rs768347607

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4BS2

The NM_002578.5(PAK3):​c.68G>A​(p.Arg23Gln) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000749 in 1,202,120 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 3 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.0000064 ( 0 hom. 3 hem. )

Consequence

PAK3
NM_002578.5 missense

Scores

3
5
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.24

Publications

0 publications found
Variant links:
Genes affected
PAK3 (HGNC:8592): (p21 (RAC1) activated kinase 3) The protein encoded by this gene is a serine-threonine kinase and forms an activated complex with GTP-bound RAS-like (P21), CDC2 and RAC1. This protein may be necessary for dendritic development and for the rapid cytoskeletal reorganization in dendritic spines associated with synaptic plasticity. Defects in this gene are the cause of a non-syndromic form of X-linked intellectual disability. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2017]
PAK3 Gene-Disease associations (from GenCC):
  • corpus callosum, agenesis of
    Inheritance: XL Classification: DEFINITIVE Submitted by: G2P
  • intellectual disability, X-linked 30
    Inheritance: XL Classification: DEFINITIVE, STRONG, MODERATE Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • X-linked syndromic intellectual disability
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • non-syndromic X-linked intellectual disability
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.32366028).
BS2
High Hemizygotes in GnomAdExome4 at 3 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PAK3NM_002578.5 linkc.68G>A p.Arg23Gln missense_variant Exon 5 of 18 ENST00000372007.10 NP_002569.1 O75914-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PAK3ENST00000372007.10 linkc.68G>A p.Arg23Gln missense_variant Exon 5 of 18 1 NM_002578.5 ENSP00000361077.4 O75914-2

Frequencies

GnomAD3 genomes
AF:
0.0000178
AC:
2
AN:
112089
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.0000324
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:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000273
AC:
5
AN:
183193
AF XY:
0.0000443
show subpopulations
Gnomad AFR exome
AF:
0.0000760
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:
0.0000490
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000642
AC:
7
AN:
1090031
Hom.:
0
Cov.:
28
AF XY:
0.00000843
AC XY:
3
AN XY:
355681
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26239
American (AMR)
AF:
0.00
AC:
0
AN:
35200
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19342
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30173
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53957
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40531
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4118
European-Non Finnish (NFE)
AF:
0.00000839
AC:
7
AN:
834627
Other (OTH)
AF:
0.00
AC:
0
AN:
45844
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.463
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Hom
Variant carriers
0
2
4
6
8
10
<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:
0.0000178
AC:
2
AN:
112089
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34243
show subpopulations
African (AFR)
AF:
0.0000324
AC:
1
AN:
30821
American (AMR)
AF:
0.00
AC:
0
AN:
10596
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2650
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3567
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2685
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6106
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
239
European-Non Finnish (NFE)
AF:
0.0000188
AC:
1
AN:
53226
Other (OTH)
AF:
0.00
AC:
0
AN:
1514
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.550
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:
0.00
Hom.:
0
Bravo
AF:
0.0000113
ExAC
AF:
0.0000247
AC:
3
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Mar 14, 2016
Genetic Services Laboratory, University of Chicago
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Uncertain
0.037
T
BayesDel_noAF
Uncertain
0.010
CADD
Uncertain
26
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.11
.;.;T;.;.;.;T;.;.;T
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.97
.;D;.;.;.;.;D;D;D;D
M_CAP
Pathogenic
0.66
D
MetaRNN
Benign
0.32
T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.78
T
MutationAssessor
Benign
1.2
L;L;L;L;L;L;.;L;L;L
PhyloP100
9.2
PrimateAI
Uncertain
0.78
T
PROVEAN
Benign
-1.3
N;N;N;N;N;N;N;N;N;N
REVEL
Uncertain
0.29
Sift
Benign
0.072
T;T;T;D;T;D;D;D;D;T
Sift4G
Benign
0.32
T;T;T;T;T;T;T;T;T;T
Polyphen
0.093
B;B;B;B;B;P;.;B;P;B
Vest4
0.56
MutPred
0.16
Loss of stability (P = 0.0213);Loss of stability (P = 0.0213);Loss of stability (P = 0.0213);Loss of stability (P = 0.0213);Loss of stability (P = 0.0213);Loss of stability (P = 0.0213);Loss of stability (P = 0.0213);Loss of stability (P = 0.0213);Loss of stability (P = 0.0213);Loss of stability (P = 0.0213);
MVP
0.98
MPC
1.2
ClinPred
0.19
T
GERP RS
5.6
PromoterAI
-0.021
Neutral
Varity_R
0.48
gMVP
0.79
Mutation Taster
=99/1
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: rs768347607; hg19: chrX-110366399; COSMIC: COSV53274004; API