| KIF5A | ENST00000676457.1 | c.467G>A | p.Arg156His | missense_variant | Exon 6 of 28 | ENSP00000501588.1 | ||||
| KIF5A | ENST00000286452.5 | c.305G>A | p.Arg102His | missense_variant | Exon 4 of 26 | 2 | ENSP00000286452.5 |
Frequencies
GnomAD3 genomes Cov.: 29
GnomAD2 exomes AF: 0.00000398 AC: 1AN: 251460 AF XY: 0.00000736 show subpopulations
GnomAD4 exome AF: 0.00000205 AC: 3AN: 1460334Hom.: 0 Cov.: 30 AF XY: 0.00000275 AC XY: 2AN XY: 726562 show subpopulations
Age Distribution
GnomAD4 genome Cov.: 29
ClinVar
Submissions by phenotype
Hereditary spastic paraplegia 10 Pathogenic:1
Spastic paraplegia Uncertain:1
This sequence change replaces arginine, which is basic and polar, with histidine, which is basic and polar, at codon 191 of the KIF5A protein (p.Arg191His). This variant is present in population databases (no rsID available, gnomAD 0.007%). This variant has not been reported in the literature in individuals affected with KIF5A-related conditions. ClinVar contains an entry for this variant (Variation ID: 424697). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt KIF5A protein function with a positive predictive value of 95%. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance.
Hereditary spastic paraplegia Uncertain:1
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at