NM_172107.4:c.2235G>A

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_172107.4(KCNQ2):​c.2235G>A​(p.Pro745Pro) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00371 in 1,517,678 control chromosomes in the GnomAD database, including 189 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0061 ( 23 hom., cov: 33)
Exomes 𝑓: 0.0034 ( 166 hom. )

Consequence

KCNQ2
NM_172107.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: -4.19
Variant links:
Genes affected
KCNQ2 (HGNC:6296): (potassium voltage-gated channel subfamily Q member 2) The M channel is a slowly activating and deactivating potassium channel that plays a critical role in the regulation of neuronal excitability. The M channel is formed by the association of the protein encoded by this gene and a related protein encoded by the KCNQ3 gene, both integral membrane proteins. M channel currents are inhibited by M1 muscarinic acetylcholine receptors and activated by retigabine, a novel anti-convulsant drug. Defects in this gene are a cause of benign familial neonatal convulsions type 1 (BFNC), also known as epilepsy, benign neonatal type 1 (EBN1). At least five transcript variants encoding five different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.73).
BP6
Variant 20-63407028-C-T is Benign according to our data. Variant chr20-63407028-C-T is described in ClinVar as [Benign]. Clinvar id is 129341.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-4.19 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0913 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KCNQ2NM_172107.4 linkc.2235G>A p.Pro745Pro synonymous_variant Exon 17 of 17 ENST00000359125.7 NP_742105.1 O43526-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KCNQ2ENST00000359125.7 linkc.2235G>A p.Pro745Pro synonymous_variant Exon 17 of 17 1 NM_172107.4 ENSP00000352035.2 O43526-1

Frequencies

GnomAD3 genomes
AF:
0.00612
AC:
932
AN:
152190
Hom.:
24
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00104
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00157
Gnomad ASJ
AF:
0.00259
Gnomad EAS
AF:
0.0983
Gnomad SAS
AF:
0.00372
Gnomad FIN
AF:
0.0237
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00100
Gnomad OTH
AF:
0.00430
GnomAD3 exomes
AF:
0.0111
AC:
1416
AN:
127094
Hom.:
75
AF XY:
0.0104
AC XY:
722
AN XY:
69694
show subpopulations
Gnomad AFR exome
AF:
0.00112
Gnomad AMR exome
AF:
0.00396
Gnomad ASJ exome
AF:
0.00263
Gnomad EAS exome
AF:
0.0970
Gnomad SAS exome
AF:
0.00241
Gnomad FIN exome
AF:
0.0200
Gnomad NFE exome
AF:
0.000791
Gnomad OTH exome
AF:
0.00849
GnomAD4 exome
AF:
0.00344
AC:
4693
AN:
1365370
Hom.:
166
Cov.:
36
AF XY:
0.00333
AC XY:
2235
AN XY:
671154
show subpopulations
Gnomad4 AFR exome
AF:
0.000576
Gnomad4 AMR exome
AF:
0.00357
Gnomad4 ASJ exome
AF:
0.00249
Gnomad4 EAS exome
AF:
0.0778
Gnomad4 SAS exome
AF:
0.00225
Gnomad4 FIN exome
AF:
0.0171
Gnomad4 NFE exome
AF:
0.000500
Gnomad4 OTH exome
AF:
0.00683
GnomAD4 genome
AF:
0.00611
AC:
931
AN:
152308
Hom.:
23
Cov.:
33
AF XY:
0.00759
AC XY:
565
AN XY:
74476
show subpopulations
Gnomad4 AFR
AF:
0.00103
Gnomad4 AMR
AF:
0.00157
Gnomad4 ASJ
AF:
0.00259
Gnomad4 EAS
AF:
0.0984
Gnomad4 SAS
AF:
0.00372
Gnomad4 FIN
AF:
0.0237
Gnomad4 NFE
AF:
0.00100
Gnomad4 OTH
AF:
0.00425
Alfa
AF:
0.00262
Hom.:
3
Bravo
AF:
0.00461
Asia WGS
AF:
0.0420
AC:
146
AN:
3474

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Sep 08, 2014
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jan 31, 2013
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

-
Genetic Services Laboratory, University of Chicago
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -

Inborn genetic diseases Benign:1
May 26, 2016
Ambry Genetics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Early infantile epileptic encephalopathy with suppression bursts Benign:1
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.73
CADD
Benign
2.3
DANN
Benign
0.94

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs139587368; hg19: chr20-62038381; COSMIC: COSV60552722; COSMIC: COSV60552722; API