chr15-73324294-T-C

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_005477.3(HCN4):​c.1979-41A>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.905 in 1,607,054 control chromosomes in the GnomAD database, including 664,348 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.81 ( 52669 hom., cov: 34)
Exomes 𝑓: 0.91 ( 611679 hom. )

Consequence

HCN4
NM_005477.3 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: -0.0590
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 -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.89).
BP6
Variant 15-73324294-T-C is Benign according to our data. Variant chr15-73324294-T-C is described in ClinVar as [Benign]. Clinvar id is 259779.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.926 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HCN4NM_005477.3 linkuse as main transcriptc.1979-41A>G intron_variant ENST00000261917.4 NP_005468.1 Q9Y3Q4
HCN4XM_011521148.3 linkuse as main transcriptc.761-41A>G intron_variant XP_011519450.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HCN4ENST00000261917.4 linkuse as main transcriptc.1979-41A>G intron_variant 1 NM_005477.3 ENSP00000261917.3 Q9Y3Q4

Frequencies

GnomAD3 genomes
AF:
0.814
AC:
123857
AN:
152108
Hom.:
52656
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.543
Gnomad AMI
AF:
0.923
Gnomad AMR
AF:
0.912
Gnomad ASJ
AF:
0.879
Gnomad EAS
AF:
0.817
Gnomad SAS
AF:
0.829
Gnomad FIN
AF:
0.928
Gnomad MID
AF:
0.861
Gnomad NFE
AF:
0.932
Gnomad OTH
AF:
0.838
GnomAD3 exomes
AF:
0.885
AC:
210391
AN:
237842
Hom.:
94197
AF XY:
0.888
AC XY:
114778
AN XY:
129320
show subpopulations
Gnomad AFR exome
AF:
0.535
Gnomad AMR exome
AF:
0.948
Gnomad ASJ exome
AF:
0.873
Gnomad EAS exome
AF:
0.826
Gnomad SAS exome
AF:
0.837
Gnomad FIN exome
AF:
0.926
Gnomad NFE exome
AF:
0.929
Gnomad OTH exome
AF:
0.902
GnomAD4 exome
AF:
0.914
AC:
1330440
AN:
1454828
Hom.:
611679
Cov.:
37
AF XY:
0.913
AC XY:
660167
AN XY:
723454
show subpopulations
Gnomad4 AFR exome
AF:
0.530
Gnomad4 AMR exome
AF:
0.943
Gnomad4 ASJ exome
AF:
0.876
Gnomad4 EAS exome
AF:
0.838
Gnomad4 SAS exome
AF:
0.834
Gnomad4 FIN exome
AF:
0.928
Gnomad4 NFE exome
AF:
0.936
Gnomad4 OTH exome
AF:
0.889
GnomAD4 genome
AF:
0.814
AC:
123907
AN:
152226
Hom.:
52669
Cov.:
34
AF XY:
0.817
AC XY:
60848
AN XY:
74438
show subpopulations
Gnomad4 AFR
AF:
0.543
Gnomad4 AMR
AF:
0.913
Gnomad4 ASJ
AF:
0.879
Gnomad4 EAS
AF:
0.817
Gnomad4 SAS
AF:
0.829
Gnomad4 FIN
AF:
0.928
Gnomad4 NFE
AF:
0.932
Gnomad4 OTH
AF:
0.833
Alfa
AF:
0.876
Hom.:
10988
Bravo
AF:
0.803
Asia WGS
AF:
0.775
AC:
2697
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxJun 15, 2018This 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. -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.89
CADD
Benign
0.55
DANN
Benign
0.35

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs481579; hg19: chr15-73616635; COSMIC: COSV56083853; API