rs35944046
Variant names: 
Variant summary
Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2
The NM_006282.5(STK4):c.1064T>C(p.Ile355Thr) variant causes a missense change. The variant allele was found at a frequency of 0.00164 in 1,614,118 control chromosomes in the GnomAD database, including 65 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).
Frequency
 Genomes: 𝑓 0.0020   (  12   hom.,  cov: 32) 
 Exomes 𝑓:  0.0016   (  53   hom.  ) 
Consequence
 STK4
NM_006282.5 missense
NM_006282.5 missense
Scores
 1
 5
 12
Clinical Significance
Conservation
 PhyloP100:  5.75  
Publications
8 publications found 
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] 
STK4 Gene-Disease associations (from GenCC):
- combined immunodeficiency due to STK4 deficiencyInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Orphanet, ClinGen
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=0.0031707287). 
BP6
Variant 20-45001270-T-C is Benign according to our data. Variant chr20-45001270-T-C is described in ClinVar as Benign. ClinVar VariationId is 540524.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
BS1
Variant frequency is greater than expected in population eas. GnomAd4 allele frequency = 0.002 (304/152256) while in subpopulation EAS AF = 0.0551 (286/5188). AF 95% confidence interval is 0.0499. There are 12 homozygotes in GnomAd4. There are 186 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check. 
BS2
High Homozygotes in GnomAd4 at 12 AR gene
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  0.00200  AC: 305AN: 152138Hom.:  11  Cov.: 32 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
305
AN: 
152138
Hom.: 
Cov.: 
32
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
 AF: 
Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
 AF: 
Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD2 exomes  AF:  0.00496  AC: 1247AN: 251322 AF XY:  0.00484   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
1247
AN: 
251322
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
 AF: 
Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
 AF: 
Gnomad FIN exome 
 AF: 
Gnomad NFE exome 
 AF: 
Gnomad OTH exome 
 AF: 
GnomAD4 exome  AF:  0.00160  AC: 2341AN: 1461862Hom.:  53  Cov.: 30 AF XY:  0.00163  AC XY: 1189AN XY: 727240 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
2341
AN: 
1461862
Hom.: 
Cov.: 
30
 AF XY: 
AC XY: 
1189
AN XY: 
727240
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33480
American (AMR) 
 AF: 
AC: 
2
AN: 
44722
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26136
East Asian (EAS) 
 AF: 
AC: 
1920
AN: 
39692
South Asian (SAS) 
 AF: 
AC: 
241
AN: 
86256
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53416
Middle Eastern (MID) 
 AF: 
AC: 
3
AN: 
5768
European-Non Finnish (NFE) 
 AF: 
AC: 
50
AN: 
1111996
Other (OTH) 
 AF: 
AC: 
125
AN: 
60396
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.477 
Heterozygous variant carriers
 0 
 122 
 243 
 365 
 486 
 608 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Exome Hom
Variant carriers
 0 
 44 
 88 
 132 
 176 
 220 
 <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  0.00200  AC: 304AN: 152256Hom.:  12  Cov.: 32 AF XY:  0.00250  AC XY: 186AN XY: 74452 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
304
AN: 
152256
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
186
AN XY: 
74452
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
41562
American (AMR) 
 AF: 
AC: 
3
AN: 
15282
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3464
East Asian (EAS) 
 AF: 
AC: 
286
AN: 
5188
South Asian (SAS) 
 AF: 
AC: 
12
AN: 
4824
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10600
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
2
AN: 
68014
Other (OTH) 
 AF: 
AC: 
1
AN: 
2116
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.500 
Heterozygous variant carriers
 0 
 15 
 30 
 45 
 60 
 75 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Genome Hom
Variant carriers
 0 
 10 
 20 
 30 
 40 
 50 
 <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: 
Hom.: 
Bravo 
 AF: 
TwinsUK 
 AF: 
AC: 
1
ALSPAC 
 AF: 
AC: 
1
ESP6500AA 
 AF: 
AC: 
1
ESP6500EA 
 AF: 
AC: 
1
ExAC 
 AF: 
AC: 
547
Asia WGS 
 AF: 
AC: 
51
AN: 
3478
ClinVar
Significance: Benign 
Submissions summary: Benign:2 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
not provided    Benign:1 
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided
- -
Combined immunodeficiency due to STK4 deficiency    Benign:1 
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 AlphaMissense 
 Benign 
 BayesDel_addAF 
 Benign 
T 
 BayesDel_noAF 
 Uncertain 
 DANN 
 Uncertain 
 DEOGEN2 
 Benign 
T;.;. 
 Eigen 
 Uncertain 
 Eigen_PC 
 Uncertain 
 FATHMM_MKL 
 Pathogenic 
D 
 LIST_S2 
 Benign 
T;T;T 
 MetaRNN 
 Benign 
T;T;T 
 MetaSVM 
 Benign 
T 
 MutationAssessor 
 Benign 
L;.;L 
 PhyloP100 
 PrimateAI 
 Uncertain 
T 
 PROVEAN 
 Benign 
N;N;N 
 REVEL 
 Benign 
 Sift 
 Benign 
T;D;D 
 Sift4G 
 Benign 
T;T;T 
 Polyphen 
B;B;B 
 Vest4 
 MVP 
 MPC 
 ClinPred 
T 
 GERP RS 
 RBP_binding_hub_radar 
 RBP_regulation_power_radar 
 Varity_R 
 gMVP 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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