7-143316192-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000083.3(CLCN1):​c.-21C>T variant causes a 5 prime UTR premature start codon gain change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0609 in 1,596,896 control chromosomes in the GnomAD database, including 3,545 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.046 ( 220 hom., cov: 32)
Exomes 𝑓: 0.062 ( 3325 hom. )

Consequence

CLCN1
NM_000083.3 5_prime_UTR_premature_start_codon_gain

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: -1.65
Variant links:
Genes affected
CLCN1 (HGNC:2019): (chloride voltage-gated channel 1) The CLCN family of voltage-dependent chloride channel genes comprises nine members (CLCN1-7, Ka and Kb) which demonstrate quite diverse functional characteristics while sharing significant sequence homology. The protein encoded by this gene regulates the electric excitability of the skeletal muscle membrane. Mutations in this gene cause two forms of inherited human muscle disorders: recessive generalized myotonia congenita (Becker) and dominant myotonia (Thomsen). Alternative splicing results in multiple transcript variants. [provided by RefSeq, Mar 2012]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.79).
BP6
Variant 7-143316192-C-T is Benign according to our data. Variant chr7-143316192-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 359088.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-143316192-C-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.0678 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CLCN1NM_000083.3 linkc.-21C>T 5_prime_UTR_premature_start_codon_gain_variant Exon 1 of 23 ENST00000343257.7 NP_000074.3 P35523
CLCN1NM_000083.3 linkc.-21C>T 5_prime_UTR_variant Exon 1 of 23 ENST00000343257.7 NP_000074.3 P35523
CLCN1NR_046453.2 linkn.82C>T non_coding_transcript_exon_variant Exon 1 of 22

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CLCN1ENST00000343257 linkc.-21C>T 5_prime_UTR_premature_start_codon_gain_variant Exon 1 of 23 1 NM_000083.3 ENSP00000339867.2 P35523
CLCN1ENST00000343257 linkc.-21C>T 5_prime_UTR_variant Exon 1 of 23 1 NM_000083.3 ENSP00000339867.2 P35523
CLCN1ENST00000650516 linkc.-21C>T 5_prime_UTR_premature_start_codon_gain_variant Exon 1 of 23 ENSP00000498052.2 A0A3B3IU72
CLCN1ENST00000650516 linkc.-21C>T 5_prime_UTR_variant Exon 1 of 23 ENSP00000498052.2 A0A3B3IU72

Frequencies

GnomAD3 genomes
AF:
0.0456
AC:
6757
AN:
148284
Hom.:
220
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0127
Gnomad AMI
AF:
0.0132
Gnomad AMR
AF:
0.0224
Gnomad ASJ
AF:
0.0253
Gnomad EAS
AF:
0.000394
Gnomad SAS
AF:
0.0152
Gnomad FIN
AF:
0.0976
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.0695
Gnomad OTH
AF:
0.0332
GnomAD3 exomes
AF:
0.0452
AC:
11055
AN:
244560
Hom.:
391
AF XY:
0.0457
AC XY:
6074
AN XY:
132868
show subpopulations
Gnomad AFR exome
AF:
0.0122
Gnomad AMR exome
AF:
0.0164
Gnomad ASJ exome
AF:
0.0255
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0159
Gnomad FIN exome
AF:
0.0934
Gnomad NFE exome
AF:
0.0677
Gnomad OTH exome
AF:
0.0428
GnomAD4 exome
AF:
0.0625
AC:
90486
AN:
1448536
Hom.:
3325
Cov.:
31
AF XY:
0.0610
AC XY:
43978
AN XY:
721028
show subpopulations
Gnomad4 AFR exome
AF:
0.0103
Gnomad4 AMR exome
AF:
0.0169
Gnomad4 ASJ exome
AF:
0.0257
Gnomad4 EAS exome
AF:
0.000101
Gnomad4 SAS exome
AF:
0.0164
Gnomad4 FIN exome
AF:
0.0852
Gnomad4 NFE exome
AF:
0.0722
Gnomad4 OTH exome
AF:
0.0535
GnomAD4 genome
AF:
0.0456
AC:
6758
AN:
148360
Hom.:
220
Cov.:
32
AF XY:
0.0453
AC XY:
3279
AN XY:
72328
show subpopulations
Gnomad4 AFR
AF:
0.0127
Gnomad4 AMR
AF:
0.0224
Gnomad4 ASJ
AF:
0.0253
Gnomad4 EAS
AF:
0.000395
Gnomad4 SAS
AF:
0.0155
Gnomad4 FIN
AF:
0.0976
Gnomad4 NFE
AF:
0.0695
Gnomad4 OTH
AF:
0.0328
Alfa
AF:
0.0517
Hom.:
58
Bravo
AF:
0.0376
Asia WGS
AF:
0.00722
AC:
25
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
Jan 13, 2016
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Batten-Turner congenital myopathy Benign:1
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Congenital myotonia, autosomal recessive form;C2936781:Congenital myotonia, autosomal dominant form Benign:1
-
Department Of Human Genetics, Institute Of Clinical And Translational Research, Biomedical Research Center, Slovak Academy Of Sciences
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: research

The c.-21C>T variant was found in 3 patients with myotonia congenita, one of them homozygous. In one of the heterozygous patients, another Likely Pathogenic variant c.2680C>T was present. The main reason for classification in ClinVar is higher than the supposed population frequency (1 - 5 %). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.79
CADD
Benign
0.60
DANN
Benign
0.77

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs34904831; hg19: chr7-143013285; COSMIC: COSV105205028; COSMIC: COSV105205028; API