5-45695870-TCGCCGCCGCCGCCGCCGCCGC-TCGCCGCCGCCGCCGCCGCCGCCGCCGC

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 2P and 4B. PM4BS2

The NM_021072.4(HCN1):​c.218_223dupGCGGCG​(p.Gly73_Gly74dup) variant causes a conservative inframe insertion change. The variant allele was found at a frequency of 0.000108 in 1,563,460 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00012 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00011 ( 0 hom. )

Consequence

HCN1
NM_021072.4 conservative_inframe_insertion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 6.52

Publications

1 publications found
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]
HCN1 Gene-Disease associations (from GenCC):
  • developmental and epileptic encephalopathy, 24
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • generalized epilepsy with febrile seizures plus
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
  • generalized epilepsy with febrile seizures plus, type 10
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • undetermined early-onset epileptic encephalopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

PM4
Nonframeshift variant in NON repetitive region in NM_021072.4.
BS2
High AC in GnomAd4 at 18 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_021072.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HCN1
NM_021072.4
MANE Select
c.218_223dupGCGGCGp.Gly73_Gly74dup
conservative_inframe_insertion
Exon 1 of 8NP_066550.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HCN1
ENST00000303230.6
TSL:1 MANE Select
c.218_223dupGCGGCGp.Gly73_Gly74dup
conservative_inframe_insertion
Exon 1 of 8ENSP00000307342.4
HCN1
ENST00000947598.1
c.218_223dupGCGGCGp.Gly73_Gly74dup
conservative_inframe_insertion
Exon 1 of 8ENSP00000617657.1
HCN1
ENST00000673735.1
c.218_223dupGCGGCGp.Gly73_Gly74dup
conservative_inframe_insertion
Exon 1 of 9ENSP00000501107.1

Frequencies

GnomAD3 genomes
AF:
0.000122
AC:
18
AN:
147994
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000249
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000333
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000205
Gnomad SAS
AF:
0.000650
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000105
Gnomad OTH
AF:
0.000492
GnomAD4 exome
AF:
0.000107
AC:
151
AN:
1415348
Hom.:
0
Cov.:
33
AF XY:
0.000108
AC XY:
76
AN XY:
702536
show subpopulations
African (AFR)
AF:
0.0000636
AC:
2
AN:
31432
American (AMR)
AF:
0.0000765
AC:
3
AN:
39238
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24940
East Asian (EAS)
AF:
0.000185
AC:
7
AN:
37864
South Asian (SAS)
AF:
0.000195
AC:
16
AN:
81868
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
41108
Middle Eastern (MID)
AF:
0.000189
AC:
1
AN:
5298
European-Non Finnish (NFE)
AF:
0.0000986
AC:
108
AN:
1095100
Other (OTH)
AF:
0.000239
AC:
14
AN:
58500
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.446
Heterozygous variant carriers
0
8
16
24
32
40
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000122
AC:
18
AN:
148112
Hom.:
0
Cov.:
32
AF XY:
0.000124
AC XY:
9
AN XY:
72348
show subpopulations
African (AFR)
AF:
0.0000248
AC:
1
AN:
40302
American (AMR)
AF:
0.000333
AC:
5
AN:
15028
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3420
East Asian (EAS)
AF:
0.000206
AC:
1
AN:
4858
South Asian (SAS)
AF:
0.000650
AC:
3
AN:
4618
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10108
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
264
European-Non Finnish (NFE)
AF:
0.000105
AC:
7
AN:
66570
Other (OTH)
AF:
0.000486
AC:
1
AN:
2058
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
1
2
4
5
6
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
75-80
>80
Age
Alfa
AF:
0.00
Hom.:
0

ClinVar

ClinVar submissions as Germline
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
not provided (2)
-
1
-
Developmental and epileptic encephalopathy (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
6.5
Mutation Taster
=75/25
polymorphism

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs747975797; hg19: chr5-45695972; API