12-4912674-C-G

Variant summary

Our verdict is Benign. The variant received -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BA1

The NM_000217.3(KCNA1):​c.1296C>G​(p.Ser432Ser) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00377 in 1,612,308 control chromosomes in the GnomAD database, including 326 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0044 ( 33 hom., cov: 30)
Exomes 𝑓: 0.0037 ( 293 hom. )

Consequence

KCNA1
NM_000217.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 1.79

Publications

4 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: Ambry Genetics, ClinGen, Orphanet, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • episodic kinesigenic dyskinesia 1
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • isolated autosomal dominant hypomagnesemia, Glaudemans type
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • genetic developmental and epileptic encephalopathy
    Inheritance: AR, AD Classification: SUPPORTIVE, LIMITED Submitted by: G2P, Orphanet

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.43).
BP6
Variant 12-4912674-C-G is Benign according to our data. Variant chr12-4912674-C-G is described in ClinVar as Benign. ClinVar VariationId is 195045.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=1.79 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.109 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.1296C>Gp.Ser432Ser
synonymous
Exon 2 of 2NP_000208.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNA1
ENST00000382545.5
TSL:4 MANE Select
c.1296C>Gp.Ser432Ser
synonymous
Exon 2 of 2ENSP00000371985.3
KCNA1
ENST00000639680.1
TSL:5
c.75+408C>G
intron
N/AENSP00000492218.1
KCNA1
ENST00000639306.1
TSL:5
n.1134C>G
non_coding_transcript_exon
Exon 1 of 2ENSP00000492506.1

Frequencies

GnomAD3 genomes
AF:
0.00441
AC:
665
AN:
150776
Hom.:
33
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.000537
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000733
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.117
Gnomad SAS
AF:
0.00527
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000103
Gnomad OTH
AF:
0.00385
GnomAD2 exomes
AF:
0.00928
AC:
2329
AN:
250886
AF XY:
0.00842
show subpopulations
Gnomad AFR exome
AF:
0.000554
Gnomad AMR exome
AF:
0.000231
Gnomad ASJ exome
AF:
0.0000993
Gnomad EAS exome
AF:
0.119
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000968
Gnomad OTH exome
AF:
0.00489
GnomAD4 exome
AF:
0.00371
AC:
5415
AN:
1461406
Hom.:
293
Cov.:
42
AF XY:
0.00365
AC XY:
2657
AN XY:
727022
show subpopulations
African (AFR)
AF:
0.000299
AC:
10
AN:
33480
American (AMR)
AF:
0.000268
AC:
12
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26136
East Asian (EAS)
AF:
0.119
AC:
4720
AN:
39700
South Asian (SAS)
AF:
0.00291
AC:
251
AN:
86258
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52940
Middle Eastern (MID)
AF:
0.000520
AC:
3
AN:
5768
European-Non Finnish (NFE)
AF:
0.0000683
AC:
76
AN:
1112010
Other (OTH)
AF:
0.00566
AC:
342
AN:
60390
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.490
Heterozygous variant carriers
0
375
750
1125
1500
1875
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
82
164
246
328
410
<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:
0.00439
AC:
662
AN:
150902
Hom.:
33
Cov.:
30
AF XY:
0.00499
AC XY:
367
AN XY:
73584
show subpopulations
African (AFR)
AF:
0.000535
AC:
22
AN:
41086
American (AMR)
AF:
0.000732
AC:
11
AN:
15024
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.116
AC:
589
AN:
5062
South Asian (SAS)
AF:
0.00528
AC:
25
AN:
4738
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10388
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
282
European-Non Finnish (NFE)
AF:
0.000103
AC:
7
AN:
67844
Other (OTH)
AF:
0.00381
AC:
8
AN:
2100
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
31
62
92
123
154
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.000491
Hom.:
1
Bravo
AF:
0.00543
Asia WGS
AF:
0.0360
AC:
127
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

ClinVar submissions as Germline
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
Episodic ataxia type 1 (2)
-
-
2
not provided (2)
-
-
2
not specified (2)
-
-
1
Myokymia (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.43
CADD
Benign
5.8
DANN
Benign
0.66
PhyloP100
1.8
PromoterAI
-0.0058
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: rs76066681; hg19: chr12-5021840; COSMIC: COSV66837427; API