12-49542795-G-A

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 1P and 4B. PP3BS2

The ENST00000257981.7(KCNH3):​c.535G>A​(p.Gly179Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000318 in 1,601,902 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000039 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000031 ( 1 hom. )

Consequence

KCNH3
ENST00000257981.7 missense

Scores

10
5
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.47
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 -3 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.818
BS2
High AC in GnomAd4 at 6 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KCNH3NM_012284.3 linkuse as main transcriptc.535G>A p.Gly179Arg missense_variant 4/15 ENST00000257981.7 NP_036416.1
KCNH3NM_001314030.2 linkuse as main transcriptc.355G>A p.Gly119Arg missense_variant 4/15 NP_001300959.1
KCNH3XM_011538085.3 linkuse as main transcriptc.535G>A p.Gly179Arg missense_variant 4/15 XP_011536387.1
KCNH3XM_047428613.1 linkuse as main transcriptc.535G>A p.Gly179Arg missense_variant 4/10 XP_047284569.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KCNH3ENST00000257981.7 linkuse as main transcriptc.535G>A p.Gly179Arg missense_variant 4/151 NM_012284.3 ENSP00000257981 P1
KCNH3ENST00000550434.1 linkuse as main transcriptn.264G>A non_coding_transcript_exon_variant 3/53
KCNH3ENST00000649994.1 linkuse as main transcriptc.*145G>A 3_prime_UTR_variant, NMD_transcript_variant 5/16 ENSP00000497890

Frequencies

GnomAD3 genomes
AF:
0.0000394
AC:
6
AN:
152252
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000241
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:
0.0000588
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000398
AC:
9
AN:
226002
Hom.:
0
AF XY:
0.0000328
AC XY:
4
AN XY:
121996
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000634
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000597
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000587
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000310
AC:
45
AN:
1449650
Hom.:
1
Cov.:
31
AF XY:
0.0000361
AC XY:
26
AN XY:
719676
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000472
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000510
Gnomad4 SAS exome
AF:
0.0000719
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000298
Gnomad4 OTH exome
AF:
0.0000333
GnomAD4 genome
AF:
0.0000394
AC:
6
AN:
152252
Hom.:
0
Cov.:
33
AF XY:
0.0000269
AC XY:
2
AN XY:
74376
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000588
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000986
Hom.:
0
Bravo
AF:
0.0000340
ExAC
AF:
0.00000825
AC:
1

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 GeneticsJan 05, 2022The c.535G>A (p.G179R) alteration is located in exon 4 (coding exon 4) of the KCNH3 gene. This alteration results from a G to A substitution at nucleotide position 535, causing the glycine (G) at amino acid position 179 to be replaced by an arginine (R). 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
0.94
BayesDel_addAF
Pathogenic
0.34
D
BayesDel_noAF
Pathogenic
0.25
CADD
Pathogenic
29
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.60
D
Eigen
Uncertain
0.53
Eigen_PC
Uncertain
0.57
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.95
D
M_CAP
Uncertain
0.21
D
MetaRNN
Pathogenic
0.82
D
MetaSVM
Pathogenic
0.98
D
MutationAssessor
Benign
1.9
L
MutationTaster
Benign
1.0
D
PrimateAI
Pathogenic
0.81
D
PROVEAN
Pathogenic
-5.4
D
REVEL
Pathogenic
0.70
Sift
Benign
0.083
T
Sift4G
Benign
0.089
T
Polyphen
0.90
P
Vest4
0.75
MutPred
0.27
Gain of helix (P = 0.0425);
MVP
0.95
MPC
2.0
ClinPred
0.59
D
GERP RS
4.6
Varity_R
0.56
gMVP
0.83

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: rs769186310; hg19: chr12-49936578; API