7-150948482-C-G

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM2PM5PP3

The NM_000238.4(KCNH2):ā€‹c.2654G>Cā€‹(p.Arg885Pro) variant causes a missense change. The variant allele was found at a frequency of 0.00000675 in 148,210 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R885C) has been classified as Pathogenic.

Frequency

Genomes: š‘“ 0.0000067 ( 0 hom., cov: 31)

Consequence

KCNH2
NM_000238.4 missense

Scores

6
8
5

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 5.41
Variant links:
Genes affected
KCNH2 (HGNC:6251): (potassium voltage-gated channel subfamily H member 2) This gene encodes a component of a voltage-activated potassium channel found in cardiac muscle, nerve cells, and microglia. Four copies of this protein interact with one copy of the KCNE2 protein to form a functional potassium channel. Mutations in this gene can cause long QT syndrome type 2 (LQT2). Transcript variants encoding distinct isoforms have been identified. [provided by RefSeq, May 2022]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 5 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr7-150948483-G-A is described in Lovd as [Pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.81

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KCNH2NM_000238.4 linkuse as main transcriptc.2654G>C p.Arg885Pro missense_variant 11/15 ENST00000262186.10 NP_000229.1 Q12809-1Q15BH2A0A090N8Q0

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KCNH2ENST00000262186.10 linkuse as main transcriptc.2654G>C p.Arg885Pro missense_variant 11/151 NM_000238.4 ENSP00000262186.5 Q12809-1
KCNH2ENST00000330883.9 linkuse as main transcriptc.1634G>C p.Arg545Pro missense_variant 7/111 ENSP00000328531.4 Q12809-2
KCNH2ENST00000684241.1 linkuse as main transcriptn.3487G>C non_coding_transcript_exon_variant 9/13

Frequencies

GnomAD3 genomes
AF:
0.00000675
AC:
1
AN:
148210
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000102
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000401
AC:
1
AN:
249432
Hom.:
0
AF XY:
0.00000740
AC XY:
1
AN XY:
135104
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000485
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Cov.:
37
GnomAD4 genome
AF:
0.00000675
AC:
1
AN:
148210
Hom.:
0
Cov.:
31
AF XY:
0.0000138
AC XY:
1
AN XY:
72246
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000102
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.00000824
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.41
BayesDel_addAF
Pathogenic
0.48
D
BayesDel_noAF
Pathogenic
0.45
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.63
.;D
Eigen
Uncertain
0.24
Eigen_PC
Benign
0.22
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Uncertain
0.91
D;D
M_CAP
Pathogenic
0.95
D
MetaRNN
Pathogenic
0.81
D;D
MetaSVM
Pathogenic
1.0
D
MutationAssessor
Benign
1.8
.;L
PrimateAI
Uncertain
0.65
T
PROVEAN
Uncertain
-2.8
D;N
REVEL
Pathogenic
0.78
Sift
Benign
0.030
D;D
Sift4G
Benign
0.077
T;D
Polyphen
0.94
P;B
Vest4
0.74
MutPred
0.44
.;Loss of helix (P = 0.0072);
MVP
0.99
MPC
0.80
ClinPred
0.95
D
GERP RS
4.1
Varity_R
0.71
gMVP
0.89

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs202194495; hg19: chr7-150645570; API