14-62950404-T-C

Variant summary

Our verdict is Benign. Variant got -15 ACMG points: 1P and 16B. PP2BP4_StrongBP6_Very_StrongBS2

The NM_139318.5(KCNH5):ā€‹c.1098A>Gā€‹(p.Ile366Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00106 in 1,613,944 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. I366V) has been classified as Uncertain significance.

Frequency

Genomes: š‘“ 0.00081 ( 0 hom., cov: 31)
Exomes š‘“: 0.0011 ( 2 hom. )

Consequence

KCNH5
NM_139318.5 missense

Scores

4
10
5

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 0.956
Variant links:
Genes affected
KCNH5 (HGNC:6254): (potassium voltage-gated channel subfamily H member 5) This gene encodes a member of voltage-gated potassium channels. Members of this family have diverse functions, including regulating neurotransmitter and hormone release, cardiac function, and cell volume. This protein is an outward-rectifying, noninactivating channel. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -15 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), KCNH5. . Gene score misZ 2.509 (greater than the threshold 3.09). Trascript score misZ 3.7308 (greater than threshold 3.09). GenCC has associacion of gene with infantile-onset epilepsy.
BP4
Computational evidence support a benign effect (MetaRNN=0.040032953).
BP6
Variant 14-62950404-T-C is Benign according to our data. Variant chr14-62950404-T-C is described in ClinVar as [Benign]. Clinvar id is 416115.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr14-62950404-T-C is described in Lovd as [Benign].
BS2
High AC in GnomAd4 at 123 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KCNH5NM_139318.5 linkuse as main transcriptc.1098A>G p.Ile366Met missense_variant 7/11 ENST00000322893.12
KCNH5NM_172375.3 linkuse as main transcriptc.1098A>G p.Ile366Met missense_variant 7/10
KCNH5XM_047431275.1 linkuse as main transcriptc.1098A>G p.Ile366Met missense_variant 7/10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KCNH5ENST00000322893.12 linkuse as main transcriptc.1098A>G p.Ile366Met missense_variant 7/111 NM_139318.5 P1Q8NCM2-1
KCNH5ENST00000420622.6 linkuse as main transcriptc.1098A>G p.Ile366Met missense_variant 7/101 Q8NCM2-2
KCNH5ENST00000394964.3 linkuse as main transcriptn.1263A>G non_coding_transcript_exon_variant 7/71
KCNH5ENST00000394968.2 linkuse as main transcriptc.924A>G p.Ile308Met missense_variant 7/112 Q8NCM2-3

Frequencies

GnomAD3 genomes
AF:
0.000809
AC:
123
AN:
152024
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000193
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000787
Gnomad ASJ
AF:
0.00432
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00122
Gnomad OTH
AF:
0.00192
GnomAD3 exomes
AF:
0.00114
AC:
285
AN:
250870
Hom.:
0
AF XY:
0.00106
AC XY:
144
AN XY:
135562
show subpopulations
Gnomad AFR exome
AF:
0.000369
Gnomad AMR exome
AF:
0.00205
Gnomad ASJ exome
AF:
0.00556
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000653
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.00111
Gnomad OTH exome
AF:
0.00376
GnomAD4 exome
AF:
0.00108
AC:
1586
AN:
1461802
Hom.:
2
Cov.:
32
AF XY:
0.00108
AC XY:
782
AN XY:
727202
show subpopulations
Gnomad4 AFR exome
AF:
0.000269
Gnomad4 AMR exome
AF:
0.00228
Gnomad4 ASJ exome
AF:
0.00574
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000104
Gnomad4 FIN exome
AF:
0.0000749
Gnomad4 NFE exome
AF:
0.00107
Gnomad4 OTH exome
AF:
0.00177
GnomAD4 genome
AF:
0.000808
AC:
123
AN:
152142
Hom.:
0
Cov.:
31
AF XY:
0.000699
AC XY:
52
AN XY:
74380
show subpopulations
Gnomad4 AFR
AF:
0.000193
Gnomad4 AMR
AF:
0.000786
Gnomad4 ASJ
AF:
0.00432
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000208
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00122
Gnomad4 OTH
AF:
0.00190
Alfa
AF:
0.00138
Hom.:
0
Bravo
AF:
0.000929
TwinsUK
AF:
0.00135
AC:
5
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.000930
AC:
8
ExAC
AF:
0.00105
AC:
127
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.00191
EpiControl
AF:
0.00166

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Early infantile epileptic encephalopathy with suppression bursts Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
KCNH5-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesOct 28, 2019This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.47
BayesDel_addAF
Uncertain
0.012
T
BayesDel_noAF
Pathogenic
0.24
CADD
Benign
21
DANN
Uncertain
0.98
DEOGEN2
Pathogenic
0.82
D;.;.
Eigen
Benign
-0.36
Eigen_PC
Benign
-0.41
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Uncertain
0.97
D;D;D
M_CAP
Pathogenic
0.31
D
MetaRNN
Benign
0.040
T;T;T
MetaSVM
Uncertain
0.71
D
MutationAssessor
Benign
1.5
L;L;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.78
T
PROVEAN
Uncertain
-2.5
D;D;D
REVEL
Pathogenic
0.72
Sift
Uncertain
0.028
D;D;D
Sift4G
Uncertain
0.049
D;T;T
Polyphen
0.85
P;B;P
Vest4
0.86
MVP
0.94
MPC
1.8
ClinPred
0.058
T
GERP RS
-6.6
Varity_R
0.45
gMVP
0.70

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: rs146883958; hg19: chr14-63417122; COSMIC: COSV105235765; API