rs149953814

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 2P and 6B. PM1BP4_StrongBP6BS2_Supporting

The NM_004562.3(PRKN):​c.1310C>T​(p.Pro437Leu) variant causes a missense change. The variant allele was found at a frequency of 0.00274 in 1,613,282 control chromosomes in the GnomAD database, including 9 homozygotes. In-silico tool predicts a benign 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. P437A) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0021 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0028 ( 8 hom. )

Consequence

PRKN
NM_004562.3 missense

Scores

10
8

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:7B:3

Conservation

PhyloP100: 5.57
Variant links:
Genes affected
PRKN (HGNC:8607): (parkin RBR E3 ubiquitin protein ligase) The precise function of this gene is unknown; however, the encoded protein is a component of a multiprotein E3 ubiquitin ligase complex that mediates the targeting of substrate proteins for proteasomal degradation. Mutations in this gene are known to cause Parkinson disease and autosomal recessive juvenile Parkinson disease. Alternative splicing of this gene produces multiple transcript variants encoding distinct isoforms. Additional splice variants of this gene have been described but currently lack transcript support. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

PM1
In a hotspot region, there are 4 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 4 uncertain in NM_004562.3
BP4
Computational evidence support a benign effect (MetaRNN=0.030217081).
BP6
Variant 6-161350187-G-A is Benign according to our data. Variant chr6-161350187-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 283504.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=7, Likely_benign=2, Benign=1}.
BS2
High Homozygotes in GnomAdExome4 at 8 AR geneVariant has number of homozygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PRKNNM_004562.3 linkc.1310C>T p.Pro437Leu missense_variant Exon 12 of 12 ENST00000366898.6 NP_004553.2 O60260-1X5DR79

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PRKNENST00000366898.6 linkc.1310C>T p.Pro437Leu missense_variant Exon 12 of 12 1 NM_004562.3 ENSP00000355865.1 O60260-1

Frequencies

GnomAD3 genomes
AF:
0.00212
AC:
322
AN:
152124
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000531
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00380
Gnomad ASJ
AF:
0.000865
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00343
Gnomad OTH
AF:
0.00192
GnomAD2 exomes
AF:
0.00159
AC:
396
AN:
249654
AF XY:
0.00152
show subpopulations
Gnomad AFR exome
AF:
0.000499
Gnomad AMR exome
AF:
0.00194
Gnomad ASJ exome
AF:
0.000898
Gnomad EAS exome
AF:
0.0000546
Gnomad FIN exome
AF:
0.000232
Gnomad NFE exome
AF:
0.00255
Gnomad OTH exome
AF:
0.00313
GnomAD4 exome
AF:
0.00280
AC:
4093
AN:
1461040
Hom.:
8
Cov.:
31
AF XY:
0.00266
AC XY:
1930
AN XY:
726804
show subpopulations
Gnomad4 AFR exome
AF:
0.000329
AC:
11
AN:
33468
Gnomad4 AMR exome
AF:
0.00210
AC:
94
AN:
44702
Gnomad4 ASJ exome
AF:
0.00103
AC:
27
AN:
26134
Gnomad4 EAS exome
AF:
0.00
AC:
0
AN:
39678
Gnomad4 SAS exome
AF:
0.0000116
AC:
1
AN:
86198
Gnomad4 FIN exome
AF:
0.000245
AC:
13
AN:
53060
Gnomad4 NFE exome
AF:
0.00336
AC:
3738
AN:
1111668
Gnomad4 Remaining exome
AF:
0.00345
AC:
208
AN:
60364
Heterozygous variant carriers
0
182
364
547
729
911
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Exome Het
Exome Hom
Variant carriers
0
152
304
456
608
760
<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:
0.00212
AC:
322
AN:
152242
Hom.:
1
Cov.:
32
AF XY:
0.00183
AC XY:
136
AN XY:
74450
show subpopulations
Gnomad4 AFR
AF:
0.000530
AC:
0.00052961
AN:
0.00052961
Gnomad4 AMR
AF:
0.00379
AC:
0.00379184
AN:
0.00379184
Gnomad4 ASJ
AF:
0.000865
AC:
0.000865052
AN:
0.000865052
Gnomad4 EAS
AF:
0.00
AC:
0
AN:
0
Gnomad4 SAS
AF:
0.00
AC:
0
AN:
0
Gnomad4 FIN
AF:
0.000188
AC:
0.000188466
AN:
0.000188466
Gnomad4 NFE
AF:
0.00343
AC:
0.00342566
AN:
0.00342566
Gnomad4 OTH
AF:
0.00190
AC:
0.00189573
AN:
0.00189573
Heterozygous variant carriers
0
17
34
50
67
84
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Genome Het
Genome Hom
Variant carriers
0
4
8
12
16
20
<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:
0.00176
Hom.:
2
Bravo
AF:
0.00226
TwinsUK
AF:
0.00378
AC:
14
ALSPAC
AF:
0.00234
AC:
9
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.00314
AC:
27
ExAC
AF:
0.00138
AC:
167
EpiCase
AF:
0.00229
EpiControl
AF:
0.00232

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:7Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:4Benign:2
Jun 19, 2021
AiLife Diagnostics, AiLife Diagnostics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 29, 2015
Eurofins Ntd Llc (ga)
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 24, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

PRKN: BS1 -

Aug 13, 2024
Mayo Clinic Laboratories, Mayo Clinic
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

BS1 -

Apr 14, 2025
GeneDx
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Reported previously in an individual with early onset Parkinson disease who also harbored a second PRKN variant; however, parental studies were not performed (PMID: 15108293); Reported previously as pathogenic in an individual with Parkinson disease who also harbored a complex locus rearrangement presumed to be on the other allele; however, parental testing was not performed and detailed clinical information was not available (PMID: 32802956); Reported previously in the heterozygous state in individuals with Parkinson disease; however, it was also observed in unaffected controls (PMID: 24660942, 17262853, 24167364, 30363439, 30099245, 37750340); Published functional studies demonstrate a damaging effect showing that P437L significantly reduced binding ability and ubiquitination activity of parkin (PMID: 16049031, 29893854); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 35954270, 33751372, 33045815, 33845304, 29893854, 30363439, 30099245, 17187375, 19636047, 12629236, 26683220, 29887346, 28189762, 18546294, 24167364, 17262853, 30994895, 20643691, 34426522, 34434164, 34584092, 15266615, 38378758, 38767677, 36909283, 32802956, 15108293, 16049031, 24660942, 37750340, 39631693, 25101677, 24005326, 23818421, 23225227, 29181857, 20558392) -

not specified Uncertain:1
Mar 20, 2024
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: PRKN c.1310C>T (p.Pro437Leu) results in a non-conservative amino acid change located in the IBR domain (IPR002867) of the encoded protein sequence. Four of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.0027 in 1613282 control chromosomes in the gnomAD database, including 9 homozygotes. c.1310C>T has been reported in the literature in individuals affected Parkinson disease/early onset PD (examples: Milanowski_2021, Castelo_2021, Lesage_2020, Pankratz_2009). These data do not allow any conclusion about variant significance. Functional studies have shown a damaging effect for P437L with reduced binding ability and ubiquitination activity of parkin (examples: Sriram_2005, Yi_2019) The following publications have been ascertained in the context of this evaluation (PMID: 30994895, 16049031, 33845304, 34434164, 33045815, 19636047). ClinVar contains an entry for this variant (Variation ID: 283504). Based on the evidence outlined above, the variant was classified as uncertain significance. -

Lung cancer;C1140680:Ovarian cancer;C1868675:Autosomal recessive juvenile Parkinson disease 2 Uncertain:1
Jun 01, 2024
Fulgent Genetics, Fulgent Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Parkinson disease 12 Uncertain:1
-
Institute of Human Genetics, University Hospital of Duesseldorf
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Autosomal recessive juvenile Parkinson disease 2 Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.27
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Uncertain
0.060
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.55
D;.;.;.;.;.
Eigen
Uncertain
0.62
Eigen_PC
Uncertain
0.63
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Uncertain
0.93
D;D;D;D;.;D
M_CAP
Benign
0.063
D
MetaRNN
Benign
0.030
T;T;T;T;T;T
MetaSVM
Uncertain
-0.024
T
PrimateAI
Benign
0.46
T
PROVEAN
Benign
-2.3
N;N;N;.;D;D
REVEL
Uncertain
0.64
Sift
Benign
0.055
T;T;D;.;D;D
Sift4G
Uncertain
0.013
D;D;D;D;D;D
Polyphen
1.0
D;.;.;.;.;.
Vest4
0.55
MVP
0.95
MPC
0.36
ClinPred
0.028
T
GERP RS
5.3
Varity_R
0.53
gMVP
0.90
Mutation Taster
=3/97
disease causing

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: rs149953814; hg19: chr6-161771219; API