rs765885747

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 4P and 1B. PM1PM2BP4

The NM_024301.5(FKRP):​c.928G>A​(p.Glu310Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000283 in 1,411,748 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E310Q) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000028 ( 0 hom. )

Consequence

FKRP
NM_024301.5 missense

Scores

1
4
14

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 0.518
Variant links:
Genes affected
FKRP (HGNC:17997): (fukutin related protein) This gene encodes a protein which is targeted to the medial Golgi apparatus and is necessary for posttranslational modification of dystroglycan. Mutations in this gene have been associated with congenital muscular dystrophy, cognitive disability, and cerebellar cysts. Several alternatively spliced transcript variants of this gene have been described, but the full-length nature of some of these variants has not been determined. [provided by RefSeq, Oct 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM1
In a hotspot region, there are 6 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 10 uncertain in NM_024301.5
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.29970276).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FKRPNM_024301.5 linkuse as main transcriptc.928G>A p.Glu310Lys missense_variant 4/4 ENST00000318584.10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FKRPENST00000318584.10 linkuse as main transcriptc.928G>A p.Glu310Lys missense_variant 4/41 NM_024301.5 P1
FKRPENST00000391909.7 linkuse as main transcriptc.928G>A p.Glu310Lys missense_variant 4/42 P1
FKRPENST00000597339.5 linkuse as main transcriptn.247-5455G>A intron_variant, non_coding_transcript_variant 5
FKRPENST00000600646.5 linkuse as main transcriptn.247+7713G>A intron_variant, non_coding_transcript_variant 3

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000283
AC:
4
AN:
1411748
Hom.:
0
Cov.:
32
AF XY:
0.00000143
AC XY:
1
AN XY:
697914
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000368
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityJul 02, 2019- -
Walker-Warburg congenital muscular dystrophy Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingInvitaeAug 15, 2022This sequence change replaces glutamic acid, which is acidic and polar, with lysine, which is basic and polar, at codon 310 of the FKRP protein (p.Glu310Lys). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with FKRP-related conditions. Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be tolerated. 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Benign
0.011
T
BayesDel_noAF
Benign
-0.22
CADD
Benign
18
DANN
Uncertain
0.98
DEOGEN2
Benign
0.20
T;T
Eigen
Benign
-0.26
Eigen_PC
Benign
-0.21
FATHMM_MKL
Benign
0.67
D
LIST_S2
Uncertain
0.92
.;D
M_CAP
Pathogenic
0.44
D
MetaRNN
Benign
0.30
T;T
MetaSVM
Uncertain
-0.13
T
MutationAssessor
Benign
1.0
L;L
MutationTaster
Benign
0.83
N;N
PrimateAI
Uncertain
0.65
T
PROVEAN
Benign
-0.19
N;N
REVEL
Benign
0.27
Sift
Benign
0.40
T;T
Sift4G
Benign
0.54
T;T
Polyphen
0.52
P;P
Vest4
0.22
MutPred
0.37
Gain of methylation at E310 (P = 0.0231);Gain of methylation at E310 (P = 0.0231);
MVP
0.92
MPC
0.77
ClinPred
0.36
T
GERP RS
4.2
Varity_R
0.21
gMVP
0.76

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: rs765885747; hg19: chr19-47259635; API