rs201210830
Variant summary
Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6
The NM_138694.4(PKHD1):c.12106C>T(p.Arg4036Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000954 in 1,614,124 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict 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. R4036Q) has been classified as Uncertain significance.
Frequency
Consequence
NM_138694.4 missense
Scores
Clinical Significance
Conservation
Publications
- autosomal recessive polycystic kidney diseaseInheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Myriad Women’s Health, Orphanet
- polycystic kidney disease 4Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P, Laboratory for Molecular Medicine, Genomics England PanelApp
- Caroli diseaseInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Likely_benign. The variant received -5 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| PKHD1 | ENST00000371117.8 | c.12106C>T | p.Arg4036Trp | missense_variant | Exon 67 of 67 | 1 | NM_138694.4 | ENSP00000360158.3 | ||
| ENSG00000228689 | ENST00000454361.1 | n.81-3155G>A | intron_variant | Intron 1 of 1 | 3 | |||||
| ENSG00000228689 | ENST00000589278.6 | n.811-3160G>A | intron_variant | Intron 2 of 2 | 5 | |||||
| ENSG00000228689 | ENST00000650088.1 | n.222-3155G>A | intron_variant | Intron 1 of 1 |
Frequencies
GnomAD3 genomes AF: 0.0000722 AC: 11AN: 152260Hom.: 0 Cov.: 33 show subpopulations
GnomAD2 exomes AF: 0.0000757 AC: 19AN: 250920 AF XY: 0.0000664 show subpopulations
GnomAD4 exome AF: 0.0000978 AC: 143AN: 1461864Hom.: 0 Cov.: 34 AF XY: 0.0000908 AC XY: 66AN XY: 727224 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000722 AC: 11AN: 152260Hom.: 0 Cov.: 33 AF XY: 0.0000672 AC XY: 5AN XY: 74388 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Uncertain:2
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PKHD1: PM2, BP4 -
Autosomal recessive polycystic kidney disease Uncertain:1Benign:1
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not specified Uncertain:1
Variant summary: PKHD1 c.12106C>T (p.Arg4036Trp) results in a non-conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 7.6e-05 in 250920 control chromosomes (gnomAD). This frequency is not significantly higher than expected for a pathogenic variant in PKHD1 causing Polycystic Kidney and Hepatic Disease (7.6e-05 vs 0.0071), allowing no conclusion about variant significance. However, the variant was also reported in Japanese healthy control databases (HGVD-Kyoto and jMorp) with a frequency of 0.006 (including 1 homozygote in HGVD-Kyoto database). This frequency is somewhat close to the estimated maximal expected allele frequency for a pathogenic PKHD1 variant, therefore this variant might represent a benign polymorphism found primarily in populations of East Asian origin (HGVD). To our knowledge, no occurrence of c.12106C>T in individuals affected with Polycystic Kidney and Hepatic Disease and no experimental evidence demonstrating its impact on protein function have been reported. Two other ClinVar submitters (evaluation after 2014) cite the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. -
Polycystic kidney disease 4 Uncertain:1
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Inborn genetic diseases Benign:1
This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at