19-590192-G-C

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001194.4(HCN2):ā€‹c.247G>Cā€‹(p.Gly83Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000278 in 143,874 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: š‘“ 0.000028 ( 0 hom., cov: 29)

Consequence

HCN2
NM_001194.4 missense

Scores

2
2
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.754
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.17676103).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HCN2NM_001194.4 linkuse as main transcriptc.247G>C p.Gly83Arg missense_variant 1/8 ENST00000251287.3 NP_001185.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HCN2ENST00000251287.3 linkuse as main transcriptc.247G>C p.Gly83Arg missense_variant 1/81 NM_001194.4 ENSP00000251287.1 Q9UL51

Frequencies

GnomAD3 genomes
AF:
0.0000278
AC:
4
AN:
143874
Hom.:
0
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.0000249
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000205
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
Cov.:
29
GnomAD4 genome
AF:
0.0000278
AC:
4
AN:
143874
Hom.:
0
Cov.:
29
AF XY:
0.0000429
AC XY:
3
AN XY:
69884
show subpopulations
Gnomad4 AFR
AF:
0.0000249
Gnomad4 AMR
AF:
0.000205
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000227

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsAug 19, 2024The c.247G>C (p.G83R) alteration is located in exon 1 (coding exon 1) of the HCN2 gene. This alteration results from a G to C substitution at nucleotide position 247, causing the glycine (G) at amino acid position 83 to be replaced by an arginine (R). 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
0.20
BayesDel_addAF
Benign
-0.0013
T
BayesDel_noAF
Benign
-0.24
CADD
Benign
19
DANN
Benign
0.97
DEOGEN2
Benign
0.22
T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.012
N
LIST_S2
Benign
0.50
T
M_CAP
Pathogenic
0.91
D
MetaRNN
Benign
0.18
T
MetaSVM
Uncertain
0.012
D
MutationAssessor
Benign
0.34
N
PrimateAI
Pathogenic
0.84
D
PROVEAN
Benign
-0.12
N
REVEL
Benign
0.20
Sift
Uncertain
0.0060
D
Sift4G
Benign
0.61
T
Polyphen
0.22
B
Vest4
0.12
MutPred
0.23
Gain of methylation at G83 (P = 0.0173);
MVP
0.68
MPC
1.7
ClinPred
0.17
T
Varity_R
0.089
gMVP
0.37

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: rs1160197073; hg19: chr19-590192; API