chr1-40784262-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_004700.4(KCNQ4):​c.169C>T​(p.Pro57Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)

Consequence

KCNQ4
NM_004700.4 missense

Scores

3
4
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.204
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]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.27757728).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KCNQ4NM_004700.4 linkc.169C>T p.Pro57Ser missense_variant 1/14 ENST00000347132.10 NP_004691.2 P56696-1B3KQH8
KCNQ4NM_172163.3 linkc.169C>T p.Pro57Ser missense_variant 1/13 NP_751895.1 P56696-2B3KQH8
KCNQ4XM_047434057.1 linkc.169C>T p.Pro57Ser missense_variant 1/13 XP_047290013.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KCNQ4ENST00000347132.10 linkc.169C>T p.Pro57Ser missense_variant 1/141 NM_004700.4 ENSP00000262916.6 P56696-1
KCNQ4ENST00000509682.6 linkc.169C>T p.Pro57Ser missense_variant 1/135 ENSP00000423756.2 P56696-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
32

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 GeneticsJul 12, 2022The c.169C>T (p.P57S) alteration is located in exon 1 (coding exon 1) of the KCNQ4 gene. This alteration results from a C to T substitution at nucleotide position 169, causing the proline (P) at amino acid position 57 to be replaced by a serine (S). 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
Benign
0.070
BayesDel_addAF
Uncertain
0.053
T
BayesDel_noAF
Benign
-0.16
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Benign
0.32
T;T;.
Eigen
Benign
-0.35
Eigen_PC
Benign
-0.36
FATHMM_MKL
Benign
0.66
D
LIST_S2
Benign
0.58
.;T;T
M_CAP
Pathogenic
0.94
D
MetaRNN
Benign
0.28
T;T;T
MetaSVM
Pathogenic
0.80
D
MutationAssessor
Benign
1.4
L;L;L
PrimateAI
Pathogenic
0.92
D
PROVEAN
Benign
-1.1
.;N;N
REVEL
Uncertain
0.38
Sift
Benign
0.047
.;D;D
Sift4G
Uncertain
0.041
.;D;D
Polyphen
0.21
B;B;P
Vest4
0.20, 0.23
MutPred
0.15
Gain of phosphorylation at P57 (P = 0.0056);Gain of phosphorylation at P57 (P = 0.0056);Gain of phosphorylation at P57 (P = 0.0056);
MVP
0.72
MPC
2.3
ClinPred
0.56
D
GERP RS
1.4
Varity_R
0.085
gMVP
0.66

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr1-41249934; API