NM_000217.3:c.684T>C

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_000217.3(KCNA1):​c.684T>C​(p.Cys228Cys) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.487 in 1,613,674 control chromosomes in the GnomAD database, including 193,453 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.47 ( 17109 hom., cov: 31)
Exomes 𝑓: 0.49 ( 176344 hom. )

Consequence

KCNA1
NM_000217.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: 1.74

Publications

22 publications found
Variant links:
Genes affected
KCNA1 (HGNC:6218): (potassium voltage-gated channel subfamily A member 1) This gene encodes a voltage-gated delayed potassium channel that is phylogenetically related to the Drosophila Shaker channel. The encoded protein has six putative transmembrane segments (S1-S6), and the loop between S5 and S6 forms the pore and contains the conserved selectivity filter motif (GYGD). The functional channel is a homotetramer. The N-terminus of the channel is associated with beta subunits that can modify the inactivation properties of the channel as well as affect expression levels. The C-terminus of the channel is complexed to a PDZ domain protein that is responsible for channel targeting. Mutations in this gene have been associated with myokymia with periodic ataxia (AEMK). [provided by RefSeq, Jul 2008]
KCNA1 Gene-Disease associations (from GenCC):
  • episodic ataxia type 1
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, ClinGen, Genomics England PanelApp, Orphanet
  • episodic kinesigenic dyskinesia 1
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • genetic developmental and epileptic encephalopathy
    Inheritance: AD, AR Classification: SUPPORTIVE, LIMITED Submitted by: Orphanet, G2P
  • isolated autosomal dominant hypomagnesemia, Glaudemans type
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.58).
BP6
Variant 12-4912062-T-C is Benign according to our data. Variant chr12-4912062-T-C is described in ClinVar as Benign. ClinVar VariationId is 21128.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=1.74 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.582 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000217.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNA1
NM_000217.3
MANE Select
c.684T>Cp.Cys228Cys
synonymous
Exon 2 of 2NP_000208.2Q09470

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNA1
ENST00000382545.5
TSL:4 MANE Select
c.684T>Cp.Cys228Cys
synonymous
Exon 2 of 2ENSP00000371985.3Q09470
KCNA1
ENST00000639306.1
TSL:5
n.522T>C
non_coding_transcript_exon
Exon 1 of 2ENSP00000492506.1A0A1W2PRI2
ENSG00000256654
ENST00000541095.1
TSL:3
n.105+1590T>C
intron
N/A

Frequencies

GnomAD3 genomes
AF:
0.471
AC:
71454
AN:
151758
Hom.:
17102
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.402
Gnomad AMI
AF:
0.463
Gnomad AMR
AF:
0.510
Gnomad ASJ
AF:
0.529
Gnomad EAS
AF:
0.600
Gnomad SAS
AF:
0.430
Gnomad FIN
AF:
0.484
Gnomad MID
AF:
0.627
Gnomad NFE
AF:
0.491
Gnomad OTH
AF:
0.487
GnomAD2 exomes
AF:
0.492
AC:
123762
AN:
251376
AF XY:
0.490
show subpopulations
Gnomad AFR exome
AF:
0.398
Gnomad AMR exome
AF:
0.530
Gnomad ASJ exome
AF:
0.536
Gnomad EAS exome
AF:
0.606
Gnomad FIN exome
AF:
0.485
Gnomad NFE exome
AF:
0.492
Gnomad OTH exome
AF:
0.498
GnomAD4 exome
AF:
0.489
AC:
714696
AN:
1461798
Hom.:
176344
Cov.:
62
AF XY:
0.487
AC XY:
354324
AN XY:
727210
show subpopulations
African (AFR)
AF:
0.404
AC:
13514
AN:
33480
American (AMR)
AF:
0.526
AC:
23541
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.539
AC:
14080
AN:
26136
East Asian (EAS)
AF:
0.603
AC:
23945
AN:
39700
South Asian (SAS)
AF:
0.426
AC:
36762
AN:
86256
European-Finnish (FIN)
AF:
0.485
AC:
25884
AN:
53416
Middle Eastern (MID)
AF:
0.548
AC:
3161
AN:
5768
European-Non Finnish (NFE)
AF:
0.489
AC:
543932
AN:
1111926
Other (OTH)
AF:
0.495
AC:
29877
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
24445
48891
73336
97782
122227
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
15994
31988
47982
63976
79970
<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:
0.471
AC:
71480
AN:
151876
Hom.:
17109
Cov.:
31
AF XY:
0.473
AC XY:
35059
AN XY:
74180
show subpopulations
African (AFR)
AF:
0.402
AC:
16653
AN:
41412
American (AMR)
AF:
0.509
AC:
7787
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.529
AC:
1835
AN:
3466
East Asian (EAS)
AF:
0.600
AC:
3078
AN:
5132
South Asian (SAS)
AF:
0.429
AC:
2060
AN:
4802
European-Finnish (FIN)
AF:
0.484
AC:
5091
AN:
10518
Middle Eastern (MID)
AF:
0.634
AC:
185
AN:
292
European-Non Finnish (NFE)
AF:
0.491
AC:
33337
AN:
67948
Other (OTH)
AF:
0.490
AC:
1032
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
1930
3860
5789
7719
9649
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
650
1300
1950
2600
3250
<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:
0.487
Hom.:
59723
Bravo
AF:
0.475
Asia WGS
AF:
0.517
AC:
1795
AN:
3478
EpiCase
AF:
0.502
EpiControl
AF:
0.506

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
5
not specified (5)
-
-
3
Episodic ataxia type 1 (3)
-
-
3
not provided (3)
-
-
1
Myokymia (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.58
CADD
Benign
7.1
DANN
Benign
0.57
PhyloP100
1.7
PromoterAI
-0.0030
Neutral
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: rs1048500; hg19: chr12-5021228; COSMIC: COSV66836658; COSMIC: COSV66836658; API