rs1616940

Variant summary

Our verdict is Likely pathogenic. The variant received 7 ACMG points: 7P and 0B. PM2PM5PP3_ModeratePP5

The NM_001009944.3(PKD1):​c.2180T>G​(p.Leu727Arg) variant causes a missense change. The variant allele was found at a frequency of 0.000000769 in 1,300,450 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic 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. L727Q) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 7.7e-7 ( 0 hom. )

Consequence

PKD1
NM_001009944.3 missense

Scores

4
12
3

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:2U:2

Conservation

PhyloP100: 5.42

Publications

11 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: Likely_pathogenic. The variant received 7 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr16-2114843-A-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 586255.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.865
PP5
Variant 16-2114843-A-C is Pathogenic according to our data. Variant chr16-2114843-A-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 994718.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PKD1NM_001009944.3 linkc.2180T>G p.Leu727Arg missense_variant Exon 11 of 46 ENST00000262304.9 NP_001009944.3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PKD1ENST00000262304.9 linkc.2180T>G p.Leu727Arg missense_variant Exon 11 of 46 1 NM_001009944.3 ENSP00000262304.4 P98161-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
7.69e-7
AC:
1
AN:
1300450
Hom.:
0
Cov.:
25
AF XY:
0.00000155
AC XY:
1
AN XY:
645642
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
29520
American (AMR)
AF:
0.00
AC:
0
AN:
35612
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24618
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35302
South Asian (SAS)
AF:
0.0000129
AC:
1
AN:
77410
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
33682
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3920
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1005506
Other (OTH)
AF:
0.00
AC:
0
AN:
54880
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

Polycystic kidney disease, adult type Pathogenic:1Uncertain:1
Oct 12, 2023
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 20, 2024
Fulgent Genetics, Fulgent Genetics
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

PKD1-related disorder Pathogenic:1
Sep 12, 2023
PreventionGenetics, part of Exact Sciences
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The PKD1 c.2180T>G variant is predicted to result in the amino acid substitution p.Leu727Arg. This variant has not been reported in a large population database (http://gnomad.broadinstitute.org), indicating this variant is rare. The p.Leu727 residue is highly conserved during evolution from frog to human. This variant has been reported in an individual with polycystic kidney disease (Hoefele et al. 2010. PubMed ID: 21115670). In addition, we have found this variant in the heterozygous state in three presumably unrelated patients tested for polycystic kidney disease at PreventionGenetics. Of note, different substitutions at this codon have been reported in individuals with polycystic kidney disease (Human Gene Mutation Database - HGMD; https://pkdb.mayo.edu/variants). This variant is interpreted as likely pathogenic. -

not provided Uncertain:1
Jan 09, 2020
Athena Diagnostics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.69
BayesDel_addAF
Pathogenic
0.26
D
BayesDel_noAF
Uncertain
0.13
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.72
D;.
Eigen
Uncertain
0.44
Eigen_PC
Uncertain
0.31
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Benign
0.74
T;T
M_CAP
Pathogenic
0.83
D
MetaRNN
Pathogenic
0.86
D;D
MetaSVM
Benign
-0.40
T
MutationAssessor
Uncertain
2.7
M;M
PhyloP100
5.4
PrimateAI
Uncertain
0.60
T
PROVEAN
Uncertain
-3.2
D;D
REVEL
Uncertain
0.36
Sift
Uncertain
0.0010
D;D
Sift4G
Uncertain
0.0020
D;D
Polyphen
1.0
D;D
Vest4
0.83
MutPred
0.42
Gain of methylation at L727 (P = 0.0377);Gain of methylation at L727 (P = 0.0377);
MVP
0.90
ClinPred
0.96
D
GERP RS
5.2
Varity_R
0.57
gMVP
0.93
Mutation Taster
=9/91
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

Other links and lift over

dbSNP: rs1616940; hg19: chr16-2164844; API