12-49544262-G-A

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_012284.3(KCNH3):​c.1069G>A​(p.Ala357Thr) variant causes a missense change. The variant allele was found at a frequency of 0.000686 in 1,607,350 control chromosomes in the GnomAD database, including 2 homozygotes. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00037 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00072 ( 2 hom. )

Consequence

KCNH3
NM_012284.3 missense

Scores

3
7
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.72
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 -4 ACMG points.

BS2
High AC in GnomAd4 at 56 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KCNH3NM_012284.3 linkuse as main transcriptc.1069G>A p.Ala357Thr missense_variant 7/15 ENST00000257981.7 NP_036416.1 Q9ULD8
KCNH3NM_001314030.2 linkuse as main transcriptc.889G>A p.Ala297Thr missense_variant 7/15 NP_001300959.1 Q9ULD8
KCNH3XM_011538085.3 linkuse as main transcriptc.1069G>A p.Ala357Thr missense_variant 7/15 XP_011536387.1
KCNH3XM_047428613.1 linkuse as main transcriptc.1069G>A p.Ala357Thr missense_variant 7/10 XP_047284569.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KCNH3ENST00000257981.7 linkuse as main transcriptc.1069G>A p.Ala357Thr missense_variant 7/151 NM_012284.3 ENSP00000257981.5 Q9ULD8
KCNH3ENST00000551415.1 linkuse as main transcriptn.9G>A non_coding_transcript_exon_variant 1/23
KCNH3ENST00000649994.1 linkuse as main transcriptn.*679G>A non_coding_transcript_exon_variant 8/16 ENSP00000497890.1 A0A3B3ITH0
KCNH3ENST00000649994.1 linkuse as main transcriptn.*679G>A 3_prime_UTR_variant 8/16 ENSP00000497890.1 A0A3B3ITH0

Frequencies

GnomAD3 genomes
AF:
0.000368
AC:
56
AN:
152174
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000965
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000283
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000720
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000326
AC:
78
AN:
239228
Hom.:
0
AF XY:
0.000330
AC XY:
43
AN XY:
130178
show subpopulations
Gnomad AFR exome
AF:
0.000265
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000336
Gnomad FIN exome
AF:
0.000105
Gnomad NFE exome
AF:
0.000639
Gnomad OTH exome
AF:
0.000339
GnomAD4 exome
AF:
0.000720
AC:
1047
AN:
1455176
Hom.:
2
Cov.:
37
AF XY:
0.000694
AC XY:
502
AN XY:
723782
show subpopulations
Gnomad4 AFR exome
AF:
0.0000600
Gnomad4 AMR exome
AF:
0.0000452
Gnomad4 ASJ exome
AF:
0.0000384
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000117
Gnomad4 FIN exome
AF:
0.000159
Gnomad4 NFE exome
AF:
0.000912
Gnomad4 OTH exome
AF:
0.000332
GnomAD4 genome
AF:
0.000368
AC:
56
AN:
152174
Hom.:
0
Cov.:
31
AF XY:
0.000242
AC XY:
18
AN XY:
74332
show subpopulations
Gnomad4 AFR
AF:
0.0000965
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000283
Gnomad4 NFE
AF:
0.000720
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000479
Hom.:
0
Bravo
AF:
0.000321
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00182
AC:
7
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000362
AC:
44

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 GeneticsAug 02, 2021The c.1069G>A (p.A357T) alteration is located in exon 7 (coding exon 7) of the KCNH3 gene. This alteration results from a G to A substitution at nucleotide position 1069, causing the alanine (A) at amino acid position 357 to be replaced by a threonine (T). 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
Benign
0.15
BayesDel_addAF
Benign
-0.13
T
BayesDel_noAF
Uncertain
0.020
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.67
D
Eigen
Uncertain
0.22
Eigen_PC
Benign
0.22
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.94
D
M_CAP
Benign
0.066
D
MetaRNN
Uncertain
0.47
T
MetaSVM
Pathogenic
0.83
D
MutationAssessor
Benign
1.6
L
PrimateAI
Pathogenic
0.80
D
PROVEAN
Benign
-2.0
N
REVEL
Uncertain
0.54
Sift
Benign
0.23
T
Sift4G
Benign
0.28
T
Polyphen
0.61
P
Vest4
0.60
MVP
0.90
MPC
1.8
ClinPred
0.091
T
GERP RS
4.7
Varity_R
0.13
gMVP
0.93

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: rs144586492; hg19: chr12-49938045; API