rs748996527

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_013275.6(ANKRD11):​c.6797C>T​(p.Ala2266Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000401 in 1,525,286 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00033 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00041 ( 1 hom. )

Consequence

ANKRD11
NM_013275.6 missense

Scores

1
18

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 2.69
Variant links:
Genes affected
ANKRD11 (HGNC:21316): (ankyrin repeat domain containing 11) This locus encodes an ankryin repeat domain-containing protein. The encoded protein inhibits ligand-dependent activation of transcription. Mutations in this gene have been associated with KBG syndrome, which is characterized by macrodontia, distinctive craniofacial features, short stature, skeletal anomalies, global developmental delay, seizures and intellectual disability. Alternatively spliced transcript variants have been described. Related pseudogenes exist on chromosomes 2 and X. [provided by RefSeq, Jan 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.014288813).
BP6
Variant 16-89279745-G-A is Benign according to our data. Variant chr16-89279745-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 434193.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.000329 (50/152144) while in subpopulation NFE AF= 0.000662 (45/68000). AF 95% confidence interval is 0.000508. There are 0 homozygotes in gnomad4. There are 17 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 50 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ANKRD11NM_013275.6 linkc.6797C>T p.Ala2266Val missense_variant Exon 9 of 13 ENST00000301030.10 NP_037407.4 Q6UB99
ANKRD11NM_001256182.2 linkc.6797C>T p.Ala2266Val missense_variant Exon 10 of 14 NP_001243111.1 Q6UB99
ANKRD11NM_001256183.2 linkc.6797C>T p.Ala2266Val missense_variant Exon 9 of 13 NP_001243112.1 Q6UB99

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ANKRD11ENST00000301030.10 linkc.6797C>T p.Ala2266Val missense_variant Exon 9 of 13 5 NM_013275.6 ENSP00000301030.4 Q6UB99

Frequencies

GnomAD3 genomes
AF:
0.000329
AC:
50
AN:
152144
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
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:
0.000662
Gnomad OTH
AF:
0.000479
GnomAD3 exomes
AF:
0.000291
AC:
37
AN:
127174
Hom.:
0
AF XY:
0.000300
AC XY:
21
AN XY:
69888
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000419
Gnomad ASJ exome
AF:
0.000148
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000722
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000409
AC:
561
AN:
1373142
Hom.:
1
Cov.:
33
AF XY:
0.000432
AC XY:
292
AN XY:
676194
show subpopulations
Gnomad4 AFR exome
AF:
0.0000636
Gnomad4 AMR exome
AF:
0.0000568
Gnomad4 ASJ exome
AF:
0.0000833
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000882
Gnomad4 NFE exome
AF:
0.000504
Gnomad4 OTH exome
AF:
0.000193
GnomAD4 genome
AF:
0.000329
AC:
50
AN:
152144
Hom.:
0
Cov.:
32
AF XY:
0.000229
AC XY:
17
AN XY:
74324
show subpopulations
Gnomad4 AFR
AF:
0.0000483
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000662
Gnomad4 OTH
AF:
0.000479
Alfa
AF:
0.000359
Hom.:
0
Bravo
AF:
0.000295
ExAC
AF:
0.000185
AC:
19

ClinVar

Significance: Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Jul 25, 2020
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Feb 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

ANKRD11: BP4, BS2 -

-
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

The ANKRD11 p.Ala2266Val variant was not identified in the literature but was identified in dbSNP (ID: rs748996527) and ClinVar (classified as likely benign by Genetic Services Laboratory, University of Chicago and CeGaT Praxis fuer Humangenetik Tuebingen). The variant was identified in control databases in 50 of 158488 chromosomes at a frequency of 0.0003155 (Genome Aggregation Database March 6, 2019, v2.1.1). The variant was observed in the following populations: European (non-Finnish) in 46 of 63862 chromosomes (freq: 0.00072), Other in 2 of 4934 chromosomes (freq: 0.000405), Ashkenazi Jewish in 1 of 7042 chromosomes (freq: 0.000142) and Latino in 1 of 24720 chromosomes (freq: 0.00004), but was not observed in the African, East Asian, European (Finnish), or South Asian populations. This frequency is greater than expected for autosomal dominant KBG syndrome (Swols_2017_PMID:29258554). The p.Ala2266 residue is not conserved in mammals and computational analyses (PolyPhen-2, SIFT, AlignGVGD, BLOSUM, MutationTaster) do not suggest a high likelihood of impact to the protein; however, this information is not predictive enough to rule out pathogenicity. The variant occurs outside of the splicing consensus sequence and in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer) do not predict a difference in splicing. In summary, based on the above information the clinical significance of this variant cannot be determined with certainty at this time although we would lean towards a more benign role for this variant. This variant is classified as likely benign. -

not specified Benign:1
May 02, 2016
Genetic Services Laboratory, University of Chicago
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

KBG syndrome Benign:1
Dec 19, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Inborn genetic diseases Benign:1
Apr 02, 2018
Ambry Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

ANKRD11-related disorder Benign:1
May 02, 2022
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as likely 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
0.078
BayesDel_addAF
Benign
-0.55
T
BayesDel_noAF
Benign
-0.65
CADD
Benign
7.8
DANN
Benign
0.97
DEOGEN2
Benign
0.075
T;T;T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.10
N
LIST_S2
Benign
0.38
.;.;T
M_CAP
Benign
0.045
D
MetaRNN
Benign
0.014
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.3
L;L;L
PrimateAI
Uncertain
0.53
T
PROVEAN
Benign
-0.77
N;N;.
REVEL
Benign
0.022
Sift
Benign
0.098
T;T;.
Sift4G
Benign
0.54
T;T;.
Polyphen
0.0070
B;B;B
Vest4
0.098
MutPred
0.19
Gain of sheet (P = 0.0101);Gain of sheet (P = 0.0101);Gain of sheet (P = 0.0101);
MVP
0.21
MPC
0.086
ClinPred
0.022
T
GERP RS
-0.68
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.3
Varity_R
0.034
gMVP
0.023

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: rs748996527; hg19: chr16-89346153; COSMIC: COSV56361337; COSMIC: COSV56361337; API