5-45695870-TCGCCGCCGCCGCCGCCGC-TCGCCGCCGC

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 2P and 12B. PM4BP6_Very_StrongBS2

The NM_021072.4(HCN1):​c.215_223delGCGGCGGCG​(p.Gly72_Gly74del) variant causes a disruptive inframe deletion change. The variant allele was found at a frequency of 0.00245 in 1,563,448 control chromosomes in the GnomAD database, including 17 homozygotes. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0020 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0025 ( 15 hom. )

Consequence

HCN1
NM_021072.4 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:13

Conservation

PhyloP100: 6.52
Variant links:
Genes affected
HCN1 (HGNC:4845): (hyperpolarization activated cyclic nucleotide gated potassium channel 1) The membrane protein encoded by this gene is a hyperpolarization-activated cation channel that contributes to the native pacemaker currents in heart and neurons. The encoded protein can homodimerize or heterodimerize with other pore-forming subunits to form a potassium channel. This channel may act as a receptor for sour tastes. [provided by RefSeq, Oct 2011]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

PM4
Nonframeshift variant in NON repetitive region in NM_021072.4.
BP6
Variant 5-45695870-TCGCCGCCGC-T is Benign according to our data. Variant chr5-45695870-TCGCCGCCGC-T is described in ClinVar as [Likely_benign]. Clinvar id is 193441.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-45695870-TCGCCGCCGC-T is described in Lovd as [Likely_benign].
BS2
High AC in GnomAd4 at 293 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
HCN1NM_021072.4 linkc.215_223delGCGGCGGCG p.Gly72_Gly74del disruptive_inframe_deletion Exon 1 of 8 ENST00000303230.6 NP_066550.2 O60741Q86WJ6

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
HCN1ENST00000303230.6 linkc.215_223delGCGGCGGCG p.Gly72_Gly74del disruptive_inframe_deletion Exon 1 of 8 1 NM_021072.4 ENSP00000307342.4 O60741
HCN1ENST00000673735.1 linkc.215_223delGCGGCGGCG p.Gly72_Gly74del disruptive_inframe_deletion Exon 1 of 9 ENSP00000501107.1 A0A669KB45
HCN1ENST00000634658.1 linkc.215_223delGCGGCGGCG p.Gly72_Gly74del disruptive_inframe_deletion Exon 1 of 2 3 ENSP00000489134.1 A0A0U1RQR7

Frequencies

GnomAD3 genomes
AF:
0.00198
AC:
293
AN:
147992
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00149
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00253
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000616
Gnomad SAS
AF:
0.000217
Gnomad FIN
AF:
0.000198
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00276
Gnomad OTH
AF:
0.00246
GnomAD3 exomes
AF:
0.00193
AC:
317
AN:
164440
Hom.:
6
AF XY:
0.00189
AC XY:
176
AN XY:
93110
show subpopulations
Gnomad AFR exome
AF:
0.00147
Gnomad AMR exome
AF:
0.00308
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000167
Gnomad SAS exome
AF:
0.000398
Gnomad FIN exome
AF:
0.0000857
Gnomad NFE exome
AF:
0.00284
Gnomad OTH exome
AF:
0.00173
GnomAD4 exome
AF:
0.00250
AC:
3542
AN:
1415338
Hom.:
15
AF XY:
0.00238
AC XY:
1672
AN XY:
702538
show subpopulations
Gnomad4 AFR exome
AF:
0.00146
Gnomad4 AMR exome
AF:
0.00227
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000238
Gnomad4 SAS exome
AF:
0.000379
Gnomad4 FIN exome
AF:
0.000146
Gnomad4 NFE exome
AF:
0.00295
Gnomad4 OTH exome
AF:
0.00209
GnomAD4 genome
AF:
0.00198
AC:
293
AN:
148110
Hom.:
2
Cov.:
32
AF XY:
0.00196
AC XY:
142
AN XY:
72348
show subpopulations
Gnomad4 AFR
AF:
0.00149
Gnomad4 AMR
AF:
0.00253
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000618
Gnomad4 SAS
AF:
0.000217
Gnomad4 FIN
AF:
0.000198
Gnomad4 NFE
AF:
0.00276
Gnomad4 OTH
AF:
0.00243

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:13
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:7
-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

May 21, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Feb 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

HCN1: BS2 -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

May 10, 2021
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 17931874) -

Aug 02, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not specified Benign:2
Jun 26, 2014
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Nov 27, 2024
Athena Diagnostics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Inborn genetic diseases Benign:1
Jul 25, 2018
Ambry Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Early infantile epileptic encephalopathy with suppression bursts Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

HCN1-related disorder Benign:1
Mar 18, 2019
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Developmental and epileptic encephalopathy, 24 Benign:1
May 28, 2019
Mendelics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs747975797; hg19: chr5-45695972; API