20-49481968-C-T
Variant names: 
Variant summary
Our verdict is Benign. The variant received -17 ACMG points: 0P and 17B. BP4_StrongBP6_Very_StrongBP7BS2
The NM_004975.4(KCNB1):c.513G>A(p.Lys171Lys) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000018 in 1,614,054 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 Likely benign (★★).
Frequency
 Genomes: 𝑓 0.000026   (  0   hom.,  cov: 32) 
 Exomes 𝑓:  0.000017   (  0   hom.  ) 
Consequence
 KCNB1
NM_004975.4 synonymous
NM_004975.4 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  1.98  
Publications
0 publications found 
Genes affected
 KCNB1  (HGNC:6231):  (potassium voltage-gated channel subfamily B member 1) Voltage-gated potassium (Kv) channels represent the most complex class of voltage-gated ion channels from both functional and structural standpoints. Their diverse functions include regulating neurotransmitter release, heart rate, insulin secretion, neuronal excitability, epithelial electrolyte transport, smooth muscle contraction, and cell volume. Four sequence-related potassium channel genes - shaker, shaw, shab, and shal - have been identified in Drosophila, and each has been shown to have human homolog(s). This gene encodes a member of the potassium channel, voltage-gated, shab-related subfamily. This member is a delayed rectifier potassium channel and its activity is modulated by some other family members. [provided by RefSeq, Jul 2008] 
KCNB1 Gene-Disease associations (from GenCC):
- complex neurodevelopmental disorderInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- developmental and epileptic encephalopathy, 26Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
- undetermined early-onset epileptic encephalopathyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -17 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.56). 
BP6
Variant 20-49481968-C-T is Benign according to our data. Variant chr20-49481968-C-T is described in ClinVar as Likely_benign. ClinVar VariationId is 475265.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
BP7
Synonymous conserved (PhyloP=1.98 with no splicing effect.
BS2
High AC in GnomAdExome4 at 25 AD gene. 
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  0.0000263  AC: 4AN: 152228Hom.:  0  Cov.: 32 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
4
AN: 
152228
Hom.: 
Cov.: 
32
Gnomad AFR 
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Gnomad AMI 
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Gnomad AMR 
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Gnomad ASJ 
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Gnomad EAS 
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Gnomad SAS 
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Gnomad NFE 
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Gnomad OTH 
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GnomAD2 exomes  AF:  0.0000398  AC: 10AN: 251290 AF XY:  0.0000368   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
10
AN: 
251290
 AF XY: 
Gnomad AFR exome 
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Gnomad AMR exome 
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Gnomad ASJ exome 
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Gnomad OTH exome 
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GnomAD4 exome  AF:  0.0000171  AC: 25AN: 1461826Hom.:  0  Cov.: 31 AF XY:  0.0000206  AC XY: 15AN XY: 727206 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
25
AN: 
1461826
Hom.: 
Cov.: 
31
 AF XY: 
AC XY: 
15
AN XY: 
727206
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33478
American (AMR) 
 AF: 
AC: 
4
AN: 
44708
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26130
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39696
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
86244
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53420
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5768
European-Non Finnish (NFE) 
 AF: 
AC: 
19
AN: 
1111988
Other (OTH) 
 AF: 
AC: 
2
AN: 
60394
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.501 
Heterozygous variant carriers
 0 
 2 
 4 
 7 
 9 
 11 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
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 60-65 
 65-70 
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 >80 
Age
GnomAD4 genome  0.0000263  AC: 4AN: 152228Hom.:  0  Cov.: 32 AF XY:  0.0000269  AC XY: 2AN XY: 74366 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
4
AN: 
152228
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
2
AN XY: 
74366
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
41462
American (AMR) 
 AF: 
AC: 
0
AN: 
15284
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3472
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5196
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4832
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10626
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
316
European-Non Finnish (NFE) 
 AF: 
AC: 
4
AN: 
68036
Other (OTH) 
 AF: 
AC: 
0
AN: 
2094
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.463 
Heterozygous variant carriers
 0 
 0 
 1 
 1 
 2 
 2 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Variant carriers
 0 
 2 
 4 
 6 
 8 
 10 
 <30 
 30-35 
 35-40 
 40-45 
 45-50 
 50-55 
 55-60 
 60-65 
 65-70 
 70-75 
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 >80 
Age
Alfa 
 AF: 
Hom.: 
Bravo 
 AF: 
EpiCase 
 AF: 
EpiControl 
 AF: 
ClinVar
Significance: Likely benign 
Submissions summary: Benign:2 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
Developmental and epileptic encephalopathy, 26    Benign:1 
Jan 27, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
not provided    Benign:1 
Mar 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
KCNB1: BP4, BP7 -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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