KCNC1

protein-coding

potassium voltage-gated channel subfamily C member 1, the group of Potassium voltage-gated channels

Gene summary

This gene encodes a member of a family of integral membrane proteins that mediate the voltage-dependent potassium ion permeability of excitable membranes. Alternative splicing is thought to result in two transcript variants encoding isoforms that differ at their C-termini. These isoforms have had conflicting names in the literature: the longer isoform has been called both "b" and "alpha", while the shorter isoform has been called both "a" and "beta" (PMIDs 1432046, 12091563). [provided by RefSeq, Oct 2014]

MANE transcript

NM_001112741.2

Inheritance

AD

ClinVar variants

P:22U:269B:226

Top phenotype

Epilepsy, progressive myoclonic 7

gnomAD constraint

pLI —, LoF o/e 0.06

Max pathogenic AF

—

Genomic locus

chr11:17,734,774-17,856,804

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~122.0 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

progressive myoclonic epilepsy type 7DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0014521

Submitter: Ambry Genetics

progressive myoclonic epilepsy type 7STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0014521

Submitter: Labcorp Genetics (formerly Invitae)

progressive myoclonic epilepsy type 7STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0014521

Submitter: PanelApp Australia

progressive myoclonic epilepsy type 7DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0014521

Submitter: G2P

progressive myoclonus epilepsyDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0020074

Submitter: ClinGen

KCNC1 was first reported in relation to autosomal dominant progressive myoclonus epilepsy (PME) in thirteen unrelated families with the same recurrent variant, c.959G>A (p.Arg320His), in 2015 (Muona et al. 2015, PMID: 25401298). Since then, eight more families with PME and the same variant have been reported in six studies. Patients with this condition initially develop normally, but have generalized tonic-clonic seizures, myoclonus seizures, myoclonus, cognitive and motor decline, and ataxia. The onset varies from 3 to 14 years of age. In addition to PME, KCNC1 is also associated with autosomal dominant complex neurodevelopmental disorder, which is curated separately. The mechanism of pathogenicity of the p.Arg320His variant appears to be dominant negative according to functional studies. The variant was confirmed de novo in 12 probands who received 1 pt each. The other 9 families received 0.5 pts each. One family with a different variant, c.949C>A, p.Arg317Ser, also had PME, and received 0.5 pts, because a functional study of the variant revealed a dominant negative effect. In total, maximum score for genetic evidence (12 pts) has been reached. In summary, KCNC1 is definitively associated with autosomal dominant progressive myoclonus epilepsy. This has been repeatedly demonstrated in both the research and clinical diagnostic settings and has been upheld over time.

complex neurodevelopmental disorderDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0100038

Submitter: ClinGen

KCNC1 was first reported in relation to autosomal dominant complex neurodevelopmental disorder (CND) in a family in 2017 (Poirier et al. 2017 PMID: 28145425). Since then, seven variants in 15 families with CND have been reported in four studies. The phenotypes of patients with KCNC1-related CND vary from developmental delay/intellectual disability and hypotonia without seizures to seizures, global developmental delay, hypotonia, and ataxia. The onset varies from birth to 3 years of age. There is a recurrent variant, p.Ala421Val, which is associated with severe phenotypes with myoclonic and generalized tonic clonic seizures and intellectual disability. In addition to CND, KCNC1 is also associated with autosomal dominant progressive myoclonus epilepsy, which is curated separately. The mechanism of pathogenicity appears to be loss of function and dominant negative. Of the 15 reported probands, two had loss-of-function variants inherited from a parent and each received 1.5 pts. Of the remaining 13 families, 12 had de novo variants and received 0.5pt. Of these 12 families de novo variants, 11 had variants with their effects verified by functional studies and received additional 0.5 pts each. In total, maximum score for genetic evidence (12 pts) has been reached. In summary, KCNC1 is definitively associated with autosomal dominant complex neurodevelopmental disorder. This has been repeatedly demonstrated in both the research and clinical diagnostic settings and has been upheld over time.

progressive myoclonic epilepsy type 7SUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0014521

Submitter: Orphanet

complex neurodevelopmental disorderDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0100038

Submitter: Ambry Genetics

Clinical Genomic Database (CGD)

Epilepsy, progressive myoclonic 7AD

Manifestation: Neurologic

Intervention: General

Rationale: Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testing

Refs: 25401298Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to KCNC1 variants in ClinVar

11 Conditions Cataloged
Progressive myoclonic epilepsy type 7Total: 449
not providedTotal: 135
not specifiedTotal: 63
Inborn genetic diseasesTotal: 63
KCNC1-related disorderTotal: 22
SeizureTotal: 2
Abnormal cerebral morphologyTotal: 1
Developmental and epileptic encephalopathyTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001112741.2. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
2
clinvar
204
clinvar
3
clinvar
209
missense
1
clinvar
17
clinvar
254
clinvar
19
clinvar
291
nonsense
2
clinvar
5
clinvar
7
start loss
0
frameshift
2
clinvar
7
clinvar
9
splice donor/acceptor (+/-2bp)
1
clinvar
1
Total1212692233517

Highest pathogenic variant AF is 0.0000064389287

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 17 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001112741.2RefSeqNP_001106212.14MANE Select
ENST00000265969.8EnsemblENSP00000265969.74MANE Select
NM_004976.4RefSeqNP_004967.12Standard
ENST00000379472.4EnsemblENSP00000368785.32Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Neuronal System
  • Voltage gated Potassium channels
  • Potassium Channels

Biological Process

  • potassium ion transport
  • response to toxic substance
  • response to light intensity
  • response to auditory stimulus
  • response to amine

Molecular Function

  • voltage-gated potassium channel activity
  • delayed rectifier potassium channel activity
  • kinesin binding
  • ion channel binding
  • voltage-gated ion channel activity involved in regulation of presynaptic membrane potential

Cellular Component

  • plasma membrane
  • voltage-gated potassium channel complex
  • cell surface
  • integral component of membrane
  • axon

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000265969
Coding exons
4
Length
48244
Individuals with no LoFs
124714
Homozygous LoFs
0
Heterozygous LoFs
3
Defined
124717
p
0.0000120
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense4.521393900.3560.00002673802
Missense (PolyPhen)35190.680.183561879
Synonymous1.281591810.8790.00001451201
Loss of Function3.73118.10.05518.67e-7209

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)00.0absent
South Asian0.0000980.000098rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Voltage-gated potassium channel that plays an important role in the rapid repolarization of fast-firing brain neurons. The channel opens in response to the voltage difference across the membrane, forming a potassium-selective channel through which potassium ions pass in accordance with their electrochemical gradient (PubMed:25401298). Can form functional homotetrameric channels and heterotetrameric channels that contain variable proportions of KCNC2, and possibly other family members as well. Contributes to fire sustained trains of very brief action potentials at high frequency in pallidal neurons. {ECO:0000250|UniProtKB:P25122, ECO:0000269|PubMed:25401298}.;
Disease
DISEASE: Epilepsy, progressive myoclonic 7 (EPM7) [MIM:616187]: A neurologic disorder characterized by progressive myoclonic epilepsy, manifesting in the first or second decades of life. Cognitive function may decline in some patients. Myoclonus is a brief, involuntary twitching of a muscle or a group of muscles. {ECO:0000269|PubMed:25401298}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.177

Intolerance Scores

LoFtool
0.0102
RVIS EVS
-0.67
RVIS percentile EVS
15.62

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.732

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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