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GeneBe

19-590322-C-G

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 4P and 1B. PM2PM5BP4

The NM_001194.4(HCN2):ā€‹c.377C>Gā€‹(p.Ser126Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000686 in 145,746 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S126L) has been classified as Pathogenic.

Frequency

Genomes: š‘“ 0.0000069 ( 0 hom., cov: 30)

Consequence

HCN2
NM_001194.4 missense

Scores

2
6
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.00
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 Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr19-590322-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 1240010.Status of the report is no_assertion_criteria_provided, 0 stars.
BP4
Computational evidence support a benign effect (MetaRNN=0.35118428).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HCN2NM_001194.4 linkuse as main transcriptc.377C>G p.Ser126Trp missense_variant 1/8 ENST00000251287.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HCN2ENST00000251287.3 linkuse as main transcriptc.377C>G p.Ser126Trp missense_variant 1/81 NM_001194.4 P1

Frequencies

GnomAD3 genomes
AF:
0.00000686
AC:
1
AN:
145746
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000152
Gnomad OTH
AF:
0.00
GnomAD4 exome
Cov.:
28
GnomAD4 genome
AF:
0.00000686
AC:
1
AN:
145746
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
70886
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000152
Gnomad4 OTH
AF:
0.00

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenSep 01, 2022HCN2: PM5, PM2:Supporting, PP2, PP3 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.50
BayesDel_addAF
Uncertain
0.079
D
BayesDel_noAF
Benign
-0.12
CADD
Uncertain
24
DANN
Benign
0.96
DEOGEN2
Benign
0.39
T
Eigen
Benign
-0.37
Eigen_PC
Benign
-0.50
FATHMM_MKL
Benign
0.25
N
LIST_S2
Benign
0.61
T
M_CAP
Pathogenic
0.99
D
MetaRNN
Benign
0.35
T
MetaSVM
Uncertain
0.48
D
MutationAssessor
Benign
0.34
N
MutationTaster
Benign
0.99
D
PrimateAI
Pathogenic
0.91
D
PROVEAN
Benign
-1.9
N
REVEL
Uncertain
0.43
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.0030
D
Polyphen
0.98
D
Vest4
0.34
MutPred
0.37
Loss of glycosylation at S126 (P = 0.0057);
MVP
0.69
MPC
2.2
ClinPred
0.43
T
GERP RS
1.5
Varity_R
0.29
gMVP
0.49

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: rs1258293482; hg19: chr19-590322; API