19-590007-G-GGCC

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 1P and 10B. PM4_SupportingBP6_ModerateBS1BS2

The NM_001194.4(HCN2):​c.81_83dupGCC​(p.Pro28dup) variant causes a disruptive inframe insertion change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.00088 ( 1 hom., cov: 20)
Exomes 𝑓: 0.000064 ( 0 hom. )

Consequence

HCN2
NM_001194.4 disruptive_inframe_insertion

Scores

Not classified

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 0.460
Variant links:
Genes affected
HCN2 (HGNC:4846): (hyperpolarization activated cyclic nucleotide gated potassium and sodium channel 2) The protein encoded by this gene is a hyperpolarization-activated cation channel involved in the generation of native pacemaker activity in the heart and in the brain. The encoded protein is activated by cAMP and can produce a fast, large current. Defects in this gene were noted as a possible cause of some forms of epilepsy. [provided by RefSeq, Jan 2017]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

PM4
Nonframeshift variant in NON repetitive region in NM_001194.4. Strenght limited to Supporting due to length of the change: 1aa.
BP6
Variant 19-590007-G-GGCC is Benign according to our data. Variant chr19-590007-G-GGCC is described in ClinVar as [Likely_benign]. Clinvar id is 2357092.Status of the report is criteria_provided_single_submitter, 1 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.000882 (112/127052) while in subpopulation AFR AF= 0.00282 (100/35458). AF 95% confidence interval is 0.00237. There are 1 homozygotes in gnomad4. There are 60 alleles in male gnomad4 subpopulation. Median coverage is 20. This position pass quality control queck.
BS2
High AC in GnomAd4 at 112 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HCN2NM_001194.4 linkc.81_83dupGCC p.Pro28dup disruptive_inframe_insertion 1/8 ENST00000251287.3 NP_001185.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HCN2ENST00000251287.3 linkc.81_83dupGCC p.Pro28dup disruptive_inframe_insertion 1/81 NM_001194.4 ENSP00000251287.1 Q9UL51

Frequencies

GnomAD3 genomes
AF:
0.000866
AC:
110
AN:
127064
Hom.:
1
Cov.:
20
show subpopulations
Gnomad AFR
AF:
0.00277
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000370
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000527
Gnomad SAS
AF:
0.000779
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000343
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000643
AC:
33
AN:
513590
Hom.:
0
Cov.:
4
AF XY:
0.0000499
AC XY:
12
AN XY:
240392
show subpopulations
Gnomad4 AFR exome
AF:
0.00175
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000977
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000234
Gnomad4 OTH exome
AF:
0.000241
GnomAD4 genome
AF:
0.000882
AC:
112
AN:
127052
Hom.:
1
Cov.:
20
AF XY:
0.000973
AC XY:
60
AN XY:
61642
show subpopulations
Gnomad4 AFR
AF:
0.00282
Gnomad4 AMR
AF:
0.000370
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000529
Gnomad4 SAS
AF:
0.000782
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000343
Gnomad4 OTH
AF:
0.00

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsSep 19, 2022This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs961585316; hg19: chr19-590007; API