9-135786314-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_020822.3(KCNT1):​c.3295C>T​(p.Pro1099Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00753 in 1,600,666 control chromosomes in the GnomAD database, including 62 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0047 ( 2 hom., cov: 33)
Exomes 𝑓: 0.0078 ( 60 hom. )

Consequence

KCNT1
NM_020822.3 missense

Scores

1
17

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:15

Conservation

PhyloP100: 4.25
Variant links:
Genes affected
KCNT1 (HGNC:18865): (potassium sodium-activated channel subfamily T member 1) Potassium channels represent the most complex class of voltage-gated ion channels from both functional and structural standpoints. Their diverse functions include regulating neurotransmitter release, heart rate, insulin secretion, neuronal excitability, epithelial electrolyte transport, smooth muscle contraction, and cell volume. This gene encodes a sodium-activated potassium channel subunit which is thought to function in ion conductance and developmental signaling pathways. Mutations in this gene cause the early-onset epileptic disorders, malignant migrating partial seizures of infancy and autosomal dominant nocturnal frontal lobe epilepsy. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 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 (MetaRNN=0.0038593113).
BP6
Variant 9-135786314-C-T is Benign according to our data. Variant chr9-135786314-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 129362.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-135786314-C-T is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00475 (723/152268) while in subpopulation NFE AF= 0.0085 (578/67988). AF 95% confidence interval is 0.00793. There are 2 homozygotes in gnomad4. There are 334 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 723 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KCNT1NM_020822.3 linkuse as main transcriptc.3295C>T p.Pro1099Ser missense_variant 29/31 ENST00000371757.7 NP_065873.2 Q5JUK3-3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KCNT1ENST00000371757.7 linkuse as main transcriptc.3295C>T p.Pro1099Ser missense_variant 29/311 NM_020822.3 ENSP00000360822.2 Q5JUK3-3

Frequencies

GnomAD3 genomes
AF:
0.00475
AC:
723
AN:
152150
Hom.:
2
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00186
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000785
Gnomad ASJ
AF:
0.00692
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00145
Gnomad FIN
AF:
0.00179
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00850
Gnomad OTH
AF:
0.00287
GnomAD3 exomes
AF:
0.00432
AC:
903
AN:
208826
Hom.:
7
AF XY:
0.00431
AC XY:
498
AN XY:
115428
show subpopulations
Gnomad AFR exome
AF:
0.00169
Gnomad AMR exome
AF:
0.000508
Gnomad ASJ exome
AF:
0.00477
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00136
Gnomad FIN exome
AF:
0.00174
Gnomad NFE exome
AF:
0.00819
Gnomad OTH exome
AF:
0.00420
GnomAD4 exome
AF:
0.00783
AC:
11335
AN:
1448398
Hom.:
60
Cov.:
36
AF XY:
0.00759
AC XY:
5463
AN XY:
719362
show subpopulations
Gnomad4 AFR exome
AF:
0.00105
Gnomad4 AMR exome
AF:
0.000538
Gnomad4 ASJ exome
AF:
0.00435
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00149
Gnomad4 FIN exome
AF:
0.00237
Gnomad4 NFE exome
AF:
0.00961
Gnomad4 OTH exome
AF:
0.00465
GnomAD4 genome
AF:
0.00475
AC:
723
AN:
152268
Hom.:
2
Cov.:
33
AF XY:
0.00449
AC XY:
334
AN XY:
74466
show subpopulations
Gnomad4 AFR
AF:
0.00185
Gnomad4 AMR
AF:
0.000784
Gnomad4 ASJ
AF:
0.00692
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00145
Gnomad4 FIN
AF:
0.00179
Gnomad4 NFE
AF:
0.00850
Gnomad4 OTH
AF:
0.00284
Alfa
AF:
0.00526
Hom.:
4
Bravo
AF:
0.00454
TwinsUK
AF:
0.0108
AC:
40
ALSPAC
AF:
0.0117
AC:
45
ESP6500AA
AF:
0.00131
AC:
5
ESP6500EA
AF:
0.00571
AC:
43
ExAC
AF:
0.00428
AC:
495
Asia WGS
AF:
0.00115
AC:
4
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:15
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingGeneDxJan 29, 2016This 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. -
Likely benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoDec 15, 2014- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Aug 07, 2014- -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
not provided Benign:4
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenNov 01, 2024KCNT1: BP4, BS1, BS2 -
Likely benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsOct 12, 2016- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsMay 02, 2019- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Developmental and epileptic encephalopathy, 14;C3554306:Autosomal dominant nocturnal frontal lobe epilepsy 5 Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsJul 30, 2021- -
Inborn genetic diseases Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsOct 12, 2016This alteration is classified as 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. -
Developmental and epileptic encephalopathy, 14 Benign:1
Likely benign, criteria provided, single submitterclinical testingGenome-Nilou LabMar 15, 2022- -
Autosomal dominant nocturnal frontal lobe epilepsy 5 Benign:1
Likely benign, criteria provided, single submitterclinical testingGenome-Nilou LabMar 15, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.067
BayesDel_addAF
Benign
-0.66
T
BayesDel_noAF
Benign
-0.71
CADD
Benign
13
DANN
Benign
0.76
DEOGEN2
Benign
0.023
.;.;.;.;.;.;.;.;T;.
Eigen
Benign
-0.77
Eigen_PC
Benign
-0.69
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.81
T;T;T;T;T;T;T;T;T;T
MetaRNN
Benign
0.0039
T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.90
.;.;.;.;.;.;.;.;L;.
PrimateAI
Benign
0.45
T
PROVEAN
Benign
0.12
.;.;N;.;.;.;.;.;.;N
REVEL
Benign
0.056
Sift
Benign
0.63
.;.;T;.;.;.;.;.;.;T
Sift4G
Benign
1.0
T;T;T;T;T;T;T;T;T;T
Vest4
0.17
MVP
0.31
MPC
0.090
ClinPred
0.0052
T
GERP RS
2.8
Varity_R
0.052
gMVP
0.35

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.090
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: rs200642629; hg19: chr9-138678160; COSMIC: COSV105822102; COSMIC: COSV105822102; API