rs2907373

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_017565.4(FAM20A):​c.1589T>C​(p.Leu530Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.683 in 1,613,080 control chromosomes in the GnomAD database, including 379,606 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely benign in ClinVar.

Frequency

Genomes: 𝑓 0.73 ( 40888 hom., cov: 30)
Exomes 𝑓: 0.68 ( 338718 hom. )

Consequence

FAM20A
NM_017565.4 missense

Scores

14

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 0.172

Publications

32 publications found
Variant links:
Genes affected
FAM20A (HGNC:23015): (FAM20A golgi associated secretory pathway pseudokinase) This locus encodes a protein that is likely secreted and may function in hematopoiesis. A mutation at this locus has been associated with amelogenesis imperfecta and gingival hyperplasia syndrome. Alternatively spliced transcript variants have been identified. [provided by RefSeq, Aug 2011]
PRKAR1A (HGNC:9388): (protein kinase cAMP-dependent type I regulatory subunit alpha) cAMP is a signaling molecule important for a variety of cellular functions. cAMP exerts its effects by activating the cAMP-dependent protein kinase, which transduces the signal through phosphorylation of different target proteins. The inactive kinase holoenzyme is a tetramer composed of two regulatory and two catalytic subunits. cAMP causes the dissociation of the inactive holoenzyme into a dimer of regulatory subunits bound to four cAMP and two free monomeric catalytic subunits. Four different regulatory subunits and three catalytic subunits have been identified in humans. This gene encodes one of the regulatory subunits. This protein was found to be a tissue-specific extinguisher that down-regulates the expression of seven liver genes in hepatoma x fibroblast hybrids. Mutations in this gene cause Carney complex (CNC). This gene can fuse to the RET protooncogene by gene rearrangement and form the thyroid tumor-specific chimeric oncogene known as PTC2. A nonconventional nuclear localization sequence (NLS) has been found for this protein which suggests a role in DNA replication via the protein serving as a nuclear transport protein for the second subunit of the Replication Factor C (RFC40). Several alternatively spliced transcript variants encoding two different isoforms have been observed. [provided by RefSeq, Jan 2013]
PRKAR1A Gene-Disease associations (from GenCC):
  • Acrodysostosis 1 with or without hormone resistance
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
  • acrodysostosis with multiple hormone resistance
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, Illumina
  • Carney complex, type 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, ClinGen, Labcorp Genetics (formerly Invitae), G2P
  • pigmented nodular adrenocortical disease, primary, 1
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Genomics England PanelApp, Ambry Genetics
  • acrodysostosis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Carney complex
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • familial atrial myxoma
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • primary pigmented nodular adrenocortical disease
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=8.659668E-7).
BP6
Variant 17-68537514-A-G is Benign according to our data. Variant chr17-68537514-A-G is described in ClinVar as Benign. ClinVar VariationId is 260830.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.879 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_017565.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FAM20A
NM_017565.4
MANE Select
c.1589T>Cp.Leu530Ser
missense
Exon 11 of 11NP_060035.2Q96MK3
FAM20A
NM_001243746.2
c.1175T>Cp.Leu392Ser
missense
Exon 12 of 12NP_001230675.1
PRKAR1A
NM_001276290.1
c.973+7513A>G
intron
N/ANP_001263219.1P10644-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FAM20A
ENST00000592554.2
TSL:1 MANE Select
c.1589T>Cp.Leu530Ser
missense
Exon 11 of 11ENSP00000468308.1Q96MK3
FAM20A
ENST00000226094.9
TSL:1
n.1267T>C
non_coding_transcript_exon
Exon 11 of 11
FAM20A
ENST00000882126.1
c.1619T>Cp.Leu540Ser
missense
Exon 12 of 12ENSP00000552185.1

Frequencies

GnomAD3 genomes
AF:
0.728
AC:
110611
AN:
151854
Hom.:
40853
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.837
Gnomad AMI
AF:
0.655
Gnomad AMR
AF:
0.758
Gnomad ASJ
AF:
0.575
Gnomad EAS
AF:
0.901
Gnomad SAS
AF:
0.733
Gnomad FIN
AF:
0.694
Gnomad MID
AF:
0.687
Gnomad NFE
AF:
0.656
Gnomad OTH
AF:
0.733
GnomAD2 exomes
AF:
0.714
AC:
178453
AN:
249942
AF XY:
0.709
show subpopulations
Gnomad AFR exome
AF:
0.842
Gnomad AMR exome
AF:
0.784
Gnomad ASJ exome
AF:
0.584
Gnomad EAS exome
AF:
0.903
Gnomad FIN exome
AF:
0.692
Gnomad NFE exome
AF:
0.652
Gnomad OTH exome
AF:
0.688
GnomAD4 exome
AF:
0.678
AC:
990889
AN:
1461108
Hom.:
338718
Cov.:
67
AF XY:
0.679
AC XY:
493511
AN XY:
726772
show subpopulations
African (AFR)
AF:
0.843
AC:
28208
AN:
33468
American (AMR)
AF:
0.779
AC:
34753
AN:
44632
Ashkenazi Jewish (ASJ)
AF:
0.580
AC:
15147
AN:
26124
East Asian (EAS)
AF:
0.925
AC:
36689
AN:
39682
South Asian (SAS)
AF:
0.748
AC:
64403
AN:
86138
European-Finnish (FIN)
AF:
0.689
AC:
36764
AN:
53368
Middle Eastern (MID)
AF:
0.708
AC:
4086
AN:
5768
European-Non Finnish (NFE)
AF:
0.656
AC:
729298
AN:
1111568
Other (OTH)
AF:
0.688
AC:
41541
AN:
60360
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
19217
38434
57652
76869
96086
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
19220
38440
57660
76880
96100
<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:
0.728
AC:
110704
AN:
151972
Hom.:
40888
Cov.:
30
AF XY:
0.731
AC XY:
54309
AN XY:
74246
show subpopulations
African (AFR)
AF:
0.837
AC:
34719
AN:
41472
American (AMR)
AF:
0.758
AC:
11572
AN:
15266
Ashkenazi Jewish (ASJ)
AF:
0.575
AC:
1996
AN:
3470
East Asian (EAS)
AF:
0.901
AC:
4632
AN:
5142
South Asian (SAS)
AF:
0.734
AC:
3523
AN:
4802
European-Finnish (FIN)
AF:
0.694
AC:
7329
AN:
10568
Middle Eastern (MID)
AF:
0.690
AC:
203
AN:
294
European-Non Finnish (NFE)
AF:
0.656
AC:
44592
AN:
67936
Other (OTH)
AF:
0.730
AC:
1542
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1481
2962
4444
5925
7406
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
830
1660
2490
3320
4150
<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:
0.683
Hom.:
147623
Bravo
AF:
0.740
TwinsUK
AF:
0.660
AC:
2446
ALSPAC
AF:
0.658
AC:
2536
ESP6500AA
AF:
0.832
AC:
3667
ESP6500EA
AF:
0.662
AC:
5694
ExAC
AF:
0.711
AC:
86297
Asia WGS
AF:
0.806
AC:
2803
AN:
3478
EpiCase
AF:
0.655
EpiControl
AF:
0.661

ClinVar

ClinVar submissions as Germline
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
3
not provided (3)
-
-
1
Amelogenesis imperfecta type 1G (1)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.051
BayesDel_addAF
Benign
-0.65
T
BayesDel_noAF
Benign
-0.57
CADD
Benign
2.2
DANN
Benign
0.60
DEOGEN2
Benign
0.0056
T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.0027
N
LIST_S2
Benign
0.073
T
MetaRNN
Benign
8.7e-7
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.51
N
PhyloP100
0.17
PrimateAI
Benign
0.29
T
Sift4G
Benign
0.82
T
Polyphen
0.0
B
Vest4
0.010
MPC
0.22
ClinPred
0.0024
T
GERP RS
1.1
Varity_R
0.020
gMVP
0.24
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs2907373; hg19: chr17-66533655; COSMIC: COSV56836832; COSMIC: COSV56836832; API