12-49541019-C-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BS2

The NM_012284.3(KCNH3):​c.197C>A​(p.Ala66Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000342 in 1,461,670 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000034 ( 0 hom. )

Consequence

KCNH3
NM_012284.3 missense

Scores

7
9
3

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.73
Variant links:
Genes affected
KCNH3 (HGNC:6252): (potassium voltage-gated channel subfamily H member 3) The protein encoded by this gene is a voltage-gated potassium channel alpha subunit predominantly expressed in the forebrain. Studies in mice have found that cognitive function increases when this gene is knocked out. In humans, the encoded protein has been shown to be capable of binding glycoprotein 120 of the human immunodeficiency virus type 1 (HIV-1) envelope. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Sep 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BS2
High AC in GnomAdExome4 at 5 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KCNH3NM_012284.3 linkc.197C>A p.Ala66Asp missense_variant 2/15 ENST00000257981.7 NP_036416.1 Q9ULD8
KCNH3NM_001314030.2 linkc.17C>A p.Ala6Asp missense_variant 2/15 NP_001300959.1 Q9ULD8
KCNH3XM_011538085.3 linkc.197C>A p.Ala66Asp missense_variant 2/15 XP_011536387.1
KCNH3XM_047428613.1 linkc.197C>A p.Ala66Asp missense_variant 2/10 XP_047284569.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KCNH3ENST00000257981.7 linkc.197C>A p.Ala66Asp missense_variant 2/151 NM_012284.3 ENSP00000257981.5 Q9ULD8
KCNH3ENST00000649994.1 linkn.197C>A non_coding_transcript_exon_variant 2/16 ENSP00000497890.1 A0A3B3ITH0

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000342
AC:
5
AN:
1461670
Hom.:
0
Cov.:
32
AF XY:
0.00000413
AC XY:
3
AN XY:
727134
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000450
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsOct 17, 2024The c.197C>A (p.A66D) alteration is located in exon 2 (coding exon 2) of the KCNH3 gene. This alteration results from a C to A substitution at nucleotide position 197, causing the alanine (A) at amino acid position 66 to be replaced by an aspartic acid (D). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.71
BayesDel_addAF
Pathogenic
0.29
D
BayesDel_noAF
Pathogenic
0.18
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.80
D
Eigen
Benign
0.17
Eigen_PC
Uncertain
0.27
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.96
D
M_CAP
Uncertain
0.17
D
MetaRNN
Uncertain
0.51
D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Benign
1.2
L
PrimateAI
Pathogenic
0.82
D
PROVEAN
Uncertain
-3.3
D
REVEL
Pathogenic
0.69
Sift
Uncertain
0.0050
D
Sift4G
Uncertain
0.016
D
Polyphen
0.26
B
Vest4
0.52
MutPred
0.57
Gain of relative solvent accessibility (P = 0.09);
MVP
0.96
MPC
2.6
ClinPred
0.98
D
GERP RS
5.1
Varity_R
0.60
gMVP
0.98

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.27
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.27
Position offset: 24

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr12-49934802; COSMIC: COSV57792934; COSMIC: COSV57792934; API