rs201856772

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_152393.4(KLHL40):​c.1762G>A​(p.Glu588Lys) variant causes a missense change. The variant allele was found at a frequency of 0.00047 in 1,598,414 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0017 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00035 ( 2 hom. )

Consequence

KLHL40
NM_152393.4 missense

Scores

1
11
6

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:1

Conservation

PhyloP100: 6.41

Publications

3 publications found
Variant links:
Genes affected
KLHL40 (HGNC:30372): (kelch like family member 40) This gene encodes a protein containing a BACK domain, a BTB/POZ domain, and 5 Kelch repeats, however, its exact function is not known. The gene and the multi-domain protein structure are conserved across different taxa, including primates, rodents, chicken and zebrafish. [provided by RefSeq, Dec 2012]
KLHL40 Gene-Disease associations (from GenCC):
  • nemaline myopathy 8
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics, ClinGen
  • severe congenital nemaline myopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.035648078).
BP6
Variant 3-42691889-G-A is Benign according to our data. Variant chr3-42691889-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 474333.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00165 (244/147654) while in subpopulation AFR AF = 0.00531 (198/37258). AF 95% confidence interval is 0.00471. There are 0 homozygotes in GnomAd4. There are 124 alleles in the male GnomAd4 subpopulation. Median coverage is 31. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_152393.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KLHL40
NM_152393.4
MANE Select
c.1762G>Ap.Glu588Lys
missense
Exon 6 of 6NP_689606.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KLHL40
ENST00000287777.5
TSL:1 MANE Select
c.1762G>Ap.Glu588Lys
missense
Exon 6 of 6ENSP00000287777.4Q2TBA0-1
KLHL40
ENST00000942348.1
c.1747G>Ap.Glu583Lys
missense
Exon 6 of 6ENSP00000612407.1
KLHL40
ENST00000942349.1
c.1741G>Ap.Glu581Lys
missense
Exon 6 of 6ENSP00000612408.1

Frequencies

GnomAD3 genomes
AF:
0.00166
AC:
245
AN:
147540
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00533
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00113
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00116
Gnomad SAS
AF:
0.000622
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000279
Gnomad OTH
AF:
0.000990
GnomAD2 exomes
AF:
0.000663
AC:
166
AN:
250232
AF XY:
0.000576
show subpopulations
Gnomad AFR exome
AF:
0.00511
Gnomad AMR exome
AF:
0.000521
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00158
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000284
Gnomad OTH exome
AF:
0.000489
GnomAD4 exome
AF:
0.000349
AC:
507
AN:
1450760
Hom.:
2
Cov.:
29
AF XY:
0.000332
AC XY:
240
AN XY:
722738
show subpopulations
African (AFR)
AF:
0.00453
AC:
135
AN:
29804
American (AMR)
AF:
0.000767
AC:
34
AN:
44352
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26074
East Asian (EAS)
AF:
0.00111
AC:
44
AN:
39662
South Asian (SAS)
AF:
0.000186
AC:
16
AN:
86094
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53404
Middle Eastern (MID)
AF:
0.00245
AC:
14
AN:
5724
European-Non Finnish (NFE)
AF:
0.000203
AC:
225
AN:
1105928
Other (OTH)
AF:
0.000653
AC:
39
AN:
59718
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
26
52
77
103
129
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
20
40
60
80
100
<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:
0.00165
AC:
244
AN:
147654
Hom.:
0
Cov.:
31
AF XY:
0.00172
AC XY:
124
AN XY:
72266
show subpopulations
African (AFR)
AF:
0.00531
AC:
198
AN:
37258
American (AMR)
AF:
0.00113
AC:
17
AN:
15090
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00116
AC:
6
AN:
5180
South Asian (SAS)
AF:
0.000415
AC:
2
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
290
European-Non Finnish (NFE)
AF:
0.000280
AC:
19
AN:
67972
Other (OTH)
AF:
0.000979
AC:
2
AN:
2042
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.507
Heterozygous variant carriers
0
12
24
37
49
61
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.000799
Hom.:
2
Bravo
AF:
0.00194
ExAC
AF:
0.000816
AC:
98
EpiCase
AF:
0.000382
EpiControl
AF:
0.000356

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
1
Nemaline myopathy 8 (3)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.086
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Benign
-0.090
CADD
Pathogenic
28
DANN
Uncertain
1.0
DEOGEN2
Benign
0.27
T
Eigen
Uncertain
0.41
Eigen_PC
Uncertain
0.30
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.96
D
M_CAP
Uncertain
0.26
D
MetaRNN
Benign
0.036
T
MetaSVM
Uncertain
0.18
D
MutationAssessor
Uncertain
2.4
M
PhyloP100
6.4
PrimateAI
Uncertain
0.62
T
PROVEAN
Benign
-2.2
N
REVEL
Uncertain
0.59
Sift
Uncertain
0.0090
D
Sift4G
Uncertain
0.026
D
Polyphen
0.99
D
Vest4
0.82
MVP
0.86
MPC
0.30
ClinPred
0.023
T
GERP RS
3.3
Varity_R
0.40
gMVP
0.64
Mutation Taster
=25/75
disease causing

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: rs201856772; hg19: chr3-42733381; COSMIC: COSV99040153; COSMIC: COSV99040153; API