15-73320492-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_005477.3(HCN4):​c.*1989G>A variant causes a 3 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.807 in 152,198 control chromosomes in the GnomAD database, including 52,022 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.81 ( 51998 hom., cov: 31)
Exomes 𝑓: 0.87 ( 24 hom. )

Consequence

HCN4
NM_005477.3 3_prime_UTR

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -2.40
Variant links:
Genes affected
HCN4 (HGNC:16882): (hyperpolarization activated cyclic nucleotide gated potassium channel 4) This gene encodes a member of the hyperpolarization-activated cyclic nucleotide-gated potassium channels. The encoded protein shows slow kinetics of activation and inactivation, and is necessary for the cardiac pacemaking process. This channel may also mediate responses to sour stimuli. Mutations in this gene have been linked to sick sinus syndrome 2, also known as atrial fibrillation with bradyarrhythmia or familial sinus bradycardia. Two pseudogenes have been identified on chromosome 15. [provided by RefSeq, Oct 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.98).
BP6
Variant 15-73320492-C-T is Benign according to our data. Variant chr15-73320492-C-T is described in ClinVar as [Benign]. Clinvar id is 886590.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.926 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HCN4NM_005477.3 linkuse as main transcriptc.*1989G>A 3_prime_UTR_variant 8/8 ENST00000261917.4
HCN4XM_011521148.3 linkuse as main transcriptc.*1989G>A 3_prime_UTR_variant 7/7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HCN4ENST00000261917.4 linkuse as main transcriptc.*1989G>A 3_prime_UTR_variant 8/81 NM_005477.3 P1

Frequencies

GnomAD3 genomes
AF:
0.807
AC:
122685
AN:
152018
Hom.:
51986
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.520
Gnomad AMI
AF:
0.923
Gnomad AMR
AF:
0.910
Gnomad ASJ
AF:
0.878
Gnomad EAS
AF:
0.813
Gnomad SAS
AF:
0.822
Gnomad FIN
AF:
0.928
Gnomad MID
AF:
0.854
Gnomad NFE
AF:
0.932
Gnomad OTH
AF:
0.832
GnomAD4 exome
AF:
0.871
AC:
54
AN:
62
Hom.:
24
Cov.:
0
AF XY:
0.854
AC XY:
41
AN XY:
48
show subpopulations
Gnomad4 AFR exome
AF:
0.500
Gnomad4 FIN exome
AF:
1.00
Gnomad4 NFE exome
AF:
0.957
Gnomad4 OTH exome
AF:
0.833
GnomAD4 genome
AF:
0.807
AC:
122733
AN:
152136
Hom.:
51998
Cov.:
31
AF XY:
0.810
AC XY:
60278
AN XY:
74392
show subpopulations
Gnomad4 AFR
AF:
0.519
Gnomad4 AMR
AF:
0.911
Gnomad4 ASJ
AF:
0.878
Gnomad4 EAS
AF:
0.813
Gnomad4 SAS
AF:
0.822
Gnomad4 FIN
AF:
0.928
Gnomad4 NFE
AF:
0.932
Gnomad4 OTH
AF:
0.827
Alfa
AF:
0.900
Hom.:
45620
Bravo
AF:
0.795
Asia WGS
AF:
0.767
AC:
2666
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Sick sinus syndrome 2, autosomal dominant Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.98
CADD
Benign
0.12
DANN
Benign
0.45

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: rs549377; hg19: chr15-73612833; API