17-42160381-T-C

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 2P and 6B. PM2BP4_ModerateBS2

The NM_012285.3(KCNH4):ā€‹c.2713A>Gā€‹(p.Met905Val) variant causes a missense change. The variant allele was found at a frequency of 0.00000342 in 1,461,004 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000034 ( 0 hom. )

Consequence

KCNH4
NM_012285.3 missense

Scores

6
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.59
Variant links:
Genes affected
KCNH4 (HGNC:6253): (potassium voltage-gated channel subfamily H member 4) Voltage-gated potassium (Kv) channels represent the most complex class of voltage-gated ion 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. This gene encodes a member of the potassium channel, voltage-gated, subfamily H. This member is a pore-forming (alpha) subunit. The gene is brain-specific, and located in the neocortex and the striatum. It may be involved in cellular excitability of restricted neurons in the central nervous system. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.25195616).
BS2
High AC in GnomAdExome4 at 5 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KCNH4NM_012285.3 linkuse as main transcriptc.2713A>G p.Met905Val missense_variant 16/17 ENST00000264661.4 NP_036417.1 Q9UQ05

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KCNH4ENST00000264661.4 linkuse as main transcriptc.2713A>G p.Met905Val missense_variant 16/171 NM_012285.3 ENSP00000264661.2 Q9UQ05
KCNH4ENST00000607371.5 linkuse as main transcriptc.2713A>G p.Met905Val missense_variant 16/175 ENSP00000475564.1 Q9UQ05

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000399
AC:
1
AN:
250476
Hom.:
0
AF XY:
0.00000738
AC XY:
1
AN XY:
135414
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000342
AC:
5
AN:
1461004
Hom.:
0
Cov.:
31
AF XY:
0.00000413
AC XY:
3
AN XY:
726700
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000360
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

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 GeneticsMar 21, 2023The c.2713A>G (p.M905V) alteration is located in exon 16 (coding exon 16) of the KCNH4 gene. This alteration results from a A to G substitution at nucleotide position 2713, causing the methionine (M) at amino acid position 905 to be replaced by a valine (V). 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
0.079
BayesDel_addAF
Uncertain
0.048
T
BayesDel_noAF
Uncertain
-0.070
CADD
Benign
21
DANN
Benign
0.95
DEOGEN2
Benign
0.33
T;T
Eigen
Benign
-0.17
Eigen_PC
Benign
-0.0047
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Benign
0.58
.;T
M_CAP
Uncertain
0.26
D
MetaRNN
Benign
0.25
T;T
MetaSVM
Uncertain
0.74
D
MutationAssessor
Benign
0.81
L;L
PrimateAI
Benign
0.46
T
PROVEAN
Benign
-1.4
.;N
REVEL
Uncertain
0.40
Sift
Benign
0.18
.;T
Sift4G
Benign
1.0
T;T
Polyphen
0.017
B;B
Vest4
0.28
MutPred
0.46
Loss of MoRF binding (P = 0.1163);Loss of MoRF binding (P = 0.1163);
MVP
0.72
MPC
0.27
ClinPred
0.12
T
GERP RS
5.0
Varity_R
0.11
gMVP
0.73

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs1396982344; hg19: chr17-40312399; API