NM_000085.5:c.80G>T

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000085.5(CLCNKB):​c.80G>T​(p.Arg27Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.624 in 1,600,392 control chromosomes in the GnomAD database, including 316,956 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R27C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.55 ( 24645 hom., cov: 32)
Exomes 𝑓: 0.63 ( 292311 hom. )

Consequence

CLCNKB
NM_000085.5 missense

Scores

6
11

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: 0.00800

Publications

31 publications found
Variant links:
Genes affected
CLCNKB (HGNC:2027): (chloride voltage-gated channel Kb) The protein encoded by this gene is a member of the family of voltage-gated chloride channels. Chloride channels have several functions, including the regulation of cell volume, membrane potential stabilization, signal transduction and transepithelial transport. This gene is expressed predominantly in the kidney and may be important for renal salt reabsorption. Mutations in this gene are associated with autosomal recessive Bartter syndrome type 3 (BS3). Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Sep 2009]
CLCNKB Gene-Disease associations (from GenCC):
  • Bartter disease type 3
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)
  • Bartter disease type 4B
    Inheritance: AR Classification: STRONG Submitted by: G2P
  • Bartter syndrome type 4
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Gitelman syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=2.8500958E-6).
BP6
Variant 1-16044572-G-T is Benign according to our data. Variant chr1-16044572-G-T is described in ClinVar as Benign. ClinVar VariationId is 447107.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.663 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CLCNKBNM_000085.5 linkc.80G>T p.Arg27Leu missense_variant Exon 2 of 20 ENST00000375679.9 NP_000076.2 P51801-1A8K8H0

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CLCNKBENST00000375679.9 linkc.80G>T p.Arg27Leu missense_variant Exon 2 of 20 1 NM_000085.5 ENSP00000364831.5 P51801-1

Frequencies

GnomAD3 genomes
AF:
0.548
AC:
83175
AN:
151712
Hom.:
24634
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.301
Gnomad AMI
AF:
0.758
Gnomad AMR
AF:
0.667
Gnomad ASJ
AF:
0.672
Gnomad EAS
AF:
0.664
Gnomad SAS
AF:
0.682
Gnomad FIN
AF:
0.558
Gnomad MID
AF:
0.665
Gnomad NFE
AF:
0.641
Gnomad OTH
AF:
0.591
GnomAD2 exomes
AF:
0.627
AC:
142132
AN:
226810
AF XY:
0.632
show subpopulations
Gnomad AFR exome
AF:
0.288
Gnomad AMR exome
AF:
0.729
Gnomad ASJ exome
AF:
0.683
Gnomad EAS exome
AF:
0.633
Gnomad FIN exome
AF:
0.555
Gnomad NFE exome
AF:
0.633
Gnomad OTH exome
AF:
0.633
GnomAD4 exome
AF:
0.632
AC:
915382
AN:
1448564
Hom.:
292311
Cov.:
48
AF XY:
0.635
AC XY:
456403
AN XY:
719082
show subpopulations
African (AFR)
AF:
0.282
AC:
9431
AN:
33404
American (AMR)
AF:
0.718
AC:
30413
AN:
42376
Ashkenazi Jewish (ASJ)
AF:
0.679
AC:
17485
AN:
25752
East Asian (EAS)
AF:
0.690
AC:
27069
AN:
39240
South Asian (SAS)
AF:
0.685
AC:
57060
AN:
83312
European-Finnish (FIN)
AF:
0.558
AC:
29353
AN:
52566
Middle Eastern (MID)
AF:
0.685
AC:
3937
AN:
5748
European-Non Finnish (NFE)
AF:
0.636
AC:
703283
AN:
1106244
Other (OTH)
AF:
0.623
AC:
37351
AN:
59922
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
16443
32885
49328
65770
82213
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
18622
37244
55866
74488
93110
<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:
0.548
AC:
83204
AN:
151828
Hom.:
24645
Cov.:
32
AF XY:
0.549
AC XY:
40765
AN XY:
74194
show subpopulations
African (AFR)
AF:
0.300
AC:
12425
AN:
41364
American (AMR)
AF:
0.667
AC:
10186
AN:
15272
Ashkenazi Jewish (ASJ)
AF:
0.672
AC:
2329
AN:
3466
East Asian (EAS)
AF:
0.664
AC:
3423
AN:
5154
South Asian (SAS)
AF:
0.683
AC:
3278
AN:
4802
European-Finnish (FIN)
AF:
0.558
AC:
5899
AN:
10564
Middle Eastern (MID)
AF:
0.660
AC:
194
AN:
294
European-Non Finnish (NFE)
AF:
0.641
AC:
43531
AN:
67896
Other (OTH)
AF:
0.593
AC:
1251
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
1731
3463
5194
6926
8657
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
718
1436
2154
2872
3590
<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:
0.611
Hom.:
28124
Bravo
AF:
0.545
TwinsUK
AF:
0.628
AC:
2328
ALSPAC
AF:
0.615
AC:
2372
ESP6500AA
AF:
0.300
AC:
1322
ESP6500EA
AF:
0.642
AC:
5523
ExAC
AF:
0.601
AC:
72401
Asia WGS
AF:
0.613
AC:
2132
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

Aug 02, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 10, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:3
-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Mar 21, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

p.Arg27Leu in exon 2 of CLCNKB: This variant is not expected to have clinical si gnificance because it has been identified in 75.85% (6139/8094) of Latino chromo somes by the Exome Aggregation Consortium (ExAC, http://exac.broadinstitute.org; dbSNP rs2015352). -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Bartter disease type 3 Benign:1
Jul 22, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Bartter disease type 4B Benign:1
Jul 22, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.47
T
BayesDel_noAF
Benign
-0.31
CADD
Benign
19
DANN
Uncertain
1.0
DEOGEN2
Benign
0.31
.;T
Eigen
Benign
-0.29
Eigen_PC
Benign
-0.30
FATHMM_MKL
Benign
0.14
N
LIST_S2
Benign
0.079
T;T
MetaRNN
Benign
0.0000029
T;T
MetaSVM
Benign
-0.90
T
MutationAssessor
Uncertain
2.7
.;M
PhyloP100
0.0080
PROVEAN
Uncertain
-3.0
.;D
REVEL
Uncertain
0.29
Sift
Uncertain
0.025
.;D
Sift4G
Uncertain
0.011
D;D
Polyphen
0.47
.;P
Vest4
0.093
MPC
0.046
ClinPred
0.028
T
GERP RS
3.2
Varity_R
0.14
gMVP
0.58
Mutation Taster
=92/8
polymorphism (auto)

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

Other links and lift over

dbSNP: rs2015352; hg19: chr1-16371067; COSMIC: COSV65159885; COSMIC: COSV65159885; API