12-4912182-G-C

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_000217.3(KCNA1):​c.804G>C​(p.Thr268Thr) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.515 in 1,612,204 control chromosomes in the GnomAD database, including 215,863 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. T268T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.51 ( 19642 hom., cov: 27)
Exomes 𝑓: 0.52 ( 196221 hom. )

Consequence

KCNA1
NM_000217.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: -0.640

Publications

23 publications found
Variant links:
Genes affected
KCNA1 (HGNC:6218): (potassium voltage-gated channel subfamily A member 1) This gene encodes a voltage-gated delayed potassium channel that is phylogenetically related to the Drosophila Shaker channel. The encoded protein has six putative transmembrane segments (S1-S6), and the loop between S5 and S6 forms the pore and contains the conserved selectivity filter motif (GYGD). The functional channel is a homotetramer. The N-terminus of the channel is associated with beta subunits that can modify the inactivation properties of the channel as well as affect expression levels. The C-terminus of the channel is complexed to a PDZ domain protein that is responsible for channel targeting. Mutations in this gene have been associated with myokymia with periodic ataxia (AEMK). [provided by RefSeq, Jul 2008]
KCNA1 Gene-Disease associations (from GenCC):
  • episodic ataxia type 1
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, ClinGen, Genomics England PanelApp, Orphanet
  • episodic kinesigenic dyskinesia 1
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • genetic developmental and epileptic encephalopathy
    Inheritance: AD, AR Classification: SUPPORTIVE, LIMITED Submitted by: Orphanet, G2P
  • isolated autosomal dominant hypomagnesemia, Glaudemans type
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.59).
BP6
Variant 12-4912182-G-C is Benign according to our data. Variant chr12-4912182-G-C is described in ClinVar as Benign. ClinVar VariationId is 21130.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.64 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.626 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000217.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNA1
NM_000217.3
MANE Select
c.804G>Cp.Thr268Thr
synonymous
Exon 2 of 2NP_000208.2Q09470

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNA1
ENST00000382545.5
TSL:4 MANE Select
c.804G>Cp.Thr268Thr
synonymous
Exon 2 of 2ENSP00000371985.3Q09470
KCNA1
ENST00000639306.1
TSL:5
n.642G>C
non_coding_transcript_exon
Exon 1 of 2ENSP00000492506.1A0A1W2PRI2
ENSG00000256654
ENST00000541095.1
TSL:3
n.105+1710G>C
intron
N/A

Frequencies

GnomAD3 genomes
AF:
0.508
AC:
76460
AN:
150484
Hom.:
19629
Cov.:
27
show subpopulations
Gnomad AFR
AF:
0.460
Gnomad AMI
AF:
0.521
Gnomad AMR
AF:
0.581
Gnomad ASJ
AF:
0.580
Gnomad EAS
AF:
0.645
Gnomad SAS
AF:
0.481
Gnomad FIN
AF:
0.487
Gnomad MID
AF:
0.656
Gnomad NFE
AF:
0.511
Gnomad OTH
AF:
0.528
GnomAD2 exomes
AF:
0.532
AC:
133633
AN:
251292
AF XY:
0.528
show subpopulations
Gnomad AFR exome
AF:
0.455
Gnomad AMR exome
AF:
0.632
Gnomad ASJ exome
AF:
0.590
Gnomad EAS exome
AF:
0.656
Gnomad FIN exome
AF:
0.487
Gnomad NFE exome
AF:
0.511
Gnomad OTH exome
AF:
0.530
GnomAD4 exome
AF:
0.516
AC:
753596
AN:
1461602
Hom.:
196221
Cov.:
59
AF XY:
0.514
AC XY:
373941
AN XY:
727132
show subpopulations
African (AFR)
AF:
0.461
AC:
15444
AN:
33478
American (AMR)
AF:
0.625
AC:
27958
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.590
AC:
15413
AN:
26136
East Asian (EAS)
AF:
0.642
AC:
25472
AN:
39700
South Asian (SAS)
AF:
0.476
AC:
41067
AN:
86258
European-Finnish (FIN)
AF:
0.487
AC:
25971
AN:
53298
Middle Eastern (MID)
AF:
0.592
AC:
3417
AN:
5768
European-Non Finnish (NFE)
AF:
0.510
AC:
567260
AN:
1111850
Other (OTH)
AF:
0.523
AC:
31594
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.473
Heterozygous variant carriers
0
23751
47501
71252
95002
118753
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
16524
33048
49572
66096
82620
<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:
0.508
AC:
76505
AN:
150602
Hom.:
19642
Cov.:
27
AF XY:
0.510
AC XY:
37388
AN XY:
73348
show subpopulations
African (AFR)
AF:
0.460
AC:
18844
AN:
40986
American (AMR)
AF:
0.581
AC:
8818
AN:
15170
Ashkenazi Jewish (ASJ)
AF:
0.580
AC:
2005
AN:
3458
East Asian (EAS)
AF:
0.645
AC:
3240
AN:
5024
South Asian (SAS)
AF:
0.480
AC:
2249
AN:
4686
European-Finnish (FIN)
AF:
0.487
AC:
5004
AN:
10272
Middle Eastern (MID)
AF:
0.661
AC:
193
AN:
292
European-Non Finnish (NFE)
AF:
0.510
AC:
34570
AN:
67720
Other (OTH)
AF:
0.532
AC:
1110
AN:
2088
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
1817
3634
5450
7267
9084
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
674
1348
2022
2696
3370
<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:
0.480
Hom.:
5126
Bravo
AF:
0.519
Asia WGS
AF:
0.576
AC:
1998
AN:
3478
EpiCase
AF:
0.524
EpiControl
AF:
0.526

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
5
not specified (5)
-
-
3
Episodic ataxia type 1 (3)
-
-
3
not provided (3)
-
-
1
Hereditary episodic ataxia (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.59
CADD
Benign
5.4
DANN
Benign
0.73
PhyloP100
-0.64
PromoterAI
0.033
Neutral
Mutation Taster
=100/0
polymorphism (auto)

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: rs2227910; hg19: chr12-5021348; COSMIC: COSV66836881; COSMIC: COSV66836881; API
For research and educational, non-commercial use only. Not for clinical or diagnostic use. GeneBe does not provide medical advice. Data use for AI modeling is prohibited: if used, the cost is $0.001 per byte of downloaded uncompressed data.