rs372340268

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM1

The NM_138694.4(PKHD1):​c.934C>T​(p.Arg312Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000132 in 1,604,132 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R312Q) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000094 ( 0 hom., cov: 23)
Exomes 𝑓: 0.00014 ( 0 hom. )

Consequence

PKHD1
NM_138694.4 missense

Scores

10
8

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:8

Conservation

PhyloP100: 1.12

Publications

1 publications found
Variant links:
Genes affected
PKHD1 (HGNC:9016): (PKHD1 ciliary IPT domain containing fibrocystin/polyductin) The protein encoded by this gene is predicted to have a single transmembrane (TM)-spanning domain and multiple copies of an immunoglobulin-like plexin-transcription-factor domain. Alternative splicing results in two transcript variants encoding different isoforms. Other alternatively spliced transcripts have been described, but the full length sequences have not been determined. Several of these transcripts are predicted to encode truncated products which lack the TM and may be secreted. Mutations in this gene cause autosomal recessive polycystic kidney disease, also known as polycystic kidney and hepatic disease-1. [provided by RefSeq, Jul 2008]
PKHD1 Gene-Disease associations (from GenCC):
  • autosomal recessive polycystic kidney disease
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Myriad Women’s Health, Orphanet
  • polycystic kidney disease 4
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P, Laboratory for Molecular Medicine, Genomics England PanelApp
  • Caroli disease
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 7 uncertain in NM_138694.4

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_138694.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PKHD1
NM_138694.4
MANE Select
c.934C>Tp.Arg312Trp
missense
Exon 13 of 67NP_619639.3
PKHD1
NM_170724.3
c.934C>Tp.Arg312Trp
missense
Exon 13 of 61NP_733842.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PKHD1
ENST00000371117.8
TSL:1 MANE Select
c.934C>Tp.Arg312Trp
missense
Exon 13 of 67ENSP00000360158.3
PKHD1
ENST00000340994.4
TSL:5
c.934C>Tp.Arg312Trp
missense
Exon 13 of 61ENSP00000341097.4

Frequencies

GnomAD3 genomes
AF:
0.0000944
AC:
14
AN:
148348
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.0000757
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000217
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000148
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000124
AC:
31
AN:
250844
AF XY:
0.000125
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000884
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.000136
AC:
198
AN:
1455784
Hom.:
0
Cov.:
30
AF XY:
0.000139
AC XY:
101
AN XY:
724414
show subpopulations
African (AFR)
AF:
0.0000302
AC:
1
AN:
33120
American (AMR)
AF:
0.00
AC:
0
AN:
44594
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25924
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38876
South Asian (SAS)
AF:
0.000395
AC:
34
AN:
86162
European-Finnish (FIN)
AF:
0.0000189
AC:
1
AN:
52806
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5728
European-Non Finnish (NFE)
AF:
0.000138
AC:
153
AN:
1108572
Other (OTH)
AF:
0.000150
AC:
9
AN:
60002
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
8
17
25
34
42
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
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
GnomAD4 genome
AF:
0.0000944
AC:
14
AN:
148348
Hom.:
0
Cov.:
23
AF XY:
0.0000831
AC XY:
6
AN XY:
72174
show subpopulations
African (AFR)
AF:
0.0000757
AC:
3
AN:
39642
American (AMR)
AF:
0.00
AC:
0
AN:
14930
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3448
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5084
South Asian (SAS)
AF:
0.000217
AC:
1
AN:
4614
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9878
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
312
European-Non Finnish (NFE)
AF:
0.000148
AC:
10
AN:
67502
Other (OTH)
AF:
0.00
AC:
0
AN:
2040
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
1
2
3
4
5
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000119
Hom.:
0
Bravo
AF:
0.0000642
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000132
AC:
16
EpiCase
AF:
0.000218
EpiControl
AF:
0.000237

ClinVar

ClinVar submissions as Germline
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
3
-
not provided (3)
-
2
-
Autosomal recessive polycystic kidney disease (2)
-
1
-
PKHD1-related disorder (1)
-
1
-
Polycystic kidney disease (1)
-
1
-
Polycystic kidney disease 4 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.16
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.71
D
Eigen
Benign
0.18
Eigen_PC
Benign
0.12
FATHMM_MKL
Benign
0.68
D
LIST_S2
Benign
0.74
T
M_CAP
Uncertain
0.17
D
MetaRNN
Uncertain
0.50
T
MetaSVM
Benign
-0.59
T
MutationAssessor
Uncertain
2.5
M
PhyloP100
1.1
PrimateAI
Uncertain
0.52
T
PROVEAN
Uncertain
-3.3
D
REVEL
Uncertain
0.45
Sift
Uncertain
0.0040
D
Sift4G
Uncertain
0.0030
D
Polyphen
1.0
D
Vest4
0.49
MVP
0.94
MPC
0.38
ClinPred
0.76
D
GERP RS
2.1
Varity_R
0.39
gMVP
0.60
Mutation Taster
=56/44
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs372340268; hg19: chr6-51929795; API