rs4253376

Variant summary

Our verdict is Benign. Variant got -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. 14/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely benign in UniProt.

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
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]

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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=0.0037740767).
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 id 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 male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
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 P03952A8K9A9

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 P03952
ENSG00000290316ENST00000511608.5 linkc.947C>G p.Ser316Cys missense_variant Exon 8 of 15 5 ENSP00000426629.1 H0YAC1

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
GnomAD3 exomes
AF:
0.000677
AC:
170
AN:
251256
Hom.:
0
AF XY:
0.000457
AC XY:
62
AN XY:
135784
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 SAS 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
Gnomad4 AFR exome
AF:
0.00880
Gnomad4 AMR exome
AF:
0.000201
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000360
Gnomad4 OTH exome
AF:
0.000331
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
Gnomad4 AFR
AF:
0.00859
Gnomad4 AMR
AF:
0.000588
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00142
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
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

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: rs4253376; hg19: chr4-187172420; API