21-34449362-G-T

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_000219.6(KCNE1):​c.273C>A​(p.Asp91Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as (no stars). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Uncertain significance in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D91V) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 17)

Consequence

KCNE1
NM_000219.6 missense

Scores

6
12

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.83

Publications

4 publications found
Variant links:
Genes affected
KCNE1 (HGNC:6240): (potassium voltage-gated channel subfamily E regulatory subunit 1) The product of this gene belongs to the potassium channel KCNE family. Potassium ion channels are essential to many cellular functions and show a high degree of diversity, varying in their electrophysiologic and pharmacologic properties. This gene encodes a transmembrane protein known to associate with the product of the KVLQT1 gene to form the delayed rectifier potassium channel. Mutation in this gene are associated with both Jervell and Lange-Nielsen and Romano-Ward forms of long-QT syndrome. Alternatively spliced transcript variants encoding the same protein have been identified. [provided by RefSeq, Jul 2008]
KCNE1 Gene-Disease associations (from GenCC):
  • long QT syndrome 5
    Inheritance: AD Classification: DEFINITIVE, STRONG, LIMITED Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae), ClinGen
  • Jervell and Lange-Nielsen syndrome 2
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: G2P, ClinGen, Labcorp Genetics (formerly Invitae)
  • Jervell and Lange-Nielsen syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • atrial fibrillation
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.18329576).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000219.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNE1
NM_000219.6
MANE Select
c.273C>Ap.Asp91Glu
missense
Exon 4 of 4NP_000210.2P15382
KCNE1
NM_001127668.4
c.273C>Ap.Asp91Glu
missense
Exon 3 of 3NP_001121140.1P15382
KCNE1
NM_001127669.4
c.273C>Ap.Asp91Glu
missense
Exon 3 of 3NP_001121141.1C7S316

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNE1
ENST00000399286.3
TSL:1 MANE Select
c.273C>Ap.Asp91Glu
missense
Exon 4 of 4ENSP00000382226.2P15382
KCNE1
ENST00000399289.7
TSL:1
c.273C>Ap.Asp91Glu
missense
Exon 3 of 3ENSP00000382228.3P15382
KCNE1
ENST00000416357.6
TSL:1
c.273C>Ap.Asp91Glu
missense
Exon 2 of 2ENSP00000416258.2P15382

Frequencies

GnomAD3 genomes
Cov.:
17
GnomAD2 exomes
AF:
0.00000398
AC:
1
AN:
251456
AF XY:
0.00000736
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Cov.:
29
GnomAD4 genome
Cov.:
17
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00000824
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.31
BayesDel_addAF
Benign
-0.14
T
BayesDel_noAF
Uncertain
-0.070
CADD
Benign
21
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.69
D
Eigen
Benign
-0.22
Eigen_PC
Benign
-0.11
FATHMM_MKL
Uncertain
0.81
D
LIST_S2
Benign
0.62
T
M_CAP
Benign
0.034
D
MetaRNN
Benign
0.18
T
MetaSVM
Benign
-0.35
T
MutationAssessor
Uncertain
2.3
M
PhyloP100
1.8
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-0.68
N
REVEL
Uncertain
0.46
Sift
Benign
0.18
T
Sift4G
Benign
0.39
T
Polyphen
0.015
B
Vest4
0.092
MutPred
0.26
Gain of methylation at K90 (P = 0.0871)
MVP
0.90
MPC
0.28
ClinPred
0.54
D
GERP RS
4.9
Varity_R
0.097
gMVP
0.49
Mutation Taster
=85/15
polymorphism

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

Other links and lift over

dbSNP: rs146614850; hg19: chr21-35821660; API