chr1-40784248-T-A

Variant summary

Our verdict is Likely benign. The variant received -1 ACMG points: 0P and 1B. BP4

The NM_004700.4(KCNQ4):​c.155T>A​(p.Leu52Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000947 in 1,372,806 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: 0.0000090 ( 0 hom. )

Consequence

KCNQ4
NM_004700.4 missense

Scores

2
5
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:2

Conservation

PhyloP100: 1.74

Publications

0 publications found
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]
KCNQ4 Gene-Disease associations (from GenCC):
  • autosomal dominant nonsyndromic hearing loss 2A
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • nonsyndromic genetic hearing loss
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • autosomal dominant nonsyndromic hearing loss
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • hearing loss disorder
    Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -1 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.3550654).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004700.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNQ4
NM_004700.4
MANE Select
c.155T>Ap.Leu52Gln
missense
Exon 1 of 14NP_004691.2
KCNQ4
NM_172163.3
c.155T>Ap.Leu52Gln
missense
Exon 1 of 13NP_751895.1P56696-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNQ4
ENST00000347132.10
TSL:1 MANE Select
c.155T>Ap.Leu52Gln
missense
Exon 1 of 14ENSP00000262916.6P56696-1
KCNQ4
ENST00000967337.1
c.155T>Ap.Leu52Gln
missense
Exon 1 of 14ENSP00000637396.1
KCNQ4
ENST00000967338.1
c.155T>Ap.Leu52Gln
missense
Exon 1 of 14ENSP00000637397.1

Frequencies

GnomAD3 genomes
AF:
0.0000134
AC:
2
AN:
149598
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:
0.000416
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
21596
AF XY:
0.00
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000899
AC:
11
AN:
1223104
Hom.:
0
Cov.:
31
AF XY:
0.0000150
AC XY:
9
AN XY:
599628
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
23378
American (AMR)
AF:
0.00
AC:
0
AN:
11664
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
16414
East Asian (EAS)
AF:
0.00
AC:
0
AN:
26440
South Asian (SAS)
AF:
0.000125
AC:
7
AN:
55830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
31864
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3774
European-Non Finnish (NFE)
AF:
0.00000299
AC:
3
AN:
1004230
Other (OTH)
AF:
0.0000202
AC:
1
AN:
49510
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.507
Heterozygous variant carriers
0
1
2
4
5
6
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:
0.0000134
AC:
2
AN:
149702
Hom.:
0
Cov.:
32
AF XY:
0.0000137
AC XY:
1
AN XY:
73130
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41060
American (AMR)
AF:
0.00
AC:
0
AN:
15104
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3438
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5012
South Asian (SAS)
AF:
0.000416
AC:
2
AN:
4806
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9936
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
284
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67070
Other (OTH)
AF:
0.00
AC:
0
AN:
2088
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
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:
0.00
Hom.:
0

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Autosomal dominant nonsyndromic hearing loss 2A (1)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Uncertain
0.14
D
BayesDel_noAF
Uncertain
-0.040
CADD
Uncertain
24
DANN
Benign
0.87
DEOGEN2
Uncertain
0.44
T
Eigen
Benign
-0.14
Eigen_PC
Benign
-0.18
FATHMM_MKL
Benign
0.71
D
LIST_S2
Benign
0.54
T
M_CAP
Pathogenic
0.97
D
MetaRNN
Benign
0.36
T
MetaSVM
Uncertain
0.59
D
MutationAssessor
Benign
1.9
L
PhyloP100
1.7
PrimateAI
Pathogenic
0.91
D
PROVEAN
Benign
-1.6
N
REVEL
Uncertain
0.44
Sift
Benign
0.053
T
Sift4G
Benign
0.21
T
Polyphen
0.84
P
Vest4
0.23
MutPred
0.19
Loss of catalytic residue at L52 (P = 0.1365)
MVP
0.74
MPC
1.6
ClinPred
0.37
T
GERP RS
1.9
PromoterAI
0.033
Neutral
Varity_R
0.33
gMVP
0.54
Mutation Taster
=70/30
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: rs1323003883; hg19: chr1-41249920; API