rs17860502

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_006846.4(SPINK5):​c.316G>A​(p.Asp106Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0391 in 1,611,568 control chromosomes in the GnomAD database, including 1,786 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.034 ( 151 hom., cov: 32)
Exomes 𝑓: 0.040 ( 1635 hom. )

Consequence

SPINK5
NM_006846.4 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3O:1

Conservation

PhyloP100: 0.0900
Variant links:
Genes affected
SPINK5 (HGNC:15464): (serine peptidase inhibitor Kazal type 5) This gene encodes a multidomain serine protease inhibitor that contains 15 potential inhibitory domains. The encoded preproprotein is proteolytically processed to generate multiple protein products, which may exhibit unique activities and specificities. These proteins may play a role in skin and hair morphogenesis, as well as anti-inflammatory and antimicrobial protection of mucous epithelia. Mutations in this gene may result in Netherton syndrome, a disorder characterized by ichthyosis, defective cornification, and atopy. This gene is present in a gene cluster on chromosome 5. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Oct 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=0.0030230284).
BP6
Variant 5-148086438-G-A is Benign according to our data. Variant chr5-148086438-G-A is described in ClinVar as [Benign]. Clinvar id is 139254.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-148086438-G-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.118 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SPINK5NM_006846.4 linkuse as main transcriptc.316G>A p.Asp106Asn missense_variant 5/33 ENST00000256084.8 NP_006837.2
LOC124901185XR_007059139.1 linkuse as main transcriptn.612-1997C>T intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SPINK5ENST00000256084.8 linkuse as main transcriptc.316G>A p.Asp106Asn missense_variant 5/331 NM_006846.4 ENSP00000256084 P2Q9NQ38-1

Frequencies

GnomAD3 genomes
AF:
0.0339
AC:
5152
AN:
151846
Hom.:
151
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00703
Gnomad AMI
AF:
0.0143
Gnomad AMR
AF:
0.0542
Gnomad ASJ
AF:
0.0320
Gnomad EAS
AF:
0.126
Gnomad SAS
AF:
0.0671
Gnomad FIN
AF:
0.0577
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.0335
Gnomad OTH
AF:
0.0239
GnomAD3 exomes
AF:
0.0455
AC:
11326
AN:
248808
Hom.:
401
AF XY:
0.0455
AC XY:
6137
AN XY:
134988
show subpopulations
Gnomad AFR exome
AF:
0.00428
Gnomad AMR exome
AF:
0.0535
Gnomad ASJ exome
AF:
0.0290
Gnomad EAS exome
AF:
0.124
Gnomad SAS exome
AF:
0.0628
Gnomad FIN exome
AF:
0.0533
Gnomad NFE exome
AF:
0.0321
Gnomad OTH exome
AF:
0.0355
GnomAD4 exome
AF:
0.0396
AC:
57828
AN:
1459604
Hom.:
1635
Cov.:
30
AF XY:
0.0401
AC XY:
29117
AN XY:
726136
show subpopulations
Gnomad4 AFR exome
AF:
0.00504
Gnomad4 AMR exome
AF:
0.0538
Gnomad4 ASJ exome
AF:
0.0312
Gnomad4 EAS exome
AF:
0.160
Gnomad4 SAS exome
AF:
0.0618
Gnomad4 FIN exome
AF:
0.0527
Gnomad4 NFE exome
AF:
0.0339
Gnomad4 OTH exome
AF:
0.0374
GnomAD4 genome
AF:
0.0339
AC:
5158
AN:
151964
Hom.:
151
Cov.:
32
AF XY:
0.0369
AC XY:
2739
AN XY:
74278
show subpopulations
Gnomad4 AFR
AF:
0.00701
Gnomad4 AMR
AF:
0.0544
Gnomad4 ASJ
AF:
0.0320
Gnomad4 EAS
AF:
0.126
Gnomad4 SAS
AF:
0.0680
Gnomad4 FIN
AF:
0.0577
Gnomad4 NFE
AF:
0.0335
Gnomad4 OTH
AF:
0.0237
Alfa
AF:
0.0342
Hom.:
222
Bravo
AF:
0.0311
TwinsUK
AF:
0.0310
AC:
115
ALSPAC
AF:
0.0379
AC:
146
ESP6500AA
AF:
0.00597
AC:
22
ESP6500EA
AF:
0.0307
AC:
252
ExAC
AF:
0.0442
AC:
5337
Asia WGS
AF:
0.0850
AC:
295
AN:
3478
EpiCase
AF:
0.0301
EpiControl
AF:
0.0269

ClinVar

Significance: Benign
Submissions summary: Benign:3Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Ichthyosis linearis circumflexa Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxJan 08, 2014This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Netherton syndrome Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
not provided Other:1
not provided, no classification providedphenotyping onlyGenomeConnect, ClinGen-Variant interpreted as Benign and reported on 04-27-2020 by Lab or GTR ID 500031. GenomeConnect assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. GenomeConnect staff make no attempt to reinterpret the clinical significance of the variant. This variant was reported in an individual referred for clinical diagnostic genetic testing. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.085
BayesDel_addAF
Benign
-0.67
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
2.7
DANN
Benign
0.90
DEOGEN2
Benign
0.084
.;.;.;T
Eigen
Benign
-0.81
Eigen_PC
Benign
-0.79
FATHMM_MKL
Benign
0.14
N
LIST_S2
Benign
0.65
T;T;T;T
MetaRNN
Benign
0.0030
T;T;T;T
MetaSVM
Benign
-1.2
T
MutationAssessor
Benign
1.3
L;L;.;L
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Benign
0.31
T
PROVEAN
Benign
-0.90
N;N;N;N
REVEL
Benign
0.11
Sift
Benign
0.38
T;T;T;T
Sift4G
Benign
0.66
T;T;T;T
Polyphen
0.0050
B;B;.;B
Vest4
0.089
MPC
0.095
ClinPred
0.00098
T
GERP RS
2.8
Varity_R
0.036
gMVP
0.21

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: rs17860502; hg19: chr5-147466001; COSMIC: COSV56252683; COSMIC: COSV56252683; API