12-49544223-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 6P and 4B. PM2PP3_StrongBS2

The NM_012284.3(KCNH3):​c.1030C>T​(p.Arg344Cys) variant causes a missense change. The variant allele was found at a frequency of 0.00000348 in 1,437,118 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 12/21 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.0000035 ( 0 hom. )

Consequence

KCNH3
NM_012284.3 missense

Scores

18
1

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.97
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 Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.948
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.1030C>T p.Arg344Cys missense_variant 7/15 ENST00000257981.7 NP_036416.1 Q9ULD8
KCNH3NM_001314030.2 linkc.850C>T p.Arg284Cys missense_variant 7/15 NP_001300959.1 Q9ULD8
KCNH3XM_011538085.3 linkc.1030C>T p.Arg344Cys missense_variant 7/15 XP_011536387.1
KCNH3XM_047428613.1 linkc.1030C>T p.Arg344Cys missense_variant 7/10 XP_047284569.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KCNH3ENST00000257981.7 linkc.1030C>T p.Arg344Cys missense_variant 7/151 NM_012284.3 ENSP00000257981.5 Q9ULD8
KCNH3ENST00000649994.1 linkn.*640C>T non_coding_transcript_exon_variant 8/16 ENSP00000497890.1 A0A3B3ITH0
KCNH3ENST00000649994.1 linkn.*640C>T 3_prime_UTR_variant 8/16 ENSP00000497890.1 A0A3B3ITH0
KCNH3ENST00000551415.1 linkn.-31C>T upstream_gene_variant 3

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD3 exomes
AF:
0.00000928
AC:
2
AN:
215408
Hom.:
0
AF XY:
0.0000170
AC XY:
2
AN XY:
117466
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000319
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000641
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000348
AC:
5
AN:
1437118
Hom.:
0
Cov.:
37
AF XY:
0.00000420
AC XY:
3
AN XY:
714228
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000237
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000220
Gnomad4 NFE exome
AF:
0.00000272
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31
Bravo
AF:
0.00000378

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 GeneticsDec 02, 2024The c.1030C>T (p.R344C) alteration is located in exon 7 (coding exon 7) of the KCNH3 gene. This alteration results from a C to T substitution at nucleotide position 1030, causing the arginine (R) at amino acid position 344 to be replaced by a cysteine (C). 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
0.92
BayesDel_addAF
Pathogenic
0.34
D
BayesDel_noAF
Pathogenic
0.25
CADD
Pathogenic
28
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.97
D
Eigen
Pathogenic
0.80
Eigen_PC
Pathogenic
0.68
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Pathogenic
1.0
D
M_CAP
Pathogenic
0.74
D
MetaRNN
Pathogenic
0.95
D
MetaSVM
Pathogenic
1.0
D
MutationAssessor
Pathogenic
3.8
H
PrimateAI
Pathogenic
0.79
T
PROVEAN
Pathogenic
-7.6
D
REVEL
Pathogenic
0.79
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.76
MutPred
0.68
Loss of MoRF binding (P = 0.01);
MVP
0.99
MPC
2.6
ClinPred
1.0
D
GERP RS
4.7
Varity_R
0.71
gMVP
0.98

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: rs1254762355; hg19: chr12-49938006; COSMIC: COSV57789867; COSMIC: COSV57789867; API