chr10-77636457-G-A

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The ENST00000480683.2(KCNMA1):​c.437C>T​(p.Pro146Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000259 in 1,536,208 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. 9/10 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P146Q) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0012 ( 3 hom., cov: 33)
Exomes 𝑓: 0.00015 ( 1 hom. )

Consequence

KCNMA1
ENST00000480683.2 missense

Scores

1
8

Clinical Significance

Likely benign no assertion criteria provided B:1

Conservation

PhyloP100: -0.369
Variant links:
Genes affected
KCNMA1 (HGNC:6284): (potassium calcium-activated channel subfamily M alpha 1) This gene encodes the alpha subunit of calcium-activated BK channel. The encoded protein is involved in several physiological processes including smooth muscle contraction, neurotransmitter release and neuronal excitability. Mutations in this gene are associated with a spectrum of neurological disorders including Paroxysmal Nonkinesigenic Dyskinesia 3, Idiopathic Generalized Epilepsy 16 and Liang-Wang syndrome. [provided by RefSeq, Aug 2022]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0037570894).
BP6
Variant 10-77636457-G-A is Benign according to our data. Variant chr10-77636457-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 3035471.Status of the report is no_assertion_criteria_provided, 0 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00121 (184/152392) while in subpopulation AFR AF= 0.00425 (177/41602). AF 95% confidence interval is 0.00374. There are 3 homozygotes in gnomad4. There are 83 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 3 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KCNMA1NM_001161352.2 linkuse as main transcriptc.378+808C>T intron_variant ENST00000286628.14

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KCNMA1ENST00000286628.14 linkuse as main transcriptc.378+808C>T intron_variant 1 NM_001161352.2 A2Q12791-1

Frequencies

GnomAD3 genomes
AF:
0.00121
AC:
184
AN:
152274
Hom.:
3
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00427
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000262
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000955
GnomAD3 exomes
AF:
0.000201
AC:
27
AN:
134528
Hom.:
1
AF XY:
0.000136
AC XY:
10
AN XY:
73276
show subpopulations
Gnomad AFR exome
AF:
0.00388
Gnomad AMR exome
AF:
0.0000409
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000189
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000155
AC:
214
AN:
1383816
Hom.:
1
Cov.:
31
AF XY:
0.000129
AC XY:
88
AN XY:
682848
show subpopulations
Gnomad4 AFR exome
AF:
0.00605
Gnomad4 AMR exome
AF:
0.0000560
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:
0.00000649
Gnomad4 OTH exome
AF:
0.000242
GnomAD4 genome
AF:
0.00121
AC:
184
AN:
152392
Hom.:
3
Cov.:
33
AF XY:
0.00111
AC XY:
83
AN XY:
74528
show subpopulations
Gnomad4 AFR
AF:
0.00425
Gnomad4 AMR
AF:
0.000261
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000945
Alfa
AF:
0.0000438
Hom.:
0
Bravo
AF:
0.00148
ExAC
AF:
0.0000564
AC:
1

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

KCNMA1-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesSep 07, 2022This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.58
T
BayesDel_noAF
Benign
-0.60
CADD
Benign
6.9
DANN
Benign
0.96
FATHMM_MKL
Benign
0.036
N
LIST_S2
Benign
0.33
T
M_CAP
Benign
0.011
T
MetaRNN
Benign
0.0038
T
MutationTaster
Benign
1.0
N;N;N;N;N;N;N
Sift4G
Uncertain
0.014
D
Polyphen
0.0010
B
Vest4
0.071
MVP
0.11
GERP RS
-3.8

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: rs116144703; hg19: chr10-79396215; API