rs782680340

Variant summary

Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_001393392.1(AKR1C2):​c.764T>G​(p.Ile255Ser) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000124 in 1,449,778 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 (★).

Frequency

Genomes: 𝑓 0.000081 ( 1 hom., cov: 20)
Exomes 𝑓: 0.000012 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

AKR1C2
NM_001393392.1 missense

Scores

6
6
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.76

Publications

0 publications found
Variant links:
Genes affected
AKR1C2 (HGNC:385): (aldo-keto reductase family 1 member C2) This gene encodes a member of the aldo/keto reductase superfamily, which consists of more than 40 known enzymes and proteins. These enzymes catalyze the conversion of aldehydes and ketones to their corresponding alcohols using NADH and/or NADPH as cofactors. The enzymes display overlapping but distinct substrate specificity. This enzyme binds bile acid with high affinity, and shows minimal 3-alpha-hydroxysteroid dehydrogenase activity. This gene shares high sequence identity with three other gene members and is clustered with those three genes at chromosome 10p15-p14. Three transcript variants encoding two different isoforms have been found for this gene. [provided by RefSeq, Dec 2011]
AKR1C2 Gene-Disease associations (from GenCC):
  • 46,XY disorder of sex development due to testicular 17,20-desmolase deficiency
    Inheritance: AR Classification: SUPPORTIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.868

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001393392.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AKR1C2
NM_001393392.1
MANE Select
c.764T>Gp.Ile255Ser
missense
Exon 7 of 9NP_001380321.1P52895-1
AKR1C2
NM_001354.6
c.764T>Gp.Ile255Ser
missense
Exon 9 of 11NP_001345.1P52895-1
AKR1C2
NM_205845.3
c.764T>Gp.Ile255Ser
missense
Exon 8 of 10NP_995317.1P52895-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AKR1C2
ENST00000380753.9
TSL:1 MANE Select
c.764T>Gp.Ile255Ser
missense
Exon 7 of 9ENSP00000370129.4P52895-1
AKR1C2
ENST00000421196.7
TSL:1
c.686T>Gp.Ile229Ser
missense
Exon 6 of 8ENSP00000392694.2B4DK69
AKR1C2
ENST00000867375.1
c.887T>Gp.Ile296Ser
missense
Exon 8 of 10ENSP00000537434.1

Frequencies

GnomAD3 genomes
AF:
0.0000806
AC:
12
AN:
148800
Hom.:
1
Cov.:
20
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000679
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:
0.00
Gnomad OTH
AF:
0.000999
GnomAD2 exomes
AF:
0.0000218
AC:
3
AN:
137532
AF XY:
0.0000138
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000109
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000166
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000124
AC:
18
AN:
1449778
Hom.:
0
Cov.:
31
AF XY:
0.0000167
AC XY:
12
AN XY:
719870
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
33232
American (AMR)
AF:
0.000115
AC:
5
AN:
43496
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25846
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39342
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85222
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53074
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4088
European-Non Finnish (NFE)
AF:
0.00000724
AC:
8
AN:
1105734
Other (OTH)
AF:
0.0000837
AC:
5
AN:
59744
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.0000000000925273), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.364
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
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
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000806
AC:
12
AN:
148800
Hom.:
1
Cov.:
20
AF XY:
0.000111
AC XY:
8
AN XY:
72314
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
40478
American (AMR)
AF:
0.000679
AC:
10
AN:
14736
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3432
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4904
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4384
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10346
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67302
Other (OTH)
AF:
0.000999
AC:
2
AN:
2002
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.415
Heterozygous variant carriers
0
1
2
3
4
5
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
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
Alfa
AF:
0.00
Hom.:
0

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.81
BayesDel_addAF
Uncertain
0.063
T
BayesDel_noAF
Benign
-0.15
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Benign
0.17
T
Eigen
Uncertain
0.37
Eigen_PC
Uncertain
0.22
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.96
D
M_CAP
Benign
0.0055
T
MetaRNN
Pathogenic
0.87
D
MetaSVM
Benign
-0.89
T
MutationAssessor
Uncertain
2.4
M
PhyloP100
7.8
PrimateAI
Benign
0.48
T
PROVEAN
Pathogenic
-5.5
D
REVEL
Benign
0.28
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
0.98
D
Vest4
0.72
MutPred
0.77
Gain of disorder (P = 0.0123)
MVP
0.56
MPC
4.2
ClinPred
0.94
D
GERP RS
3.0
Varity_R
0.97
gMVP
0.73
Mutation Taster
=51/49
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: rs782680340; hg19: chr10-5037593; API