2-166242648-A-G

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001365536.1(SCN9A):​c.3481T>C​(p.Trp1161Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.871 in 1,548,672 control chromosomes in the GnomAD database, including 587,761 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.88 ( 58696 hom., cov: 30)
Exomes 𝑓: 0.87 ( 529065 hom. )

Consequence

SCN9A
NM_001365536.1 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 1.38
Variant links:
Genes affected
SCN9A (HGNC:10597): (sodium voltage-gated channel alpha subunit 9) This gene encodes a voltage-gated sodium channel which plays a significant role in nociception signaling. Mutations in this gene have been associated with primary erythermalgia, channelopathy-associated insensitivity to pain, and paroxysmal extreme pain disorder. [provided by RefSeq, Aug 2009]
SCN1A-AS1 (HGNC:54069): (SCN1A and SCN9A antisense RNA 1)

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=2.3442258E-6).
BP6
Variant 2-166242648-A-G is Benign according to our data. Variant chr2-166242648-A-G is described in ClinVar as [Benign]. Clinvar id is 440255.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-166242648-A-G is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.929 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SCN9ANM_001365536.1 linkuse as main transcriptc.3481T>C p.Trp1161Arg missense_variant 19/27 ENST00000642356.2 NP_001352465.1
SCN1A-AS1NR_110260.1 linkuse as main transcriptn.612-5547A>G intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SCN9AENST00000642356.2 linkuse as main transcriptc.3481T>C p.Trp1161Arg missense_variant 19/27 NM_001365536.1 ENSP00000495601 P1Q15858-1
SCN1A-AS1ENST00000651574.1 linkuse as main transcriptn.1290-5547A>G intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
AF:
0.878
AC:
133444
AN:
151908
Hom.:
58658
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.893
Gnomad AMI
AF:
0.867
Gnomad AMR
AF:
0.882
Gnomad ASJ
AF:
0.914
Gnomad EAS
AF:
0.951
Gnomad SAS
AF:
0.834
Gnomad FIN
AF:
0.887
Gnomad MID
AF:
0.883
Gnomad NFE
AF:
0.864
Gnomad OTH
AF:
0.871
GnomAD3 exomes
AF:
0.880
AC:
138994
AN:
158010
Hom.:
61211
AF XY:
0.878
AC XY:
72950
AN XY:
83122
show subpopulations
Gnomad AFR exome
AF:
0.892
Gnomad AMR exome
AF:
0.902
Gnomad ASJ exome
AF:
0.912
Gnomad EAS exome
AF:
0.956
Gnomad SAS exome
AF:
0.842
Gnomad FIN exome
AF:
0.893
Gnomad NFE exome
AF:
0.862
Gnomad OTH exome
AF:
0.875
GnomAD4 exome
AF:
0.870
AC:
1215240
AN:
1396646
Hom.:
529065
Cov.:
34
AF XY:
0.869
AC XY:
598906
AN XY:
688988
show subpopulations
Gnomad4 AFR exome
AF:
0.893
Gnomad4 AMR exome
AF:
0.897
Gnomad4 ASJ exome
AF:
0.910
Gnomad4 EAS exome
AF:
0.950
Gnomad4 SAS exome
AF:
0.842
Gnomad4 FIN exome
AF:
0.894
Gnomad4 NFE exome
AF:
0.866
Gnomad4 OTH exome
AF:
0.877
GnomAD4 genome
AF:
0.878
AC:
133538
AN:
152026
Hom.:
58696
Cov.:
30
AF XY:
0.877
AC XY:
65188
AN XY:
74304
show subpopulations
Gnomad4 AFR
AF:
0.893
Gnomad4 AMR
AF:
0.882
Gnomad4 ASJ
AF:
0.914
Gnomad4 EAS
AF:
0.951
Gnomad4 SAS
AF:
0.833
Gnomad4 FIN
AF:
0.887
Gnomad4 NFE
AF:
0.864
Gnomad4 OTH
AF:
0.870
Alfa
AF:
0.871
Hom.:
107171
Bravo
AF:
0.882
TwinsUK
AF:
0.873
AC:
3238
ALSPAC
AF:
0.866
AC:
3338
ESP6500AA
AF:
0.891
AC:
3274
ESP6500EA
AF:
0.871
AC:
7029
ExAC
AF:
0.852
AC:
64740
Asia WGS
AF:
0.884
AC:
3076
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Benign, criteria provided, single submitterclinical testingUnidad de Genómica Garrahan, Hospital de Pediatría GarrahanJul 15, 2024This variant is classified as Benign based on local population frequency. This variant was detected in 96% of patients studied in a panel designed for Epileptic and Developmental Encephalopathy and Progressive Myoclonus Epilepsy. Number of patients: 89. Only high quality variants are reported. -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 29, 2023- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Primary erythromelalgia Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 15, 2021- -
Channelopathy-associated congenital insensitivity to pain, autosomal recessive Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 15, 2021- -
Generalized epilepsy with febrile seizures plus, type 7;C2752089:Neuropathy, hereditary sensory and autonomic, type 2A Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Paroxysmal extreme pain disorder Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 15, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.046
BayesDel_addAF
Benign
-0.63
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
13
DANN
Benign
0.84
DEOGEN2
Benign
0.17
.;T;.;.;T;.
Eigen
Benign
-1.3
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.015
N
LIST_S2
Benign
0.035
T;.;T;T;T;T
MetaRNN
Benign
0.0000023
T;T;T;T;T;T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
-3.3
.;N;.;.;N;N
MutationTaster
Benign
1.0
P;P;P;P
PrimateAI
Benign
0.29
T
PROVEAN
Benign
5.2
N;.;.;.;.;N
REVEL
Benign
0.15
Sift
Benign
1.0
T;.;.;.;.;T
Sift4G
Benign
1.0
T;T;.;.;.;T
Vest4
0.044
MutPred
0.54
Gain of disorder (P = 0.0309);.;Gain of disorder (P = 0.0309);Gain of disorder (P = 0.0309);.;.;
MPC
0.21
ClinPred
0.0020
T
GERP RS
3.8
Varity_R
0.098
gMVP
0.28

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: rs6746030; hg19: chr2-167099158; COSMIC: COSV57623295; API