chr15-73321847-G-A

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 0P and 14B. BP4_StrongBP6_ModerateBS1BS2

The NM_005477.3(HCN4):​c.*634C>T variant causes a 3 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00324 in 156,908 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.0033 ( 1 hom., cov: 33)
Exomes 𝑓: 0.0018 ( 0 hom. )

Consequence

HCN4
NM_005477.3 3_prime_UTR

Scores

2

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: -1.46
Variant links:
Genes affected
HCN4 (HGNC:16882): (hyperpolarization activated cyclic nucleotide gated potassium channel 4) This gene encodes a member of the hyperpolarization-activated cyclic nucleotide-gated potassium channels. The encoded protein shows slow kinetics of activation and inactivation, and is necessary for the cardiac pacemaking process. This channel may also mediate responses to sour stimuli. Mutations in this gene have been linked to sick sinus syndrome 2, also known as atrial fibrillation with bradyarrhythmia or familial sinus bradycardia. Two pseudogenes have been identified on chromosome 15. [provided by RefSeq, Oct 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -14 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.8).
BP6
Variant 15-73321847-G-A is Benign according to our data. Variant chr15-73321847-G-A is described in ClinVar as [Benign]. Clinvar id is 884689.Status of the report is criteria_provided_single_submitter, 1 stars.
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.00328 (500/152358) while in subpopulation SAS AF= 0.0141 (68/4834). AF 95% confidence interval is 0.0114. There are 1 homozygotes in gnomad4. There are 263 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 500 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HCN4NM_005477.3 linkuse as main transcriptc.*634C>T 3_prime_UTR_variant 8/8 ENST00000261917.4
HCN4XM_011521148.3 linkuse as main transcriptc.*634C>T 3_prime_UTR_variant 7/7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HCN4ENST00000261917.4 linkuse as main transcriptc.*634C>T 3_prime_UTR_variant 8/81 NM_005477.3 P1

Frequencies

GnomAD3 genomes
AF:
0.00328
AC:
499
AN:
152240
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00810
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00190
Gnomad ASJ
AF:
0.00864
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.0141
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.000412
Gnomad OTH
AF:
0.00191
GnomAD4 exome
AF:
0.00176
AC:
8
AN:
4550
Hom.:
0
Cov.:
0
AF XY:
0.00124
AC XY:
3
AN XY:
2420
show subpopulations
Gnomad4 AFR exome
AF:
0.100
Gnomad4 AMR exome
AF:
0.00488
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00427
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000725
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00328
AC:
500
AN:
152358
Hom.:
1
Cov.:
33
AF XY:
0.00353
AC XY:
263
AN XY:
74516
show subpopulations
Gnomad4 AFR
AF:
0.00810
Gnomad4 AMR
AF:
0.00189
Gnomad4 ASJ
AF:
0.00864
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.0141
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000412
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.00277
Hom.:
0
Bravo
AF:
0.00351
Asia WGS
AF:
0.00606
AC:
22
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Sick sinus syndrome 2, autosomal dominant Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.80
CADD
Benign
0.31
DANN
Benign
0.80

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: rs138059941; hg19: chr15-73614188; API