rs189482969

Variant summary

Our verdict is Benign. The variant received -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BA1

The NM_001085411.3(NADK2):​c.210G>T​(p.Arg70Arg) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00455 in 1,525,408 control chromosomes in the GnomAD database, including 281 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. R70R) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.025 ( 158 hom., cov: 32)
Exomes 𝑓: 0.0023 ( 123 hom. )

Consequence

NADK2
NM_001085411.3 synonymous

Scores

2

Clinical Significance

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

Conservation

PhyloP100: 1.64

Publications

0 publications found
Variant links:
Genes affected
NADK2 (HGNC:26404): (NAD kinase 2, mitochondrial) This gene encodes a mitochondrial kinase that catalyzes the phosphorylation of NAD to yield NADP. Mutations in this gene result in 2,4-dienoyl-CoA reductase deficiency. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Oct 2014]
NADK2 Gene-Disease associations (from GenCC):
  • progressive encephalopathy with leukodystrophy due to DECR deficiency
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE, LIMITED Submitted by: Orphanet, Ambry Genetics, PanelApp Australia, Labcorp Genetics (formerly Invitae), ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.28).
BP6
Variant 5-36241589-C-A is Benign according to our data. Variant chr5-36241589-C-A is described in ClinVar as Benign. ClinVar VariationId is 380096.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=1.64 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0834 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NADK2NM_001085411.3 linkc.210G>T p.Arg70Arg synonymous_variant Exon 1 of 12 ENST00000381937.9 NP_001078880.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NADK2ENST00000381937.9 linkc.210G>T p.Arg70Arg synonymous_variant Exon 1 of 12 2 NM_001085411.3 ENSP00000371362.4

Frequencies

GnomAD3 genomes
AF:
0.0246
AC:
3730
AN:
151620
Hom.:
158
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0858
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00775
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00637
Gnomad NFE
AF:
0.000206
Gnomad OTH
AF:
0.0211
GnomAD2 exomes
AF:
0.00315
AC:
420
AN:
133150
AF XY:
0.00267
show subpopulations
Gnomad AFR exome
AF:
0.0852
Gnomad AMR exome
AF:
0.00288
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000143
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000225
Gnomad OTH exome
AF:
0.00174
GnomAD4 exome
AF:
0.00234
AC:
3209
AN:
1373672
Hom.:
123
Cov.:
31
AF XY:
0.00203
AC XY:
1385
AN XY:
680994
show subpopulations
African (AFR)
AF:
0.0923
AC:
2613
AN:
28314
American (AMR)
AF:
0.00395
AC:
141
AN:
35734
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24252
East Asian (EAS)
AF:
0.00
AC:
0
AN:
31064
South Asian (SAS)
AF:
0.000178
AC:
14
AN:
78764
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
34892
Middle Eastern (MID)
AF:
0.00306
AC:
15
AN:
4898
European-Non Finnish (NFE)
AF:
0.000115
AC:
124
AN:
1078700
Other (OTH)
AF:
0.00529
AC:
302
AN:
57054
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.483
Heterozygous variant carriers
0
145
289
434
578
723
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
86
172
258
344
430
<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:
0.0246
AC:
3739
AN:
151736
Hom.:
158
Cov.:
32
AF XY:
0.0236
AC XY:
1752
AN XY:
74168
show subpopulations
African (AFR)
AF:
0.0858
AC:
3559
AN:
41502
American (AMR)
AF:
0.00774
AC:
118
AN:
15246
Ashkenazi Jewish (ASJ)
AF:
0.000288
AC:
1
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5132
South Asian (SAS)
AF:
0.000208
AC:
1
AN:
4818
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10452
Middle Eastern (MID)
AF:
0.00685
AC:
2
AN:
292
European-Non Finnish (NFE)
AF:
0.000206
AC:
14
AN:
67802
Other (OTH)
AF:
0.0208
AC:
44
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
173
346
519
692
865
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
40
80
120
160
200
<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:
0.00407
Hom.:
4
Bravo
AF:
0.0280
Asia WGS
AF:
0.00405
AC:
14
AN:
3472

ClinVar

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

Submissions by phenotype

not specified Benign:1
Feb 08, 2016
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Progressive encephalopathy with leukodystrophy due to DECR deficiency Benign:1
Jan 31, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.28
CADD
Benign
15
DANN
Benign
0.93
PhyloP100
1.6
PromoterAI
-0.038
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Mutation Taster
=95/5
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs189482969; hg19: chr5-36241691; API