rs199469641

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PP2PP3_ModeratePP5

The NM_017415.3(KLHL3):​c.1229C>T​(p.Ser410Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000411 in 1,461,378 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 Pathogenic (no stars).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000041 ( 0 hom. )

Consequence

KLHL3
NM_017415.3 missense

Scores

11
7
1

Clinical Significance

Pathogenic no assertion criteria provided P:2

Conservation

PhyloP100: 10.0
Variant links:
Genes affected
KLHL3 (HGNC:6354): (kelch like family member 3) This gene is ubiquitously expressed and encodes a full-length protein which has an N-terminal BTB domain followed by a BACK domain and six kelch-like repeats in the C-terminus. These kelch-like repeats promote substrate ubiquitination of bound proteins via interaction of the BTB domain with the CUL3 (cullin 3) component of a cullin-RING E3 ubiquitin ligase (CRL) complex. Muatations in this gene cause pseudohypoaldosteronism type IID (PHA2D); a rare Mendelian syndrome featuring hypertension, hyperkalaemia and metabolic acidosis. Alternative splicing results in multiple transcript variants encoding distinct isoforms. [provided by RefSeq, Mar 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PP2
Missense variant in the KLHL3 gene, where missense mutations are typically associated with disease (based on misZ statistic). The gene has 22 curated pathogenic missense variants (we use a threshold of 10). The gene has 0 curated benign missense variants. Gene score misZ: 2.9931 (below the threshold of 3.09). Trascript score misZ: 3.5661 (above the threshold of 3.09). GenCC associations: The gene is linked to pseudohypoaldosteronism type 2D.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.867
PP5
Variant 5-137637386-G-A is Pathogenic according to our data. Variant chr5-137637386-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 30517.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KLHL3NM_017415.3 linkc.1229C>T p.Ser410Leu missense_variant Exon 11 of 15 ENST00000309755.9 NP_059111.2 Q9UH77-1
KLHL3NM_001257194.1 linkc.1133C>T p.Ser378Leu missense_variant Exon 11 of 15 NP_001244123.1 Q9UH77-2
KLHL3NM_001257195.2 linkc.983C>T p.Ser328Leu missense_variant Exon 9 of 13 NP_001244124.1 Q9UH77-3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KLHL3ENST00000309755.9 linkc.1229C>T p.Ser410Leu missense_variant Exon 11 of 15 1 NM_017415.3 ENSP00000312397.4 Q9UH77-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251398
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135876
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000411
AC:
6
AN:
1461378
Hom.:
0
Cov.:
31
AF XY:
0.00000413
AC XY:
3
AN XY:
726982
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.0000383
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000360
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Bravo
AF:
0.00000378

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:2
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Pseudohypoaldosteronism type 2D Pathogenic:1
Mar 11, 2012
OMIM
Significance: Pathogenic
Review Status: no assertion criteria provided
Collection Method: literature only

- -

Pseudohypoaldosteronism type 2A Pathogenic:1
-
Richard Lifton Laboratory, Yale University School of Medicine
Significance: Pathogenic
Review Status: no assertion criteria provided
Collection Method: literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.86
BayesDel_addAF
Pathogenic
0.36
D
BayesDel_noAF
Pathogenic
0.28
CADD
Pathogenic
34
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.65
.;.;D;.
Eigen
Pathogenic
0.91
Eigen_PC
Pathogenic
0.87
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.95
D;D;D;D
M_CAP
Uncertain
0.15
D
MetaRNN
Pathogenic
0.87
D;D;D;D
MetaSVM
Uncertain
0.48
D
MutationAssessor
Pathogenic
3.1
.;.;M;.
PrimateAI
Uncertain
0.74
T
PROVEAN
Pathogenic
-4.6
D;D;D;D
REVEL
Pathogenic
0.75
Sift
Uncertain
0.0010
D;D;D;D
Sift4G
Uncertain
0.0080
D;D;D;.
Polyphen
1.0, 1.0
.;.;D;D
Vest4
0.84
MutPred
0.70
.;.;Loss of disorder (P = 0.0262);.;
MVP
0.80
MPC
1.5
ClinPred
1.0
D
GERP RS
4.9
Varity_R
0.90
gMVP
0.80

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs199469641; hg19: chr5-136973075; COSMIC: COSV59053497; API