12-5045076-C-T

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The ENST00000252321.5(KCNA5):​c.929C>T​(p.Pro310Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00672 in 1,613,068 control chromosomes in the GnomAD database, including 44 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0044 ( 3 hom., cov: 32)
Exomes 𝑓: 0.0070 ( 41 hom. )

Consequence

KCNA5
ENST00000252321.5 missense

Scores

4
13

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 1.17

Publications

6 publications found
Variant links:
Genes affected
KCNA5 (HGNC:6224): (potassium voltage-gated channel subfamily A member 5) Potassium channels represent the most complex class of voltage-gated ino channels from both functional and structural standpoints. Their diverse functions include regulating neurotransmitter release, heart rate, insulin secretion, neuronal excitability, epithelial electrolyte transport, smooth muscle contraction, and cell volume. Four sequence-related potassium channel genes - shaker, shaw, shab, and shal - have been identified in Drosophila, and each has been shown to have human homolog(s). This gene encodes a member of the potassium channel, voltage-gated, shaker-related subfamily. This member contains six membrane-spanning domains with a shaker-type repeat in the fourth segment. It belongs to the delayed rectifier class, the function of which could restore the resting membrane potential of beta cells after depolarization and thereby contribute to the regulation of insulin secretion. This gene is intronless, and the gene is clustered with genes KCNA1 and KCNA6 on chromosome 12. Defects in this gene are a cause of familial atrial fibrillation type 7 (ATFB7). [provided by RefSeq, May 2012]
KCNA5 Gene-Disease associations (from GenCC):
  • atrial fibrillation, familial, 7
    Inheritance: AD Classification: MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • familial atrial fibrillation
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009132087).
BP6
Variant 12-5045076-C-T is Benign according to our data. Variant chr12-5045076-C-T is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 191571.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 663 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: ENST00000252321.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNA5
NM_002234.4
MANE Select
c.929C>Tp.Pro310Leu
missense
Exon 1 of 1NP_002225.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNA5
ENST00000252321.5
TSL:6 MANE Select
c.929C>Tp.Pro310Leu
missense
Exon 1 of 1ENSP00000252321.3

Frequencies

GnomAD3 genomes
AF:
0.00436
AC:
663
AN:
152100
Hom.:
3
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00133
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.00635
Gnomad ASJ
AF:
0.00894
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.000847
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00675
Gnomad OTH
AF:
0.00430
GnomAD2 exomes
AF:
0.00396
AC:
982
AN:
247984
AF XY:
0.00402
show subpopulations
Gnomad AFR exome
AF:
0.000810
Gnomad AMR exome
AF:
0.00446
Gnomad ASJ exome
AF:
0.00702
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00131
Gnomad NFE exome
AF:
0.00596
Gnomad OTH exome
AF:
0.00542
GnomAD4 exome
AF:
0.00696
AC:
10172
AN:
1460850
Hom.:
41
Cov.:
32
AF XY:
0.00679
AC XY:
4935
AN XY:
726664
show subpopulations
African (AFR)
AF:
0.000956
AC:
32
AN:
33470
American (AMR)
AF:
0.00459
AC:
205
AN:
44690
Ashkenazi Jewish (ASJ)
AF:
0.00820
AC:
214
AN:
26090
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39674
South Asian (SAS)
AF:
0.00104
AC:
90
AN:
86194
European-Finnish (FIN)
AF:
0.00185
AC:
98
AN:
52950
Middle Eastern (MID)
AF:
0.000347
AC:
2
AN:
5766
European-Non Finnish (NFE)
AF:
0.00822
AC:
9135
AN:
1111650
Other (OTH)
AF:
0.00656
AC:
396
AN:
60366
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.489
Heterozygous variant carriers
0
685
1371
2056
2742
3427
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
374
748
1122
1496
1870
<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:
0.00436
AC:
663
AN:
152218
Hom.:
3
Cov.:
32
AF XY:
0.00425
AC XY:
316
AN XY:
74416
show subpopulations
African (AFR)
AF:
0.00132
AC:
55
AN:
41580
American (AMR)
AF:
0.00635
AC:
97
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.00894
AC:
31
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5108
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4826
European-Finnish (FIN)
AF:
0.000847
AC:
9
AN:
10630
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00675
AC:
459
AN:
68000
Other (OTH)
AF:
0.00426
AC:
9
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
34
68
101
135
169
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00539
Hom.:
6
Bravo
AF:
0.00474
TwinsUK
AF:
0.00755
AC:
28
ALSPAC
AF:
0.00675
AC:
26
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.00640
AC:
55
ExAC
AF:
0.00367
AC:
445
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00742
EpiControl
AF:
0.00729

ClinVar

ClinVar submissions as Germline

Significance:Benign/Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
4
not specified (4)
-
-
3
Atrial fibrillation, familial, 7 (3)
-
-
3
not provided (3)
-
-
1
KCNA5-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.090
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.17
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.63
D
Eigen
Benign
-0.49
Eigen_PC
Benign
-0.42
FATHMM_MKL
Benign
0.37
N
LIST_S2
Benign
0.59
T
MetaRNN
Benign
0.0091
T
MetaSVM
Benign
-0.52
T
MutationAssessor
Benign
1.2
L
PhyloP100
1.2
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
-1.0
N
REVEL
Uncertain
0.32
Sift
Benign
0.092
T
Sift4G
Benign
0.38
T
Polyphen
0.0010
B
Vest4
0.16
MVP
1.0
MPC
0.55
ClinPred
0.033
T
GERP RS
4.8
Varity_R
0.13
gMVP
0.73
Mutation Taster
=87/13
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs17215402; hg19: chr12-5154242; COSMIC: COSV52909233; API