21-37840718-G-A

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 0P and 18B. BP4_ModerateBP6_Very_StrongBA1

The ENST00000609713.2(KCNJ6):​c.-27-9C>T variant causes a splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.57 in 1,507,856 control chromosomes in the GnomAD database, including 247,499 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). There are indicators that this mutation may affect the branch point..

Frequency

Genomes: 𝑓 0.59 ( 26473 hom., cov: 33)
Exomes 𝑓: 0.57 ( 221026 hom. )

Consequence

KCNJ6
ENST00000609713.2 splice_polypyrimidine_tract, intron

Scores

2
Splicing: ADA: 0.0002224
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 0.906
Variant links:
Genes affected
KCNJ6 (HGNC:6267): (potassium inwardly rectifying channel subfamily J member 6) This gene encodes a member of the G protein-coupled inwardly-rectifying potassium channel family of inward rectifier potassium channels. This type of potassium channel allows a greater flow of potassium into the cell than out of it. These proteins modulate many physiological processes, including heart rate in cardiac cells and circuit activity in neuronal cells, through G-protein coupled receptor stimulation. Mutations in this gene are associated with Keppen-Lubinsky Syndrome, a rare condition characterized by severe developmental delay, facial dysmorphism, and intellectual disability. [provided by RefSeq, Apr 2015]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

BP4
This place is a probable branch point but likely benign (scored 2 / 10). Computational evidence support a benign effect (BayesDel_noAF=-0.41).
BP6
Variant 21-37840718-G-A is Benign according to our data. Variant chr21-37840718-G-A is described in ClinVar as [Benign]. Clinvar id is 1226048.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.76 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KCNJ6NM_002240.5 linkuse as main transcriptc.-27-9C>T splice_polypyrimidine_tract_variant, intron_variant ENST00000609713.2 NP_002231.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KCNJ6ENST00000609713.2 linkuse as main transcriptc.-27-9C>T splice_polypyrimidine_tract_variant, intron_variant 1 NM_002240.5 ENSP00000477437 P1
KCNJ6ENST00000645093.1 linkuse as main transcriptc.-27-9C>T splice_polypyrimidine_tract_variant, intron_variant ENSP00000493772 P1
ENST00000692486.2 linkuse as main transcript downstream_gene_variant

Frequencies

GnomAD3 genomes
AF:
0.588
AC:
89359
AN:
151958
Hom.:
26464
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.610
Gnomad AMI
AF:
0.705
Gnomad AMR
AF:
0.610
Gnomad ASJ
AF:
0.681
Gnomad EAS
AF:
0.781
Gnomad SAS
AF:
0.624
Gnomad FIN
AF:
0.528
Gnomad MID
AF:
0.604
Gnomad NFE
AF:
0.555
Gnomad OTH
AF:
0.608
GnomAD3 exomes
AF:
0.591
AC:
142673
AN:
241300
Hom.:
42910
AF XY:
0.590
AC XY:
77388
AN XY:
131122
show subpopulations
Gnomad AFR exome
AF:
0.615
Gnomad AMR exome
AF:
0.594
Gnomad ASJ exome
AF:
0.671
Gnomad EAS exome
AF:
0.786
Gnomad SAS exome
AF:
0.606
Gnomad FIN exome
AF:
0.524
Gnomad NFE exome
AF:
0.559
Gnomad OTH exome
AF:
0.592
GnomAD4 exome
AF:
0.567
AC:
769313
AN:
1355780
Hom.:
221026
Cov.:
20
AF XY:
0.569
AC XY:
386834
AN XY:
680092
show subpopulations
Gnomad4 AFR exome
AF:
0.607
Gnomad4 AMR exome
AF:
0.591
Gnomad4 ASJ exome
AF:
0.667
Gnomad4 EAS exome
AF:
0.795
Gnomad4 SAS exome
AF:
0.607
Gnomad4 FIN exome
AF:
0.526
Gnomad4 NFE exome
AF:
0.551
Gnomad4 OTH exome
AF:
0.596
GnomAD4 genome
AF:
0.588
AC:
89411
AN:
152076
Hom.:
26473
Cov.:
33
AF XY:
0.588
AC XY:
43697
AN XY:
74328
show subpopulations
Gnomad4 AFR
AF:
0.610
Gnomad4 AMR
AF:
0.610
Gnomad4 ASJ
AF:
0.681
Gnomad4 EAS
AF:
0.780
Gnomad4 SAS
AF:
0.624
Gnomad4 FIN
AF:
0.528
Gnomad4 NFE
AF:
0.555
Gnomad4 OTH
AF:
0.608
Alfa
AF:
0.578
Hom.:
5635
Bravo
AF:
0.597
Asia WGS
AF:
0.674
AC:
2345
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxNov 12, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.41
CADD
Benign
17
DANN
Benign
0.60
BranchPoint Hunter
2.0

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00022
dbscSNV1_RF
Benign
0.0040
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: rs2836016; hg19: chr21-39213020; COSMIC: COSV55709759; API