chr1-40819913-G-A

Variant summary

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

The NM_004700.4(KCNQ4):​c.873G>A​(p.Pro291=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0929 in 1,611,670 control chromosomes in the GnomAD database, including 7,857 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.080 ( 630 hom., cov: 33)
Exomes 𝑓: 0.094 ( 7227 hom. )

Consequence

KCNQ4
NM_004700.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: -2.84
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 Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.7).
BP6
Variant 1-40819913-G-A is Benign according to our data. Variant chr1-40819913-G-A is described in ClinVar as [Benign]. Clinvar id is 45107.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-40819913-G-A is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-2.84 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.2 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KCNQ4NM_004700.4 linkuse as main transcriptc.873G>A p.Pro291= synonymous_variant 6/14 ENST00000347132.10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KCNQ4ENST00000347132.10 linkuse as main transcriptc.873G>A p.Pro291= synonymous_variant 6/141 NM_004700.4 P2P56696-1
KCNQ4ENST00000509682.6 linkuse as main transcriptc.873G>A p.Pro291= synonymous_variant 6/135 A1P56696-2
KCNQ4ENST00000443478.3 linkuse as main transcriptc.561G>A p.Pro187= synonymous_variant 5/135
KCNQ4ENST00000506017.1 linkuse as main transcriptn.192G>A non_coding_transcript_exon_variant 3/112

Frequencies

GnomAD3 genomes
AF:
0.0805
AC:
12244
AN:
152132
Hom.:
625
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0253
Gnomad AMI
AF:
0.106
Gnomad AMR
AF:
0.0794
Gnomad ASJ
AF:
0.0695
Gnomad EAS
AF:
0.211
Gnomad SAS
AF:
0.138
Gnomad FIN
AF:
0.127
Gnomad MID
AF:
0.0633
Gnomad NFE
AF:
0.0930
Gnomad OTH
AF:
0.0903
GnomAD3 exomes
AF:
0.106
AC:
26742
AN:
251452
Hom.:
1692
AF XY:
0.107
AC XY:
14603
AN XY:
135888
show subpopulations
Gnomad AFR exome
AF:
0.0268
Gnomad AMR exome
AF:
0.0798
Gnomad ASJ exome
AF:
0.0720
Gnomad EAS exome
AF:
0.225
Gnomad SAS exome
AF:
0.141
Gnomad FIN exome
AF:
0.127
Gnomad NFE exome
AF:
0.0965
Gnomad OTH exome
AF:
0.103
GnomAD4 exome
AF:
0.0942
AC:
137417
AN:
1459420
Hom.:
7227
Cov.:
33
AF XY:
0.0951
AC XY:
69033
AN XY:
726114
show subpopulations
Gnomad4 AFR exome
AF:
0.0230
Gnomad4 AMR exome
AF:
0.0791
Gnomad4 ASJ exome
AF:
0.0754
Gnomad4 EAS exome
AF:
0.190
Gnomad4 SAS exome
AF:
0.138
Gnomad4 FIN exome
AF:
0.128
Gnomad4 NFE exome
AF:
0.0890
Gnomad4 OTH exome
AF:
0.0928
GnomAD4 genome
AF:
0.0805
AC:
12253
AN:
152250
Hom.:
630
Cov.:
33
AF XY:
0.0834
AC XY:
6207
AN XY:
74428
show subpopulations
Gnomad4 AFR
AF:
0.0252
Gnomad4 AMR
AF:
0.0794
Gnomad4 ASJ
AF:
0.0695
Gnomad4 EAS
AF:
0.211
Gnomad4 SAS
AF:
0.138
Gnomad4 FIN
AF:
0.127
Gnomad4 NFE
AF:
0.0930
Gnomad4 OTH
AF:
0.0983
Alfa
AF:
0.0839
Hom.:
253
Bravo
AF:
0.0738
Asia WGS
AF:
0.164
AC:
568
AN:
3478
EpiCase
AF:
0.0925
EpiControl
AF:
0.0896

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMay 07, 2012Pro291Pro in Exon 06 of KCNQ4: This variant is not expected to have clinical si gnificance because it does not alter an amino acid residue, is not located withi n the splice consensus sequence, and has been identified in 8.7% (611/7020) of E uropean American chromosomes from a broad population by the NHLBI Exome Sequenci ng Project (http://evs.gs.washington.edu/EVS; dbSNP rs12117176). -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingGeneDxAug 03, 2017This 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. -
Autosomal dominant nonsyndromic hearing loss 2A Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabApr 11, 2023- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeJan 31, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.70
CADD
Benign
7.5
DANN
Benign
0.77

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs12117176; hg19: chr1-41285585; COSMIC: COSV61272028; API