rs956868

Variant summary

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

The NM_213655.5(WNK1):​c.3922A>C​(p.Thr1308Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.844 in 1,613,940 control chromosomes in the GnomAD database, including 575,538 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. T1308T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.84 ( 53881 hom., cov: 31)
Exomes 𝑓: 0.84 ( 521657 hom. )

Consequence

WNK1
NM_213655.5 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: -0.0690

Publications

58 publications found
Variant links:
Genes affected
WNK1 (HGNC:14540): (WNK lysine deficient protein kinase 1) This gene encodes a member of the WNK subfamily of serine/threonine protein kinases. The encoded protein may be a key regulator of blood pressure by controlling the transport of sodium and chloride ions. Mutations in this gene have been associated with pseudohypoaldosteronism type II and hereditary sensory neuropathy type II. Alternatively spliced transcript variants encoding different isoforms have been described but the full-length nature of all of them has yet to be determined.[provided by RefSeq, May 2010]
WNK1 Gene-Disease associations (from GenCC):
  • neuropathy, hereditary sensory and autonomic, type 2A
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, G2P, Ambry Genetics
  • pseudohypoaldosteronism type 2C
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • hereditary sensory and autonomic neuropathy type 2
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

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=7.2372313E-7).
BP6
Variant 12-881746-A-C is Benign according to our data. Variant chr12-881746-A-C is described in ClinVar as Benign. ClinVar VariationId is 261070.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.851 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
WNK1NM_213655.5 linkc.3922A>C p.Thr1308Pro missense_variant Exon 13 of 28 ENST00000340908.9 NP_998820.3 Q9H4A3-5
WNK1NM_018979.4 linkc.3166A>C p.Thr1056Pro missense_variant Exon 13 of 28 ENST00000315939.11 NP_061852.3 Q9H4A3-1A5D8Z4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
WNK1ENST00000340908.9 linkc.3922A>C p.Thr1308Pro missense_variant Exon 13 of 28 5 NM_213655.5 ENSP00000341292.5 Q9H4A3-5
WNK1ENST00000315939.11 linkc.3166A>C p.Thr1056Pro missense_variant Exon 13 of 28 1 NM_018979.4 ENSP00000313059.6 Q9H4A3-1

Frequencies

GnomAD3 genomes
AF:
0.841
AC:
127863
AN:
152010
Hom.:
53836
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.856
Gnomad AMI
AF:
0.796
Gnomad AMR
AF:
0.863
Gnomad ASJ
AF:
0.844
Gnomad EAS
AF:
0.817
Gnomad SAS
AF:
0.831
Gnomad FIN
AF:
0.735
Gnomad MID
AF:
0.753
Gnomad NFE
AF:
0.847
Gnomad OTH
AF:
0.847
GnomAD2 exomes
AF:
0.832
AC:
209232
AN:
251432
AF XY:
0.831
show subpopulations
Gnomad AFR exome
AF:
0.859
Gnomad AMR exome
AF:
0.865
Gnomad ASJ exome
AF:
0.839
Gnomad EAS exome
AF:
0.807
Gnomad FIN exome
AF:
0.739
Gnomad NFE exome
AF:
0.841
Gnomad OTH exome
AF:
0.826
GnomAD4 exome
AF:
0.844
AC:
1234188
AN:
1461812
Hom.:
521657
Cov.:
61
AF XY:
0.843
AC XY:
613179
AN XY:
727216
show subpopulations
African (AFR)
AF:
0.857
AC:
28683
AN:
33478
American (AMR)
AF:
0.866
AC:
38713
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.845
AC:
22087
AN:
26136
East Asian (EAS)
AF:
0.839
AC:
33323
AN:
39696
South Asian (SAS)
AF:
0.823
AC:
70967
AN:
86258
European-Finnish (FIN)
AF:
0.746
AC:
39825
AN:
53410
Middle Eastern (MID)
AF:
0.768
AC:
4432
AN:
5768
European-Non Finnish (NFE)
AF:
0.850
AC:
945586
AN:
1111950
Other (OTH)
AF:
0.837
AC:
50572
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
11248
22497
33745
44994
56242
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
21192
42384
63576
84768
105960
<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:
0.841
AC:
127963
AN:
152128
Hom.:
53881
Cov.:
31
AF XY:
0.838
AC XY:
62286
AN XY:
74370
show subpopulations
African (AFR)
AF:
0.856
AC:
35490
AN:
41482
American (AMR)
AF:
0.863
AC:
13202
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.844
AC:
2929
AN:
3470
East Asian (EAS)
AF:
0.817
AC:
4229
AN:
5178
South Asian (SAS)
AF:
0.830
AC:
3998
AN:
4814
European-Finnish (FIN)
AF:
0.735
AC:
7763
AN:
10564
Middle Eastern (MID)
AF:
0.769
AC:
226
AN:
294
European-Non Finnish (NFE)
AF:
0.847
AC:
57607
AN:
68008
Other (OTH)
AF:
0.848
AC:
1793
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.506
Heterozygous variant carriers
0
1042
2085
3127
4170
5212
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
892
1784
2676
3568
4460
<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:
0.847
Hom.:
193009
Bravo
AF:
0.851
TwinsUK
AF:
0.856
AC:
3175
ALSPAC
AF:
0.855
AC:
3296
ESP6500AA
AF:
0.855
AC:
3768
ESP6500EA
AF:
0.851
AC:
7321
ExAC
AF:
0.831
AC:
100941
Asia WGS
AF:
0.838
AC:
2915
AN:
3478
EpiCase
AF:
0.845
EpiControl
AF:
0.842

ClinVar

Significance: Benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:3
Nov 26, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 17000706) -

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

- -

Neuropathy, hereditary sensory and autonomic, type 2A Benign:2
Jul 14, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 12, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Pseudohypoaldosteronism type 2C Benign:1
Mar 06, 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. -

Pseudohypoaldosteronism type 2C;C2752089:Neuropathy, hereditary sensory and autonomic, type 2A Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.043
BayesDel_addAF
Benign
-0.67
T
BayesDel_noAF
Benign
-0.60
CADD
Benign
9.8
DANN
Benign
0.12
DEOGEN2
Benign
0.061
T;.;T;.;.
Eigen
Benign
-1.1
Eigen_PC
Benign
-0.86
FATHMM_MKL
Benign
0.32
N
LIST_S2
Benign
0.15
T;T;T;T;T
MetaRNN
Benign
7.2e-7
T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-1.4
.;.;N;.;.
PhyloP100
-0.069
PrimateAI
Benign
0.29
T
PROVEAN
Benign
2.7
N;.;N;.;N
REVEL
Benign
0.053
Sift
Benign
1.0
T;.;T;.;T
Sift4G
Benign
0.34
T;.;T;T;T
Polyphen
0.0
B;.;B;.;.
Vest4
0.036
MPC
0.15
ClinPred
0.0012
T
GERP RS
0.64
PromoterAI
-0.0064
Neutral
Varity_R
0.045
gMVP
0.067
Mutation Taster
=97/3
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: rs956868; hg19: chr12-990912; COSMIC: COSV60040836; COSMIC: COSV60040836; API