11-64293111-C-A

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_033310.3(KCNK4):​c.93C>A​(p.His31Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000543 in 1,547,524 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00024 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00058 ( 1 hom. )

Consequence

KCNK4
NM_033310.3 missense

Scores

18

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: -2.58

Publications

5 publications found
Variant links:
Genes affected
KCNK4 (HGNC:6279): (potassium two pore domain channel subfamily K member 4) This gene encodes a member of the TWIK-related arachidonic acid-stimulated two pore potassium channel subfamily. The encoded protein homodimerizes and functions as an outwardly rectifying channel. This channel is regulated by polyunsaturated fatty acids, temperature and mechanical deformation of the lipid membrane. This protein is expressed primarily in neural tissues and may be involved in regulating the noxious input threshold in dorsal root ganglia neurons. Alternate splicing results in multiple transcript variants. Naturally occurring read-through transcripts also exist between this gene and the downstream testis expressed 40 (TEX40) gene, as represented in GeneID: 106780802. [provided by RefSeq, Nov 2015]
KCNK4-CATSPERZ (HGNC:56753): (KCNK4-CATSPERZ readthrough (NMD candidate)) This locus represents naturally occurring readthrough transcription between the neighboring KCNK4 (potassium channel subfamily K member 4) and the downstream TEX40 (testis expressed 40) chromosome 11. The readthrough transcript is a candidate for nonsense-mediated mRNA decay (NMD), and is unlikely to produce a protein product. [provided by RefSeq, Nov 2015]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.018653065).
BP6
Variant 11-64293111-C-A is Benign according to our data. Variant chr11-64293111-C-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 1392368.
BS2
High AC in GnomAd4 at 36 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_033310.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNK4
NM_033310.3
MANE Select
c.93C>Ap.His31Gln
missense
Exon 2 of 7NP_201567.1Q9NYG8-1
KCNK4
NM_001317090.2
c.93C>Ap.His31Gln
missense
Exon 2 of 7NP_001304019.1Q9NYG8-1
KCNK4
NR_133661.2
n.233C>A
non_coding_transcript_exon
Exon 2 of 7

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNK4
ENST00000422670.7
TSL:1 MANE Select
c.93C>Ap.His31Gln
missense
Exon 2 of 7ENSP00000402797.2Q9NYG8-1
KCNK4
ENST00000394525.6
TSL:1
c.93C>Ap.His31Gln
missense
Exon 2 of 7ENSP00000378033.2Q9NYG8-1
KCNK4
ENST00000539216.1
TSL:1
c.93C>Ap.His31Gln
missense
Exon 1 of 6ENSP00000444948.1Q9NYG8-1

Frequencies

GnomAD3 genomes
AF:
0.000236
AC:
36
AN:
152230
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
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:
0.000470
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000271
AC:
41
AN:
151264
AF XY:
0.000276
show subpopulations
Gnomad AFR exome
AF:
0.000234
Gnomad AMR exome
AF:
0.0000852
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000616
Gnomad OTH exome
AF:
0.000237
GnomAD4 exome
AF:
0.000577
AC:
805
AN:
1395176
Hom.:
1
Cov.:
31
AF XY:
0.000555
AC XY:
382
AN XY:
688046
show subpopulations
African (AFR)
AF:
0.000254
AC:
8
AN:
31442
American (AMR)
AF:
0.0000568
AC:
2
AN:
35228
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25052
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35480
South Asian (SAS)
AF:
0.0000255
AC:
2
AN:
78502
European-Finnish (FIN)
AF:
0.0000411
AC:
2
AN:
48648
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5670
European-Non Finnish (NFE)
AF:
0.000717
AC:
772
AN:
1077316
Other (OTH)
AF:
0.000329
AC:
19
AN:
57838
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
47
94
141
188
235
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
28
56
84
112
140
<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:
0.000236
AC:
36
AN:
152348
Hom.:
0
Cov.:
32
AF XY:
0.000201
AC XY:
15
AN XY:
74496
show subpopulations
African (AFR)
AF:
0.0000721
AC:
3
AN:
41584
American (AMR)
AF:
0.0000653
AC:
1
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000470
AC:
32
AN:
68022
Other (OTH)
AF:
0.00
AC:
0
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
2
4
6
8
10
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:
0.000458
Hom.:
0
Bravo
AF:
0.000238
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000271
AC:
2
ExAC
AF:
0.0000383
AC:
2

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
not provided (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.080
BayesDel_addAF
Benign
-0.58
T
BayesDel_noAF
Benign
-0.71
CADD
Benign
1.2
DANN
Benign
0.86
DEOGEN2
Benign
0.063
T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.46
T
M_CAP
Benign
0.0063
T
MetaRNN
Benign
0.019
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.76
N
PhyloP100
-2.6
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-1.3
N
REVEL
Benign
0.055
Sift
Benign
0.39
T
Sift4G
Benign
0.53
T
Polyphen
0.0080
B
Vest4
0.12
MutPred
0.28
Gain of relative solvent accessibility (P = 0.0999)
MVP
0.14
MPC
0.30
ClinPred
0.022
T
GERP RS
-5.5
PromoterAI
0.048
Neutral
Varity_R
0.25
gMVP
0.14
Mutation Taster
=71/29
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: rs202162247; hg19: chr11-64060583; COSMIC: COSV106097008; COSMIC: COSV106097008; API