12-21765733-G-A

Variant summary

Our verdict is Benign. Variant got -15 ACMG points: 1P and 16B. PP2BP4_StrongBP6_Very_StrongBS2

The NM_004982.4(KCNJ8):​c.1265C>T​(p.Ser422Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00108 in 1,613,842 control chromosomes in the GnomAD database, including 9 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. S422S) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0012 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0011 ( 9 hom. )

Consequence

KCNJ8
NM_004982.4 missense

Scores

19

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts U:1B:7

Conservation

PhyloP100: 2.48
Variant links:
Genes affected
KCNJ8 (HGNC:6269): (potassium inwardly rectifying channel subfamily J member 8) Potassium channels are present in most mammalian cells, where they participate in a wide range of physiologic responses. The protein encoded by this gene is an integral membrane protein and inward-rectifier type potassium channel. The encoded protein, which has a greater tendency to allow potassium to flow into a cell rather than out of a cell, is controlled by G-proteins. Defects in this gene may be a cause of J-wave syndromes and sudden infant death syndrome (SIDS). [provided by RefSeq, May 2012]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -15 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), KCNJ8. . Gene score misZ 3.4549 (greater than the threshold 3.09). Trascript score misZ 4.3809 (greater than threshold 3.09). GenCC has associacion of gene with hypertrichotic osteochondrodysplasia Cantu type, Brugada syndrome, Brugada syndrome 1.
BP4
Computational evidence support a benign effect (MetaRNN=0.0040097833).
BP6
Variant 12-21765733-G-A is Benign according to our data. Variant chr12-21765733-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 157543.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr12-21765733-G-A is described in Lovd as [Pathogenic]. Variant chr12-21765733-G-A is described in Lovd as [Likely_benign].
BS2
High AC in GnomAd4 at 183 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KCNJ8NM_004982.4 linkuse as main transcriptc.1265C>T p.Ser422Leu missense_variant 3/3 ENST00000240662.3
LOC105369689XR_007063241.1 linkuse as main transcriptn.631+5648G>A intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KCNJ8ENST00000240662.3 linkuse as main transcriptc.1265C>T p.Ser422Leu missense_variant 3/31 NM_004982.4 P1
ENST00000542489.1 linkuse as main transcriptn.107-623G>A intron_variant, non_coding_transcript_variant 3

Frequencies

GnomAD3 genomes
AF:
0.00119
AC:
181
AN:
152162
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.000524
Gnomad ASJ
AF:
0.0328
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000620
Gnomad FIN
AF:
0.0000943
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000632
Gnomad OTH
AF:
0.00192
GnomAD3 exomes
AF:
0.00183
AC:
461
AN:
251364
Hom.:
4
AF XY:
0.00179
AC XY:
243
AN XY:
135850
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.000549
Gnomad ASJ exome
AF:
0.0299
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.000980
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000739
Gnomad OTH exome
AF:
0.00408
GnomAD4 exome
AF:
0.00106
AC:
1552
AN:
1461564
Hom.:
9
Cov.:
31
AF XY:
0.00112
AC XY:
814
AN XY:
727106
show subpopulations
Gnomad4 AFR exome
AF:
0.000179
Gnomad4 AMR exome
AF:
0.000716
Gnomad4 ASJ exome
AF:
0.0310
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000858
Gnomad4 FIN exome
AF:
0.0000749
Gnomad4 NFE exome
AF:
0.000385
Gnomad4 OTH exome
AF:
0.00285
GnomAD4 genome
AF:
0.00120
AC:
183
AN:
152278
Hom.:
0
Cov.:
32
AF XY:
0.00109
AC XY:
81
AN XY:
74464
show subpopulations
Gnomad4 AFR
AF:
0.000144
Gnomad4 AMR
AF:
0.000523
Gnomad4 ASJ
AF:
0.0328
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000621
Gnomad4 FIN
AF:
0.0000943
Gnomad4 NFE
AF:
0.000632
Gnomad4 OTH
AF:
0.00285
Alfa
AF:
0.00225
Hom.:
5
Bravo
AF:
0.00115
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00221
AC:
19
ExAC
AF:
0.00165
AC:
200
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00234
EpiControl
AF:
0.00136

ClinVar

Significance: Benign/Likely benign
Submissions summary: Uncertain:1Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:3
Uncertain significance, no assertion criteria providedliterature onlyOMIMJul 01, 2014- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJul 01, 2022KCNJ8: PP2, BP4, BS2 -
Likely benign, criteria provided, single submitterclinical testingGeneDxAug 28, 2020This variant is associated with the following publications: (PMID: 23414114, 23632791, 22562657, 20558321, 22056721, 22840528, 24068186, 24667784, 19120683, 30847666) -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
KCNJ8-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesMay 10, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Brugada syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 22, 2024- -
Hypertrophic cardiomyopathy Benign:1
Likely benign, criteria provided, single submitterclinical testingCenter for Advanced Laboratory Medicine, UC San Diego Health, University of California San DiegoJun 19, 2017- -
Cardiovascular phenotype Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsJan 05, 2017This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.068
BayesDel_addAF
Benign
-0.36
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
18
DANN
Benign
0.93
DEOGEN2
Benign
0.26
T
Eigen
Benign
-0.67
Eigen_PC
Benign
-0.56
FATHMM_MKL
Benign
0.45
N
LIST_S2
Benign
0.68
T
M_CAP
Benign
0.019
T
MetaRNN
Benign
0.0040
T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
0.34
N
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-0.62
N
REVEL
Benign
0.19
Sift
Benign
0.21
T
Sift4G
Benign
0.25
T
Polyphen
0.013
B
Vest4
0.10
MVP
0.43
MPC
0.93
ClinPred
0.012
T
GERP RS
4.5
Varity_R
0.069
gMVP
0.61

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs72554071; hg19: chr12-21918667; API