chr12-51790479-C-A

Variant summary

Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PM1PM2PP2PP3PP5_Moderate

The NM_014191.4(SCN8A):​c.4501C>A​(p.Gln1501Lys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★).

Frequency

Genomes: not found (cov: 33)

Consequence

SCN8A
NM_014191.4 missense

Scores

9
8
2

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 7.91
Variant links:
Genes affected
SCN8A (HGNC:10596): (sodium voltage-gated channel alpha subunit 8) This gene encodes a member of the sodium channel alpha subunit gene family. The encoded protein forms the ion pore region of the voltage-gated sodium channel. This protein is essential for the rapid membrane depolarization that occurs during the formation of the action potential in excitable neurons. Mutations in this gene are associated with cognitive disability, pancerebellar atrophy and ataxia. Alternate splicing results in multiple transcript variants.[provided by RefSeq, May 2010]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 8 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 1 benign, 3 uncertain in NM_014191.4
PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), SCN8A. . Gene score misZ 0.78755 (greater than the threshold 3.09). Trascript score misZ 10.278 (greater than threshold 3.09). GenCC has associacion of gene with myoclonus, familial, 2, infantile convulsions and choreoathetosis, cognitive impairment with or without cerebellar ataxia, undetermined early-onset epileptic encephalopathy, complex neurodevelopmental disorder, developmental and epileptic encephalopathy, 13, benign familial infantile epilepsy, seizures, benign familial infantile, 5.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.772
PP5
Variant 12-51790479-C-A is Pathogenic according to our data. Variant chr12-51790479-C-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 377169.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SCN8ANM_001330260.2 linkuse as main transcriptc.4501C>A p.Gln1501Lys missense_variant 25/27 ENST00000627620.5
SCN8ANM_014191.4 linkuse as main transcriptc.4501C>A p.Gln1501Lys missense_variant 25/27 ENST00000354534.11
SCN8ANM_001177984.3 linkuse as main transcriptc.4378C>A p.Gln1460Lys missense_variant 24/26
SCN8ANM_001369788.1 linkuse as main transcriptc.4378C>A p.Gln1460Lys missense_variant 24/26

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SCN8AENST00000354534.11 linkuse as main transcriptc.4501C>A p.Gln1501Lys missense_variant 25/271 NM_014191.4 P4Q9UQD0-1
SCN8AENST00000627620.5 linkuse as main transcriptc.4501C>A p.Gln1501Lys missense_variant 25/275 NM_001330260.2 A1Q9UQD0-2

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
29
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsJan 05, 2017- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.72
BayesDel_addAF
Pathogenic
0.19
D
BayesDel_noAF
Uncertain
0.040
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.78
D;.;.;.;.
Eigen
Uncertain
0.65
Eigen_PC
Uncertain
0.65
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.96
D;D;.;D;D
M_CAP
Pathogenic
0.68
D
MetaRNN
Pathogenic
0.77
D;D;D;D;D
MetaSVM
Pathogenic
0.94
D
MutationAssessor
Uncertain
2.5
M;.;.;.;M
MutationTaster
Benign
1.0
D;D
PrimateAI
Pathogenic
0.80
T
PROVEAN
Uncertain
-3.7
D;D;D;.;.
REVEL
Pathogenic
0.78
Sift
Pathogenic
0.0
D;D;D;.;.
Sift4G
Benign
0.16
T;T;T;T;T
Polyphen
0.96
D;.;.;.;.
Vest4
0.61
MutPred
0.40
Gain of methylation at Q1501 (P = 0.0037);.;.;.;Gain of methylation at Q1501 (P = 0.0037);
MVP
0.96
MPC
1.9
ClinPred
1.0
D
GERP RS
4.6
Varity_R
0.89
gMVP
0.97

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: rs1057520149; hg19: chr12-52184263; API