rs73990423

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_015488.5(PNKD):​c.455G>A​(p.Arg152Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00321 in 1,608,544 control chromosomes in the GnomAD database, including 146 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R152W) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.017 ( 69 hom., cov: 32)
Exomes 𝑓: 0.0018 ( 77 hom. )

Consequence

PNKD
NM_015488.5 missense

Scores

1
17

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 3.24

Publications

4 publications found
Variant links:
Genes affected
PNKD (HGNC:9153): (PNKD metallo-beta-lactamase domain containing) This gene is thought to play a role in the regulation of myofibrillogenesis. Mutations in this gene have been associated with the movement disorder paroxysmal non-kinesigenic dyskinesia. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Mar 2010]
CATIP-AS2 (HGNC:41079): (CATIP antisense RNA 2)

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=0.0025433898).
BP6
Variant 2-218340131-G-A is Benign according to our data. Variant chr2-218340131-G-A is described in ClinVar as Benign. ClinVar VariationId is 334315.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0566 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PNKDNM_015488.5 linkc.455G>A p.Arg152Gln missense_variant Exon 4 of 10 ENST00000273077.9 NP_056303.3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PNKDENST00000273077.9 linkc.455G>A p.Arg152Gln missense_variant Exon 4 of 10 1 NM_015488.5 ENSP00000273077.4

Frequencies

GnomAD3 genomes
AF:
0.0169
AC:
2564
AN:
151750
Hom.:
67
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0585
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00702
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:
0.000191
Gnomad OTH
AF:
0.0144
GnomAD2 exomes
AF:
0.00429
AC:
1074
AN:
250638
AF XY:
0.00321
show subpopulations
Gnomad AFR exome
AF:
0.0579
Gnomad AMR exome
AF:
0.00281
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000185
Gnomad OTH exome
AF:
0.00245
GnomAD4 exome
AF:
0.00177
AC:
2583
AN:
1456674
Hom.:
77
Cov.:
31
AF XY:
0.00156
AC XY:
1133
AN XY:
725016
show subpopulations
African (AFR)
AF:
0.0612
AC:
2041
AN:
33346
American (AMR)
AF:
0.00347
AC:
155
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26098
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39672
South Asian (SAS)
AF:
0.000174
AC:
15
AN:
86158
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53096
Middle Eastern (MID)
AF:
0.00295
AC:
17
AN:
5762
European-Non Finnish (NFE)
AF:
0.0000912
AC:
101
AN:
1107628
Other (OTH)
AF:
0.00422
AC:
254
AN:
60196
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.473
Heterozygous variant carriers
0
124
248
372
496
620
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
66
132
198
264
330
<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:
0.0169
AC:
2573
AN:
151870
Hom.:
69
Cov.:
32
AF XY:
0.0167
AC XY:
1237
AN XY:
74234
show subpopulations
African (AFR)
AF:
0.0586
AC:
2423
AN:
41370
American (AMR)
AF:
0.00701
AC:
107
AN:
15270
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5150
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4808
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10574
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.000191
AC:
13
AN:
67924
Other (OTH)
AF:
0.0143
AC:
30
AN:
2102
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
113
225
338
450
563
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
28
56
84
112
140
<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:
0.00502
Hom.:
38
Bravo
AF:
0.0196
ESP6500AA
AF:
0.0556
AC:
245
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.00522
AC:
634
Asia WGS
AF:
0.00289
AC:
10
AN:
3478
EpiCase
AF:
0.000164
EpiControl
AF:
0.000356

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Aug 20, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

not specified Benign:1
Nov 28, 2023
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Paroxysmal nonkinesigenic dyskinesia 1 Benign:1
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Paroxysmal nonkinesigenic dyskinesia Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

PNKD-related disorder Benign:1
Mar 13, 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
0.070
BayesDel_addAF
Benign
-0.36
T
BayesDel_noAF
Benign
-0.24
CADD
Benign
23
DANN
Benign
0.86
DEOGEN2
Benign
0.092
T;.;.
Eigen
Benign
-0.63
Eigen_PC
Benign
-0.40
FATHMM_MKL
Benign
0.45
N
LIST_S2
Uncertain
0.91
D;D;D
MetaRNN
Benign
0.0025
T;T;T
MetaSVM
Benign
-0.63
T
MutationAssessor
Benign
0.25
N;.;.
PhyloP100
3.2
PrimateAI
Benign
0.21
T
PROVEAN
Benign
1.0
N;N;N
REVEL
Benign
0.19
Sift
Benign
0.59
T;T;T
Sift4G
Benign
0.52
T;T;T
Polyphen
0.0030
B;B;.
Vest4
0.21
MVP
0.35
MPC
0.16
ClinPred
0.0090
T
GERP RS
3.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.039
gMVP
0.34
Mutation Taster
=98/2
polymorphism (auto)

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: rs73990423; hg19: chr2-219204854; API