rs587781537

Variant summary

Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PVS1_ModeratePM2

The NM_000455.5(STK11):​c.1283C>A​(p.Ser428*) variant causes a stop gained change. The variant allele was found at a frequency of 0.000000719 in 1,390,190 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. S428S) has been classified as Benign.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 7.2e-7 ( 0 hom. )

Consequence

STK11
NM_000455.5 stop_gained

Scores

3
3
1

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.68

Publications

10 publications found
Variant links:
Genes affected
STK11 (HGNC:11389): (serine/threonine kinase 11) The protein encoded by this gene is a serine/threonine kinase that regulates cell polarity and energy metabolism and functions as a tumor suppressor. Mutations in this gene have been associated with the autosomal dominant Peutz-Jeghers syndrome, as well as with skin, pancreatic, and testicular cancers. [provided by RefSeq, May 2022]
STK11 Gene-Disease associations (from GenCC):
  • familial pancreatic carcinoma
    Inheritance: AD Classification: DEFINITIVE Submitted by: G2P
  • Peutz-Jeghers syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, Orphanet, Genomics England PanelApp, G2P
  • familial ovarian cancer
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most 50 bp of the penultimate exon, not predicted to undergo nonsense mediated mRNA decay. Fraction of 0.0146 CDS is truncated, and there are 0 pathogenic variants in the truncated region.
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
STK11NM_000455.5 linkc.1283C>A p.Ser428* stop_gained Exon 9 of 10 ENST00000326873.12 NP_000446.1
STK11NR_176325.1 linkn.2550C>A non_coding_transcript_exon_variant Exon 10 of 11

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
STK11ENST00000326873.12 linkc.1283C>A p.Ser428* stop_gained Exon 9 of 10 1 NM_000455.5 ENSP00000324856.6
STK11ENST00000585748.3 linkc.911C>A p.Ser304* stop_gained Exon 11 of 12 3 ENSP00000477641.2
STK11ENST00000593219.6 linkn.*1108C>A non_coding_transcript_exon_variant Exon 10 of 11 3 ENSP00000466610.1
STK11ENST00000593219.6 linkn.*1108C>A 3_prime_UTR_variant Exon 10 of 11 3 ENSP00000466610.1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD2 exomes
AF:
0.00000710
AC:
1
AN:
140794
AF XY:
0.0000130
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:
0.0000188
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
7.19e-7
AC:
1
AN:
1390190
Hom.:
0
Cov.:
31
AF XY:
0.00000146
AC XY:
1
AN XY:
685434
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31118
American (AMR)
AF:
0.00
AC:
0
AN:
35042
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24876
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35630
South Asian (SAS)
AF:
0.00
AC:
0
AN:
79010
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
45664
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4604
European-Non Finnish (NFE)
AF:
9.29e-7
AC:
1
AN:
1076706
Other (OTH)
AF:
0.00
AC:
0
AN:
57540
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
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
Cov.:
33
Alfa
AF:
0.000761
Hom.:
0

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Peutz-Jeghers syndrome Uncertain:1
Oct 09, 2019
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may create or strengthen a splice site, but this prediction has not been confirmed by published transcriptional studies. 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. This variant has not been reported in the literature in individuals with STK11-related conditions. This sequence change results in a premature translational stop signal in the STK11 gene (p.Ser428*). While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 6 amino acids of the STK11 protein. The frequency data for this variant in the population databases is considered unreliable, as metrics indicate insufficient coverage at this position in the ExAC database. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.50
D
BayesDel_noAF
Pathogenic
0.51
CADD
Pathogenic
44
DANN
Uncertain
1.0
Eigen
Pathogenic
0.68
Eigen_PC
Uncertain
0.49
FATHMM_MKL
Uncertain
0.86
D
PhyloP100
4.7
Vest4
0.81
GERP RS
3.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Mutation Taster
=23/177
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs587781537; hg19: chr19-1226627; API