rs4253376

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_000892.5(KLKB1):​c.806C>G​(p.Ser269Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000434 in 1,612,528 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0024 ( 2 hom., cov: 33)
Exomes 𝑓: 0.00022 ( 1 hom. )

Consequence

KLKB1
NM_000892.5 missense

Scores

17

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: -0.0910

Publications

3 publications found
Variant links:
Genes affected
KLKB1 (HGNC:6371): (kallikrein B1) This gene encodes a glycoprotein that participates in the surface-dependent activation of blood coagulation, fibrinolysis, kinin generation and inflammation. The encoded preproprotein present in plasma as a non-covalent complex with high molecular weight kininogen undergoes proteolytic processing mediated by activated coagulation factor XII to generate a disulfide-linked, heterodimeric serine protease comprised of heavy and light chains. Certain mutations in this gene cause prekallikrein deficiency. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jan 2016]
KLKB1 Gene-Disease associations (from GenCC):
  • inherited prekallikrein deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Orphanet, Labcorp Genetics (formerly Invitae)

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=0.0037740767).
BP6
Variant 4-186251266-C-G is Benign according to our data. Variant chr4-186251266-C-G is described in ClinVar as Likely_benign. ClinVar VariationId is 377355.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00244 (372/152242) while in subpopulation AFR AF = 0.00859 (357/41538). AF 95% confidence interval is 0.00786. There are 2 homozygotes in GnomAd4. There are 163 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KLKB1NM_000892.5 linkc.806C>G p.Ser269Cys missense_variant Exon 8 of 15 ENST00000264690.11 NP_000883.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KLKB1ENST00000264690.11 linkc.806C>G p.Ser269Cys missense_variant Exon 8 of 15 1 NM_000892.5 ENSP00000264690.6
ENSG00000290316ENST00000511608.5 linkc.947C>G p.Ser316Cys missense_variant Exon 8 of 15 5 ENSP00000426629.1

Frequencies

GnomAD3 genomes
AF:
0.00245
AC:
372
AN:
152124
Hom.:
2
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00862
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000589
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00143
GnomAD2 exomes
AF:
0.000677
AC:
170
AN:
251256
AF XY:
0.000457
show subpopulations
Gnomad AFR exome
AF:
0.00991
Gnomad AMR exome
AF:
0.000174
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000176
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.000225
AC:
328
AN:
1460286
Hom.:
1
Cov.:
30
AF XY:
0.000190
AC XY:
138
AN XY:
726536
show subpopulations
African (AFR)
AF:
0.00880
AC:
294
AN:
33418
American (AMR)
AF:
0.000201
AC:
9
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26120
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39656
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86134
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53412
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.00000360
AC:
4
AN:
1110702
Other (OTH)
AF:
0.000331
AC:
20
AN:
60356
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.464
Heterozygous variant carriers
0
15
30
44
59
74
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome 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
GnomAD4 genome
AF:
0.00244
AC:
372
AN:
152242
Hom.:
2
Cov.:
33
AF XY:
0.00219
AC XY:
163
AN XY:
74434
show subpopulations
African (AFR)
AF:
0.00859
AC:
357
AN:
41538
American (AMR)
AF:
0.000588
AC:
9
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4816
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10604
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000441
AC:
3
AN:
68020
Other (OTH)
AF:
0.00142
AC:
3
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
21
42
64
85
106
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.000182
Hom.:
0
Bravo
AF:
0.00271
ESP6500AA
AF:
0.00658
AC:
29
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000906
AC:
110
Asia WGS
AF:
0.00115
AC:
4
AN:
3476

ClinVar

Significance: Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Oct 11, 2016
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

KLKB1-related disorder Benign:1
Jul 15, 2019
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.26
CADD
Benign
14
DANN
Benign
0.63
DEOGEN2
Benign
0.24
.;T
Eigen
Benign
-0.62
Eigen_PC
Benign
-0.65
FATHMM_MKL
Benign
0.098
N
LIST_S2
Benign
0.28
.;T
MetaRNN
Benign
0.0038
T;T
MetaSVM
Benign
-0.35
T
PhyloP100
-0.091
PrimateAI
Benign
0.27
T
PROVEAN
Benign
0.85
N;.
REVEL
Benign
0.26
Sift
Benign
0.18
T;.
Sift4G
Benign
0.13
T;D
Vest4
0.24
MVP
0.83
MPC
0.11
ClinPred
0.022
T
GERP RS
3.3
gMVP
0.41
Mutation Taster
=99/1
polymorphism

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: rs4253376; hg19: chr4-187172420; API