Total submissions: 4
Submitter | RCV | SCV | Clinical significance | Condition | Last evaluated | Review status | Method | Comment |
---|---|---|---|---|---|---|---|---|
Labcorp Genetics |
RCV002237067 | SCV002510400 | likely pathogenic | not provided | 2024-06-22 | criteria provided, single submitter | clinical testing | This sequence change replaces alanine, which is neutral and non-polar, with proline, which is neutral and non-polar, at codon 57 of the KARS protein (p.Ala57Pro). This variant is present in population databases (rs369238198, gnomAD 0.006%). This missense change has been observed in individual(s) with KARS-related conditions (PMID: 27243033, 33942428). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. It has also been observed to segregate with disease in related individuals. This variant is also known as p.Ala29Pro. ClinVar contains an entry for this variant (Variation ID: 1682455). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be disruptive. Experimental studies are conflicting or provide insufficient evidence to determine the effect of this variant on KARS function (PMID: 33942428). In summary, the currently available evidence indicates that the variant is pathogenic, but additional data are needed to prove that conclusively. Therefore, this variant has been classified as Likely Pathogenic. |
Gene |
RCV002237067 | SCV002552728 | pathogenic | not provided | 2022-07-19 | criteria provided, single submitter | clinical testing | Published functional studies suggest a damaging effect (Cappuccio et al., 2021); Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Also known as c.85G>C, p.Ala29Pro; This variant is associated with the following publications: (PMID: 27243033, 29615062, 30252186, 33942428, 32730690) |
Duke University Health System Sequencing Clinic, |
RCV003223432 | SCV003918934 | likely pathogenic | Leukoencephalopathy, progressive, infantile-onset, with or without deafness | 2023-04-20 | criteria provided, single submitter | research | |
Prevention |
RCV004529106 | SCV004108733 | uncertain significance | KARS1-related disorder | 2022-10-14 | criteria provided, single submitter | clinical testing | The KARS1 c.169G>C variant is predicted to result in the amino acid substitution p.Ala57Pro. This variant was reported in the compound heterozygous state in at least two individuals with either epileptic encephalopathy or microcephaly, nystagmus, and intellectual disability (Joshi et al. 2016. PubMed ID: 27243033, reported as p.Ala29Pro; Cope et al. 2020. PubMed ID: 32730690; Cappuccio et al. 2021. PubMed ID: 33942428; Ardissone et al. 2018. PubMed ID: 29615062). This variant is reported in 0.0070% of alleles in individuals of European (Non-Finnish) descent in gnomAD (http://gnomad.broadinstitute.org/variant/16-75675599-C-G). Although we suspect KARS1 c.169G>C (p.Ala57Pro) may be pathogenic, the clinical significance of this variant is currently classified as uncertain due to the absence of conclusive functional and genetic evidence. |