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19-590172-G-A

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 0P and 14B. BP4_StrongBP6_ModerateBA1

The NM_001194.4(HCN2):​c.227G>A​(p.Arg76His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.484 in 976,302 control chromosomes in the GnomAD database, including 118,627 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.39 ( 12023 hom., cov: 25)
Exomes 𝑓: 0.50 ( 106604 hom. )

Consequence

HCN2
NM_001194.4 missense

Scores

2
16

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: 0.378
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 -14 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0012045503).
BP6
Variant 19-590172-G-A is Benign according to our data. Variant chr19-590172-G-A is described in ClinVar as [Benign]. Clinvar id is 1291938.Status of the report is criteria_provided_single_submitter, 1 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.508 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HCN2NM_001194.4 linkuse as main transcriptc.227G>A p.Arg76His missense_variant 1/8 ENST00000251287.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HCN2ENST00000251287.3 linkuse as main transcriptc.227G>A p.Arg76His missense_variant 1/81 NM_001194.4 P1

Frequencies

GnomAD3 genomes
AF:
0.388
AC:
54896
AN:
141624
Hom.:
12026
Cov.:
25
show subpopulations
Gnomad AFR
AF:
0.188
Gnomad AMI
AF:
0.461
Gnomad AMR
AF:
0.370
Gnomad ASJ
AF:
0.417
Gnomad EAS
AF:
0.294
Gnomad SAS
AF:
0.270
Gnomad FIN
AF:
0.512
Gnomad MID
AF:
0.365
Gnomad NFE
AF:
0.513
Gnomad OTH
AF:
0.401
GnomAD3 exomes
AF:
0.438
AC:
7
AN:
16
Hom.:
2
AF XY:
0.333
AC XY:
4
AN XY:
12
show subpopulations
Gnomad AMR exome
AF:
0.500
Gnomad SAS exome
AF:
0.167
Gnomad NFE exome
AF:
0.625
GnomAD4 exome
AF:
0.501
AC:
418067
AN:
834610
Hom.:
106604
Cov.:
24
AF XY:
0.500
AC XY:
193093
AN XY:
386144
show subpopulations
Gnomad4 AFR exome
AF:
0.163
Gnomad4 AMR exome
AF:
0.383
Gnomad4 ASJ exome
AF:
0.418
Gnomad4 EAS exome
AF:
0.309
Gnomad4 SAS exome
AF:
0.274
Gnomad4 FIN exome
AF:
0.582
Gnomad4 NFE exome
AF:
0.516
Gnomad4 OTH exome
AF:
0.458
GnomAD4 genome
AF:
0.387
AC:
54891
AN:
141692
Hom.:
12023
Cov.:
25
AF XY:
0.382
AC XY:
26336
AN XY:
68882
show subpopulations
Gnomad4 AFR
AF:
0.188
Gnomad4 AMR
AF:
0.370
Gnomad4 ASJ
AF:
0.417
Gnomad4 EAS
AF:
0.294
Gnomad4 SAS
AF:
0.270
Gnomad4 FIN
AF:
0.512
Gnomad4 NFE
AF:
0.513
Gnomad4 OTH
AF:
0.399
Alfa
AF:
0.445
Hom.:
2046
TwinsUK
AF:
0.536
AC:
1987
ALSPAC
AF:
0.539
AC:
2079
ExAC
AF:
0.170
AC:
237

ClinVar

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

Submissions by phenotype

not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxMar 04, 2020- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
20
DANN
Uncertain
0.98
DEOGEN2
Benign
0.22
T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.032
N
LIST_S2
Benign
0.51
T
MetaRNN
Benign
0.0012
T
MetaSVM
Benign
-0.96
T
MutationAssessor
Benign
0.34
N
MutationTaster
Benign
1.0
P
PrimateAI
Uncertain
0.76
T
PROVEAN
Benign
-0.31
N
REVEL
Benign
0.26
Sift
Benign
0.26
T
Sift4G
Benign
0.28
T
Polyphen
0.20
B
Vest4
0.031
MPC
1.8
ClinPred
0.033
T
GERP RS
0.65
Varity_R
0.056
gMVP
0.26

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: rs113534512; hg19: chr19-590172; COSMIC: COSV52112407; COSMIC: COSV52112407; API