rs2432403
Variant summary
Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_001009944.3(PKD1):c.7288C>T(p.Arg2430*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000138 in 1,445,828 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 (★★). Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_001009944.3 stop_gained
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Pathogenic. Variant got 18 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
PKD1 | NM_001009944.3 | c.7288C>T | p.Arg2430* | stop_gained | Exon 18 of 46 | ENST00000262304.9 | NP_001009944.3 |
Ensembl
Frequencies
GnomAD3 genomes Cov.: 32
GnomAD4 exome AF: 0.00000138 AC: 2AN: 1445828Hom.: 0 Cov.: 33 AF XY: 0.00000278 AC XY: 2AN XY: 719842
GnomAD4 genome Cov.: 32
ClinVar
Submissions by phenotype
Polycystic kidney disease, adult type Pathogenic:3
PM2_Supporting+PVS1+PS4_Moderate+PP4 -
Based on the classification scheme VCGS_Germline_v1.3.5, this variant is classified as Pathogenic. Following criteria are met: 0102 - Loss of function is a known mechanism of disease in this gene and is associated with polycystic kidney disease 1 (MIM#173900). (I) 0107 - This gene is associated with autosomal dominant disease. Polycystic kidney disease 1 (MIM#173900) is predominantly caused by monoallelic variants, with rare reports of biallelic variants causing disease (OMIM). (I) 0201 - Variant is predicted to cause nonsense-mediated decay (NMD) and loss of protein (premature termination codon is located at least 54 nucleotides upstream of the final exon-exon junction). (SP) 0251 - This variant is heterozygous. (I) 0302 - Variant is present in gnomAD (v4) <0.001 for a dominant condition (2 heterozygotes, 0 homozygote). (SP) 0701 - Many other NMD-predicted variants comparable to the one identified in this case have very strong previous evidence for pathogenicity (DECIPHER). (SP) 0801 - This variant has strong previous evidence of pathogenicity in unrelated individuals. This variant has been reported as pathogenic in several individuals with ADPKD (ClinVar; http://pkdb.mayo.edu). (SP) 1208 - Inheritance information for this variant is not currently available in this individual. (I) Legend: (SP) - Supporting pathogenic, (I) - Information, (SB) - Supporting benign -
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not provided Pathogenic:3
This variant is expected to result in the loss of a functional protein. This variant has been identified in multiple unrelated individuals with clinical features associated with this gene. This variant has not been reported in large, multi-ethnic general populations. (http://gnomad.broadinstitute.org) -
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Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss-of-function is a known mechanism of disease; Not observed in large population cohorts (gnomAD); This variant is associated with the following publications: (PMID: 25525159, 27782177, 31740684, 36082560, 33102977, 33437033, 30586318, 33226606, 30816285, 11012875) -
Polycystic kidney disease Pathogenic:1
The PKD1 p.Arg2430X variant was identified in 14 of 2964 proband chromosomes (frequency: 0.005) from American, British, French, Thai, Korean and Chinese individuals or families with ADPKD (Yu 2011, Rossetti 2012, Rossetti 2007, Rossetti 2001, Phakdeekitcharoen 2000, Audrezet 2012, Garcia-Gonzalez 2007). The variant was also identified in dbSNP (ID: rs2432403) with “NA” allele, and the ADPKD Mutation Database (definitely pathogenic). The variant was not identified in ClinVar, COGR, LOVD 3.0, PKD1-LOVD, the 1000 Genomes Project, the NHLBI GO Exome Sequencing Project or the Exome Aggregation Consortium (August 8th 2016) control databases. The p.Arg2430X variant leads to a premature stop codon at position 2430, which is predicted to lead to a truncated or absent protein and loss of function. Loss of function variants of the PKD1 gene are an established mechanism of disease in autosomal dominant polycystic kidney disease and is the type of variant expected to cause the disorder. In summary, based on the above information this variant meets our laboratory’s criteria to be classified as pathogenic. -
Autosomal dominant polycystic kidney disease Pathogenic:1
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PKD1-related disorder Pathogenic:1
The PKD1 c.7288C>T variant is predicted to result in premature protein termination (p.Arg2430*). This variant has been reported to be pathogenic for autosomal dominant polycystic kidney disease (ADPKD) (see for example Table 3 and Supp. Table S4. in Audrézet et al. 2012. PubMed ID: 22508176). This variant has not been reported in a large population database, indicating this variant is rare. Nonsense variants in PKD1 are expected to be pathogenic. This variant is interpreted as pathogenic. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at