About STK11
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is uncertain. Select a step to read what it means.
Uncertain.The recorded classification is uncertain significance.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is Not recorded. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
NM_000455.5:c.1226G>A is present in gnomAD v2.1 at an allele frequency of 0.0036% (7/193,536 alleles, 0 homozygotes) and in gnomAD v4.1 at 0.0033% (52/1,587,284 alleles, 0 homozygotes), well below the 0.1% threshold for PM2 at supporting level. Absent from gnomAD-Canada.
Multiple lines of computational evidence suggest no impact on the gene product. REVEL score is 0.122 (well below the 0.5 pathogenic cutoff), BayesDel score is -0.514 (strongly in the benign range), and SpliceAI predicts no aberrant splicing (max delta = 0.00). All three independent in silico predictors concur that this variant is likely benign.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PM2 supporting, BP4 supporting; combination = 1 supporting + 1 supporting benign, which maps to VUS.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 52 / 1,587,284 alleles. Recorded AF 3.27604e-05. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 3.6169e-05; MAF= 0.00362%, 7/193536 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 0.000198649; MAF= 0.01986%, 1/5034 alleles, homozygotes = 0); grpmax FAF= 2.36e-05.
This variant is present in gnomAD-Canada v1.0 (AF= 0.0001086130118388183, 2/18414 alleles, homozygotes = 0).
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
11 Uncertain significance · 2 Likely benign · 1 Uncertain Significance · 1 Benign. ClinVar API review status: criteria provided, conflicting classifications.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. STK11, a tumor suppressor and intracellular kinase, is frequently mutated in lung cancer.
This variant has previously been reported in somatic cancers (COSMIC; COSV53071079, n = 1 times).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under Not recorded, with the data and sources behind each one.
26 criteria with recorded statuses: 2 met · 23 not met · 0 not assessed · 1 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000455.5:c.1226G>A (p.Arg409Gln) is a missense variant in STK11, a gene associated with autosomal dominant Peutz-Jeghers syndrome.
This variant is present at extremely low frequency in population databases: gnomAD v2.1 allele frequency 0.0036% (7/193,536 alleles) and gnomAD v4.1 allele frequency 0.0033% (52/1,587,284 alleles), with no homozygotes observed. PM2 (supporting) is met.
Multiple computational prediction tools suggest a benign effect: REVEL score 0.122, BayesDel score -0.514, and SpliceAI max delta 0.00. BP4 (supporting) is met.
A same-residue variant, p.Arg409Trp (R409W), was evaluated in a functional study (PMID:34849607) and was found to retain WT-like kinase activity and p53-mediated transcriptional activation, suggesting that amino acid substitution at this position may not disrupt STK11 function.
The variant has been reported in ClinVar predominantly as a variant of uncertain significance (11 clinical laboratories), with 2 laboratories classifying as likely benign and 1 as benign. No expert panel review is available.
This variant is observed in COSMIC in somatic cancers at low frequency (n=1), which does not provide evidence for germline pathogenicity.
No variant-specific publications were identified in the reviewed literature. PMID:34849607 evaluated R409W at the same residue but did not directly study R409Q.
Applying generic ACMG/AMP 2015 classification rules: one supporting pathogenic criterion (PM2) and one supporting benign criterion (BP4) are met. These offset each other, resulting in an overall classification of Uncertain Significance.
No criteria match.
Every interpreted variant in STK11, mapped onto the exon structure of NM_000455.5. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| African/African American3 / 74,264 | 4e-05 |
| European (non-Finnish)47 / 1,168,440 | 4e-05 |
| East Asian1 / 43,246 | 2.3e-05 |
| Remaining individuals1 / 61,366 | 1.6e-05 |
| Remaining individuals1 / 5,034 | 0.0002 |
| European (non-Finnish)5 / 82,982 | 6e-05 |
| Admixed American1 / 29,352 | 3.4e-05 |
This variant is present in gnomAD v4.1 (AF= 3.27604e-05; MAF= 0.00328%, 52/1587284 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 4.03964e-05; MAF= 0.00404%, 3/74264 alleles, homozygotes = 0); grpmax FAF= 3.099e-05.
This variant is present in gnomAD v2.1 (AF= 3.6169e-05; MAF= 0.00362%, 7/193536 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 0.000198649; MAF= 0.01986%, 1/5034 alleles, homozygotes = 0); grpmax FAF= 2.36e-05.
This variant is present in gnomAD-Canada v1.0 (AF= 0.0001086130118388183, 2/18414 alleles, homozygotes = 0).
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.122. BayesDel score = -0.513561.
9 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata. None of the listed paper records explicitly indicates that the variant is named.
In all, 13/28 variants (S31F, R104G, Q112E, G155R, H202R, R221Q, P275L, P280A, K311N, F354L, A397S, R409W, A417S) were found to retain autophosphorylation activity under the conditions employed in our in vitro kinase assay
Table 1 (variant list), Figures 5B-D (functional results)
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
This variant is present in gnomAD v4.1 (AF= 3.27604e-05; MAF= 0.00328%, 52/1587284 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 4.03964e-05; MAF= 0.00404%, 3/74264 alleles, homozygotes = 0); grpmax FAF= 3.099e-05.
This variant is present in gnomAD v2.1 (AF= 3.6169e-05; MAF= 0.00362%, 7/193536 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 0.000198649; MAF= 0.01986%, 1/5034 alleles, homozygotes = 0); grpmax FAF= 2.36e-05.
This variant is present in gnomAD-Canada v1.0 (AF= 0.0001086130118388183, 2/18414 alleles, homozygotes = 0).
This variant has been reported in ClinVar as Uncertain significance (11 clinical laboratories) and as Likely benign (2 clinical laboratories) and as Uncertain Significance (1 clinical laboratory) and as Benign (1 clinical laboratory). (ClinVarID = 142292)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.122. BayesDel score = -0.513561.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. STK11, a tumor suppressor and intracellular kinase, is frequently mutated in lung cancer.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV53071079, n = 1 times).
This variant does not lie in a statistically significant hotspot.