NM_001365536.1:c.5949C>G

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_001365536.1(SCN9A):​c.5949C>G​(p.Ser1983Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000565 in 1,593,706 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S1983I) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00033 ( 2 hom., cov: 32)
Exomes 𝑓: 0.000028 ( 0 hom. )

Consequence

SCN9A
NM_001365536.1 missense

Scores

2
17

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: 1.21

Publications

1 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: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.025282294).
BP6
Variant 2-166198690-G-C is Benign according to our data. Variant chr2-166198690-G-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 246381.
BS2
High Homozygotes in GnomAd4 at 2 AD,SD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SCN9ANM_001365536.1 linkc.5949C>G p.Ser1983Arg missense_variant Exon 27 of 27 ENST00000642356.2 NP_001352465.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SCN9AENST00000642356.2 linkc.5949C>G p.Ser1983Arg missense_variant Exon 27 of 27 NM_001365536.1 ENSP00000495601.1 Q15858-1
SCN9AENST00000303354.11 linkc.5949C>G p.Ser1983Arg missense_variant Exon 27 of 27 5 ENSP00000304748.7 Q15858-1
SCN9AENST00000409672.5 linkc.5916C>G p.Ser1972Arg missense_variant Exon 27 of 27 5 ENSP00000386306.1 Q15858-3
SCN9AENST00000645907.1 linkc.5916C>G p.Ser1972Arg missense_variant Exon 27 of 27 ENSP00000495983.1 Q15858-4

Frequencies

GnomAD3 genomes
AF:
0.000257
AC:
39
AN:
151992
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000870
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000781
AC:
18
AN:
230498
AF XY:
0.0000562
show subpopulations
Gnomad AFR exome
AF:
0.00107
Gnomad AMR exome
AF:
0.0000323
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000946
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000277
AC:
40
AN:
1441596
Hom.:
0
Cov.:
31
AF XY:
0.0000238
AC XY:
17
AN XY:
715484
show subpopulations
African (AFR)
AF:
0.000745
AC:
24
AN:
32202
American (AMR)
AF:
0.0000988
AC:
4
AN:
40502
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25494
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39548
South Asian (SAS)
AF:
0.0000123
AC:
1
AN:
81562
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52946
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5658
European-Non Finnish (NFE)
AF:
0.00000634
AC:
7
AN:
1104098
Other (OTH)
AF:
0.0000671
AC:
4
AN:
59586
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.483
Heterozygous variant carriers
0
2
4
7
9
11
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.000329
AC:
50
AN:
152110
Hom.:
2
Cov.:
32
AF XY:
0.000390
AC XY:
29
AN XY:
74364
show subpopulations
African (AFR)
AF:
0.00113
AC:
47
AN:
41520
American (AMR)
AF:
0.000131
AC:
2
AN:
15274
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5166
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4818
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10552
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
67992
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
3
5
8
10
13
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:
0.0000364
Hom.:
0
Bravo
AF:
0.000314
ESP6500AA
AF:
0.00106
AC:
4
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000124
AC:
15

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:2
Jul 29, 2020
GeneDx
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

In silico analysis supports that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -

Jul 28, 2017
Eurofins Ntd Llc (ga)
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Generalized epilepsy with febrile seizures plus, type 7;C2752089:Neuropathy, hereditary sensory and autonomic, type 2A Benign:1
Jan 15, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.096
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.26
CADD
Benign
17
DANN
Benign
0.74
DEOGEN2
Benign
0.21
.;T;.;.;T;.
Eigen
Benign
-0.48
Eigen_PC
Benign
-0.35
FATHMM_MKL
Benign
0.57
D
LIST_S2
Benign
0.37
T;.;T;T;T;T
M_CAP
Benign
0.041
D
MetaRNN
Benign
0.025
T;T;T;T;T;T
MetaSVM
Uncertain
-0.17
T
MutationAssessor
Benign
0.0
.;N;.;.;N;N
PhyloP100
1.2
PrimateAI
Benign
0.29
T
PROVEAN
Benign
-0.63
N;.;.;.;.;N
REVEL
Uncertain
0.31
Sift
Benign
0.16
T;.;.;.;.;T
Sift4G
Benign
0.54
T;T;.;.;.;T
Vest4
0.043
MutPred
0.24
Loss of phosphorylation at S1972 (P = 4e-04);.;Loss of phosphorylation at S1972 (P = 4e-04);.;.;.;
MVP
0.67
MPC
0.13
ClinPred
0.022
T
GERP RS
4.6
Varity_R
0.19
gMVP
0.16
Mutation Taster
=63/37
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: rs201640210; hg19: chr2-167055200; API