NM_004366.6:c.597dupG

Variant summary

Our verdict is Pathogenic. The variant received 11 ACMG points: 11P and 0B. PVS1PM2PP5

The NM_004366.6(CLCN2):​c.597dupG​(p.Met200AspfsTer32) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000205 in 1,461,696 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

CLCN2
NM_004366.6 frameshift

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity no assertion criteria provided P:1U:1

Conservation

PhyloP100: -0.452

Publications

6 publications found
Variant links:
Genes affected
CLCN2 (HGNC:2020): (chloride voltage-gated channel 2) This gene encodes a voltage-gated chloride channel. The encoded protein is a transmembrane protein that maintains chloride ion homeostasis in various cells. Defects in this gene may be a cause of certain epilepsies. Four transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2012]
CLCN2 Gene-Disease associations (from GenCC):
  • leukoencephalopathy with mild cerebellar ataxia and white matter edema
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: G2P, Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics
  • epilepsy, idiopathic generalized, susceptibility to, 11
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
  • familial hyperaldosteronism type II
    Inheritance: AD Classification: MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet
  • epilepsy
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 11 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 3-184357979-T-TC is Pathogenic according to our data. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-184357979-T-TC is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 9035.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CLCN2NM_004366.6 linkc.597dupG p.Met200AspfsTer32 frameshift_variant Exon 5 of 24 ENST00000265593.9 NP_004357.3 P51788-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CLCN2ENST00000265593.9 linkc.597dupG p.Met200AspfsTer32 frameshift_variant Exon 5 of 24 1 NM_004366.6 ENSP00000265593.4 P51788-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD2 exomes
AF:
0.00000796
AC:
2
AN:
251350
AF XY:
0.0000147
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000176
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000205
AC:
3
AN:
1461696
Hom.:
0
Cov.:
35
AF XY:
0.00000413
AC XY:
3
AN XY:
727148
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33480
American (AMR)
AF:
0.00
AC:
0
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86258
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53236
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.00000180
AC:
2
AN:
1112004
Other (OTH)
AF:
0.0000166
AC:
1
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
1
1
2
2
3
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
Cov.:
33

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:1Uncertain:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Leukoencephalopathy with mild cerebellar ataxia and white matter edema Pathogenic:1
Sep 09, 2015
GeneReviews
Significance:Likely pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

EPILEPSY, JUVENILE MYOCLONIC, SUSCEPTIBILITY TO, 8 Uncertain:1
Sep 01, 2009
OMIM
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
-0.45
Mutation Taster
=6/194
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.15
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: rs515726131; hg19: chr3-184075767; API