rs528149001

Variant summary

Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PM2PP2PP3

The NM_001386393.1(PANK2):​c.50G>A​(p.Gly17Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000134 in 1,493,798 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G17V) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 34)
Exomes 𝑓: 7.5e-7 ( 0 hom. )

Consequence

PANK2
NM_001386393.1 missense

Scores

4
9
5

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 2.08

Publications

4 publications found
Variant links:
Genes affected
PANK2 (HGNC:15894): (pantothenate kinase 2) This gene encodes a protein belonging to the pantothenate kinase family and is the only member of that family to be expressed in mitochondria. Pantothenate kinase is a key regulatory enzyme in the biosynthesis of coenzyme A (CoA) in bacteria and mammalian cells. It catalyzes the first committed step in the universal biosynthetic pathway leading to CoA and is itself subject to regulation through feedback inhibition by acyl CoA species. Mutations in this gene are associated with HARP syndrome and pantothenate kinase-associated neurodegeneration (PKAN), formerly Hallervorden-Spatz syndrome. Alternative splicing, involving the use of alternate first exons, results in multiple transcripts encoding different isoforms. [provided by RefSeq, Jul 2008]
PANK2 Gene-Disease associations (from GenCC):
  • pantothenate kinase-associated neurodegeneration
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 41 curated pathogenic missense variants (we use a threshold of 10). The gene has 11 curated benign missense variants. Gene score misZ: 0.17856 (below the threshold of 3.09). Trascript score misZ: -0.052065 (below the threshold of 3.09). GenCC associations: The gene is linked to pantothenate kinase-associated neurodegeneration.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.824

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001386393.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PANK2
NM_001386393.1
MANE Select
c.50G>Ap.Gly17Asp
missense
Exon 1 of 7NP_001373322.1
PANK2
NM_153638.4
c.380G>Ap.Gly127Asp
missense
Exon 1 of 7NP_705902.2
PANK2
NM_001324192.1
c.380G>Ap.Gly127Asp
missense
Exon 1 of 2NP_001311121.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PANK2
ENST00000610179.7
TSL:1 MANE Select
c.50G>Ap.Gly17Asp
missense
Exon 1 of 7ENSP00000477429.2
PANK2
ENST00000316562.9
TSL:1
c.380G>Ap.Gly127Asp
missense
Exon 1 of 7ENSP00000313377.4
PANK2
ENST00000336066.8
TSL:1
n.50G>A
non_coding_transcript_exon
Exon 1 of 7ENSP00000477229.2

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152204
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000103
AC:
1
AN:
96748
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.00
Gnomad OTH exome
AF:
0.000352
GnomAD4 exome
AF:
7.45e-7
AC:
1
AN:
1341594
Hom.:
0
Cov.:
78
AF XY:
0.00
AC XY:
0
AN XY:
660158
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
28234
American (AMR)
AF:
0.00
AC:
0
AN:
27692
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
21802
East Asian (EAS)
AF:
0.00
AC:
0
AN:
34576
South Asian (SAS)
AF:
0.00
AC:
0
AN:
72702
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
32408
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5202
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1063130
Other (OTH)
AF:
0.0000179
AC:
1
AN:
55848
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152204
Hom.:
0
Cov.:
34
AF XY:
0.00
AC XY:
0
AN XY:
74354
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41468
American (AMR)
AF:
0.00
AC:
0
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5186
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68016
Other (OTH)
AF:
0.00
AC:
0
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.0000721
Hom.:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Pathogenic
0.17
D
BayesDel_noAF
Uncertain
0.010
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.24
T
Eigen
Uncertain
0.31
Eigen_PC
Uncertain
0.37
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Benign
0.77
T
M_CAP
Pathogenic
0.95
D
MetaRNN
Pathogenic
0.82
D
MetaSVM
Uncertain
0.75
D
MutationAssessor
Benign
0.0
N
PhyloP100
2.1
PrimateAI
Pathogenic
0.84
D
PROVEAN
Benign
-0.25
N
REVEL
Uncertain
0.40
Sift
Uncertain
0.0050
D
Sift4G
Uncertain
0.020
D
Polyphen
0.95
P
Vest4
0.49
MutPred
0.40
Loss of catalytic residue at G127 (P = 0.0043)
MVP
0.99
MPC
0.61
ClinPred
0.47
T
GERP RS
4.7
PromoterAI
0.056
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.20
gMVP
0.23
Mutation Taster
=75/25
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: rs528149001; hg19: chr20-3870127; API