rs375778014
Variant summary
Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6
The NM_005751.5(AKAP9):c.5369-3T>C variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000383 in 1,592,584 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_005751.5 splice_region, intron
Scores
Clinical Significance
Conservation
Publications
- male infertility with azoospermia or oligozoospermia due to single gene mutationInheritance: AR Classification: MODERATE Submitted by: King Faisal Specialist Hospital and Research Center
- long QT syndrome 11Inheritance: AD Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
- long QT syndromeInheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
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ACMG classification
Our verdict: Likely_benign. The variant received -5 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| AKAP9 | ENST00000356239.8 | c.5369-3T>C | splice_region_variant, intron_variant | Intron 21 of 49 | 1 | NM_005751.5 | ENSP00000348573.3 |
Frequencies
GnomAD3 genomes AF: 0.0000657 AC: 10AN: 152224Hom.: 1 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.000176 AC: 44AN: 249716 AF XY: 0.000163 show subpopulations
GnomAD4 exome AF: 0.0000354 AC: 51AN: 1440242Hom.: 0 Cov.: 28 AF XY: 0.0000334 AC XY: 24AN XY: 717958 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000656 AC: 10AN: 152342Hom.: 1 Cov.: 32 AF XY: 0.0000805 AC XY: 6AN XY: 74500 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Long QT syndrome 11 Uncertain:1
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Long QT syndrome Uncertain:1
This sequence change falls in intron 21 of the AKAP9 gene. It does not directly change the encoded amino acid sequence of the AKAP9 protein. It affects a nucleotide within the consensus splice site. This variant is present in population databases (rs375778014, gnomAD 0.2%), and has an allele count higher than expected for a pathogenic variant. This variant has not been reported in the literature in individuals affected with AKAP9-related conditions. ClinVar contains an entry for this variant (Variation ID: 457107). Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing (PMID: 17576681, 9536098). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant is not likely to affect RNA splicing. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Cardiovascular phenotype Benign:1
This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at