rs33963346

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_006282.5(STK4):​c.1247C>T​(p.Pro416Leu) variant causes a missense change. The variant allele was found at a frequency of 0.0111 in 1,612,832 control chromosomes in the GnomAD database, including 120 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0071 ( 6 hom., cov: 32)
Exomes 𝑓: 0.011 ( 114 hom. )

Consequence

STK4
NM_006282.5 missense

Scores

6
12

Clinical Significance

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

Conservation

PhyloP100: 3.83
Variant links:
Genes affected
STK4 (HGNC:11408): (serine/threonine kinase 4) The protein encoded by this gene is a cytoplasmic kinase that is structurally similar to the yeast Ste20p kinase, which acts upstream of the stress-induced mitogen-activated protein kinase cascade. The encoded protein can phosphorylate myelin basic protein and undergoes autophosphorylation. A caspase-cleaved fragment of the encoded protein has been shown to be capable of phosphorylating histone H2B. The particular phosphorylation catalyzed by this protein has been correlated with apoptosis, and it's possible that this protein induces the chromatin condensation observed in this process. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0074424148).
BP6
Variant 20-45025072-C-T is Benign according to our data. Variant chr20-45025072-C-T is described in ClinVar as [Benign]. Clinvar id is 540526.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr20-45025072-C-T is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00708 (1078/152286) while in subpopulation NFE AF= 0.0121 (826/68024). AF 95% confidence interval is 0.0115. There are 6 homozygotes in gnomad4. There are 477 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 6 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
STK4NM_006282.5 linkuse as main transcriptc.1247C>T p.Pro416Leu missense_variant 10/11 ENST00000372806.8 NP_006273.1 Q13043-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
STK4ENST00000372806.8 linkuse as main transcriptc.1247C>T p.Pro416Leu missense_variant 10/111 NM_006282.5 ENSP00000361892.3 Q13043-1

Frequencies

GnomAD3 genomes
AF:
0.00710
AC:
1080
AN:
152168
Hom.:
6
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00251
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00321
Gnomad ASJ
AF:
0.00691
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00704
Gnomad FIN
AF:
0.00245
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0122
Gnomad OTH
AF:
0.00669
GnomAD3 exomes
AF:
0.00746
AC:
1865
AN:
250110
Hom.:
15
AF XY:
0.00793
AC XY:
1072
AN XY:
135216
show subpopulations
Gnomad AFR exome
AF:
0.00216
Gnomad AMR exome
AF:
0.00424
Gnomad ASJ exome
AF:
0.00617
Gnomad EAS exome
AF:
0.000109
Gnomad SAS exome
AF:
0.00706
Gnomad FIN exome
AF:
0.00302
Gnomad NFE exome
AF:
0.0113
Gnomad OTH exome
AF:
0.00922
GnomAD4 exome
AF:
0.0115
AC:
16792
AN:
1460546
Hom.:
114
Cov.:
30
AF XY:
0.0114
AC XY:
8306
AN XY:
726594
show subpopulations
Gnomad4 AFR exome
AF:
0.00191
Gnomad4 AMR exome
AF:
0.00462
Gnomad4 ASJ exome
AF:
0.00609
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00767
Gnomad4 FIN exome
AF:
0.00302
Gnomad4 NFE exome
AF:
0.0135
Gnomad4 OTH exome
AF:
0.00933
GnomAD4 genome
AF:
0.00708
AC:
1078
AN:
152286
Hom.:
6
Cov.:
32
AF XY:
0.00641
AC XY:
477
AN XY:
74462
show subpopulations
Gnomad4 AFR
AF:
0.00250
Gnomad4 AMR
AF:
0.00320
Gnomad4 ASJ
AF:
0.00691
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00684
Gnomad4 FIN
AF:
0.00245
Gnomad4 NFE
AF:
0.0121
Gnomad4 OTH
AF:
0.00662
Alfa
AF:
0.0105
Hom.:
19
Bravo
AF:
0.00680
TwinsUK
AF:
0.0135
AC:
50
ALSPAC
AF:
0.0106
AC:
41
ESP6500AA
AF:
0.00340
AC:
15
ESP6500EA
AF:
0.0128
AC:
110
ExAC
AF:
0.00767
AC:
931
Asia WGS
AF:
0.00173
AC:
6
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenDec 01, 2023STK4: BP4, BS1, BS2 -
Combined immunodeficiency due to STK4 deficiency Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 25, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.076
BayesDel_addAF
Benign
-0.39
T
BayesDel_noAF
Benign
-0.32
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.24
T;.;.
Eigen
Benign
0.17
Eigen_PC
Uncertain
0.35
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.91
D;D;D
MetaRNN
Benign
0.0074
T;T;T
MetaSVM
Benign
-0.56
T
MutationAssessor
Benign
0.67
N;.;N
PrimateAI
Benign
0.40
T
PROVEAN
Benign
-1.9
N;N;N
REVEL
Uncertain
0.29
Sift
Benign
0.085
T;T;D
Sift4G
Uncertain
0.043
D;T;T
Polyphen
0.0
B;B;B
Vest4
0.22
MVP
0.84
MPC
0.31
ClinPred
0.020
T
GERP RS
6.2
Varity_R
0.064
gMVP
0.33

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

LitVar

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

Other links and lift over

dbSNP: rs33963346; hg19: chr20-43653713; COSMIC: COSV99064132; API