chr1-40784236-T-A

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The NM_004700.4(KCNQ4):​c.143T>A​(p.Leu48Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000537 in 1,304,006 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 Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000059 ( 0 hom. )

Consequence

KCNQ4
NM_004700.4 missense

Scores

3
6
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.12
Variant links:
Genes affected
KCNQ4 (HGNC:6298): (potassium voltage-gated channel subfamily Q member 4) The protein encoded by this gene forms a potassium channel that is thought to play a critical role in the regulation of neuronal excitability, particularly in sensory cells of the cochlea. The current generated by this channel is inhibited by M1 muscarinic acetylcholine receptors and activated by retigabine, a novel anti-convulsant drug. The encoded protein can form a homomultimeric potassium channel or possibly a heteromultimeric channel in association with the protein encoded by the KCNQ3 gene. Defects in this gene are a cause of nonsyndromic sensorineural deafness type 2 (DFNA2), an autosomal dominant form of progressive hearing loss. Two transcript variants encoding 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 Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.33782753).
BS2
High AC in GnomAdExome4 at 68 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KCNQ4NM_004700.4 linkuse as main transcriptc.143T>A p.Leu48Gln missense_variant 1/14 ENST00000347132.10
KCNQ4NM_172163.3 linkuse as main transcriptc.143T>A p.Leu48Gln missense_variant 1/13
KCNQ4XM_047434057.1 linkuse as main transcriptc.143T>A p.Leu48Gln missense_variant 1/13

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KCNQ4ENST00000347132.10 linkuse as main transcriptc.143T>A p.Leu48Gln missense_variant 1/141 NM_004700.4 P2P56696-1
KCNQ4ENST00000509682.6 linkuse as main transcriptc.143T>A p.Leu48Gln missense_variant 1/135 A1P56696-2

Frequencies

GnomAD3 genomes
AF:
0.0000134
AC:
2
AN:
148928
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000299
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000589
AC:
68
AN:
1155078
Hom.:
0
Cov.:
30
AF XY:
0.0000533
AC XY:
30
AN XY:
562566
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000694
Gnomad4 OTH exome
AF:
0.0000219
GnomAD4 genome
AF:
0.0000134
AC:
2
AN:
148928
Hom.:
0
Cov.:
32
AF XY:
0.0000138
AC XY:
1
AN XY:
72638
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000299
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000113

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsApr 27, 2022The c.143T>A (p.L48Q) alteration is located in exon 1 (coding exon 1) of the KCNQ4 gene. This alteration results from a T to A substitution at nucleotide position 143, causing the leucine (L) at amino acid position 48 to be replaced by a glutamine (Q). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.50
BayesDel_addAF
Pathogenic
0.17
D
BayesDel_noAF
Uncertain
0.010
CADD
Uncertain
25
DANN
Benign
0.93
DEOGEN2
Benign
0.37
T;T;.
Eigen
Benign
-0.17
Eigen_PC
Benign
-0.22
FATHMM_MKL
Benign
0.49
N
LIST_S2
Benign
0.68
.;T;T
M_CAP
Pathogenic
0.94
D
MetaRNN
Benign
0.34
T;T;T
MetaSVM
Uncertain
0.64
D
MutationAssessor
Uncertain
2.4
M;M;M
MutationTaster
Benign
1.0
D;D
PrimateAI
Pathogenic
0.92
D
PROVEAN
Benign
-1.3
.;N;N
REVEL
Uncertain
0.43
Sift
Benign
0.10
.;T;T
Sift4G
Uncertain
0.0030
.;D;D
Polyphen
0.79
P;P;P
Vest4
0.22, 0.29
MutPred
0.27
Gain of solvent accessibility (P = 0.0137);Gain of solvent accessibility (P = 0.0137);Gain of solvent accessibility (P = 0.0137);
MVP
0.74
MPC
2.3
ClinPred
0.84
D
GERP RS
1.9
Varity_R
0.24
gMVP
0.54

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: rs1213935398; hg19: chr1-41249908; API