NM_001365536.1:c.3002A>G

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 2P and 5B. PM1BP4_StrongBP6

The NM_001365536.1(SCN9A):​c.3002A>G​(p.Tyr1001Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000704 in 1,561,280 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. Y1001Y) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00055 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00072 ( 0 hom. )

Consequence

SCN9A
NM_001365536.1 missense

Scores

2
8
8

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:10B:7

Conservation

PhyloP100: 1.83

Publications

7 publications found
Variant links:
Genes affected
SCN9A (HGNC:10597): (sodium voltage-gated channel alpha subunit 9) This gene encodes a voltage-gated sodium channel which plays a significant role in nociception signaling. Mutations in this gene have been associated with primary erythermalgia, channelopathy-associated insensitivity to pain, and paroxysmal extreme pain disorder. [provided by RefSeq, Aug 2009]
SCN1A-AS1 (HGNC:54069): (SCN1A and SCN9A antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 2 benign, 11 uncertain in NM_001365536.1
BP4
Computational evidence support a benign effect (MetaRNN=0.01835671).
BP6
Variant 2-166272748-T-C is Benign according to our data. Variant chr2-166272748-T-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 130260.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001365536.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SCN9A
NM_001365536.1
MANE Select
c.3002A>Gp.Tyr1001Cys
missense
Exon 17 of 27NP_001352465.1Q15858-1
SCN9A
NM_002977.4
c.2969A>Gp.Tyr990Cys
missense
Exon 17 of 27NP_002968.2Q15858-3
SCN1A-AS1
NR_110260.1
n.870-4340T>C
intron
N/A

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SCN9A
ENST00000642356.2
MANE Select
c.3002A>Gp.Tyr1001Cys
missense
Exon 17 of 27ENSP00000495601.1Q15858-1
SCN9A
ENST00000303354.11
TSL:5
c.3002A>Gp.Tyr1001Cys
missense
Exon 17 of 27ENSP00000304748.7Q15858-1
SCN9A
ENST00000409672.5
TSL:5
c.2969A>Gp.Tyr990Cys
missense
Exon 17 of 27ENSP00000386306.1Q15858-3

Frequencies

GnomAD3 genomes
AF:
0.000547
AC:
83
AN:
151856
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000725
Gnomad AMI
AF:
0.0121
Gnomad AMR
AF:
0.000132
Gnomad ASJ
AF:
0.00432
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000750
Gnomad OTH
AF:
0.000480
GnomAD2 exomes
AF:
0.000634
AC:
130
AN:
205034
AF XY:
0.000590
show subpopulations
Gnomad AFR exome
AF:
0.000135
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00513
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000266
Gnomad NFE exome
AF:
0.000856
Gnomad OTH exome
AF:
0.00127
GnomAD4 exome
AF:
0.000721
AC:
1016
AN:
1409424
Hom.:
0
Cov.:
31
AF XY:
0.000731
AC XY:
509
AN XY:
696032
show subpopulations
African (AFR)
AF:
0.000159
AC:
5
AN:
31364
American (AMR)
AF:
0.0000840
AC:
3
AN:
35728
Ashkenazi Jewish (ASJ)
AF:
0.00458
AC:
105
AN:
22912
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39202
South Asian (SAS)
AF:
0.0000921
AC:
7
AN:
75998
European-Finnish (FIN)
AF:
0.000175
AC:
9
AN:
51356
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5482
European-Non Finnish (NFE)
AF:
0.000788
AC:
858
AN:
1089384
Other (OTH)
AF:
0.000500
AC:
29
AN:
57998
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
53
106
160
213
266
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
34
68
102
136
170
<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:
0.000547
AC:
83
AN:
151856
Hom.:
0
Cov.:
31
AF XY:
0.000553
AC XY:
41
AN XY:
74100
show subpopulations
African (AFR)
AF:
0.0000725
AC:
3
AN:
41394
American (AMR)
AF:
0.000132
AC:
2
AN:
15168
Ashkenazi Jewish (ASJ)
AF:
0.00432
AC:
15
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5134
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10566
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.000750
AC:
51
AN:
67992
Other (OTH)
AF:
0.000480
AC:
1
AN:
2084
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.513
Heterozygous variant carriers
0
4
8
12
16
20
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000928
Hom.:
0
Bravo
AF:
0.000620
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.000276
AC:
1
ESP6500EA
AF:
0.00111
AC:
9
ExAC
AF:
0.000580
AC:
70
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
8
1
not provided (9)
-
1
1
Primary erythromelalgia (2)
-
1
-
Channelopathy-associated congenital insensitivity to pain, autosomal recessive (1)
-
-
1
Generalized epilepsy with febrile seizures plus, type 7;C2752089:Neuropathy, hereditary sensory and autonomic, type 2A (1)
-
-
1
Inborn genetic diseases (1)
-
-
1
not specified (1)
-
-
1
Paroxysmal extreme pain disorder (1)
1
-
-
Self-limited epilepsy with centrotemporal spikes (1)
-
-
1
Small fiber neuropathy (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.096
BayesDel_addAF
Benign
-0.072
T
BayesDel_noAF
Uncertain
0.050
CADD
Uncertain
23
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.61
D
Eigen
Benign
0.024
Eigen_PC
Benign
0.057
FATHMM_MKL
Benign
0.49
N
LIST_S2
Benign
0.81
T
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.018
T
MetaSVM
Uncertain
-0.18
T
MutationAssessor
Uncertain
2.5
M
PhyloP100
1.8
PrimateAI
Benign
0.42
T
PROVEAN
Pathogenic
-5.7
D
REVEL
Uncertain
0.49
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.052
T
Vest4
0.72
MVP
0.73
MPC
0.62
ClinPred
0.13
T
GERP RS
5.4
Varity_R
0.53
gMVP
0.54
Mutation Taster
=53/47
polymorphism

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: rs199692186; hg19: chr2-167129258; COSMIC: COSV99069747; COSMIC: COSV99069747; API