chr7-120275378-C-T

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_012281.3(KCND2):​c.746C>T​(p.Ala249Val) variant causes a missense change. The variant allele was found at a frequency of 0.00063 in 1,613,834 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00096 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00060 ( 3 hom. )

Consequence

KCND2
NM_012281.3 missense

Scores

3
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:2

Conservation

PhyloP100: 3.93
Variant links:
Genes affected
KCND2 (HGNC:6238): (potassium voltage-gated channel subfamily D member 2) Voltage-gated potassium (Kv) channels represent the most complex class of voltage-gated ion channels from both functional and structural standpoints. Their diverse functions include regulating neurotransmitter release, heart rate, insulin secretion, neuronal excitability, epithelial electrolyte transport, smooth muscle contraction, and cell volume. Four sequence-related potassium channel genes - shaker, shaw, shab, and shal - have been identified in Drosophila, and each has been shown to have human homolog(s). This gene encodes a member of the potassium channel, voltage-gated, shal-related subfamily, members of which form voltage-activated A-type potassium ion channels and are prominent in the repolarization phase of the action potential. This member mediates a rapidly inactivating, A-type outward potassium current which is not under the control of the N terminus as it is in Shaker channels. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.045185477).
BP6
Variant 7-120275378-C-T is Benign according to our data. Variant chr7-120275378-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 460205.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1}.
BS2
High AC in GnomAd4 at 146 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KCND2NM_012281.3 linkc.746C>T p.Ala249Val missense_variant Exon 1 of 6 ENST00000331113.9 NP_036413.1 Q9NZV8A4D0V9
KCND2XM_047420346.1 linkc.746C>T p.Ala249Val missense_variant Exon 2 of 7 XP_047276302.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KCND2ENST00000331113.9 linkc.746C>T p.Ala249Val missense_variant Exon 1 of 6 1 NM_012281.3 ENSP00000333496.4 Q9NZV8

Frequencies

GnomAD3 genomes
AF:
0.000962
AC:
146
AN:
151830
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000484
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000209
Gnomad FIN
AF:
0.000946
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00196
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000585
AC:
147
AN:
251446
Hom.:
0
AF XY:
0.000633
AC XY:
86
AN XY:
135910
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000601
Gnomad NFE exome
AF:
0.00114
Gnomad OTH exome
AF:
0.000651
GnomAD4 exome
AF:
0.000595
AC:
870
AN:
1461886
Hom.:
3
Cov.:
32
AF XY:
0.000649
AC XY:
472
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.000768
Gnomad4 NFE exome
AF:
0.000721
Gnomad4 OTH exome
AF:
0.000447
GnomAD4 genome
AF:
0.000961
AC:
146
AN:
151948
Hom.:
0
Cov.:
31
AF XY:
0.000943
AC XY:
70
AN XY:
74268
show subpopulations
Gnomad4 AFR
AF:
0.0000482
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000209
Gnomad4 FIN
AF:
0.000946
Gnomad4 NFE
AF:
0.00196
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.00135
Hom.:
1
Bravo
AF:
0.000453
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000930
AC:
8
ExAC
AF:
0.000708
AC:
86
EpiCase
AF:
0.000818
EpiControl
AF:
0.000889

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Oct 26, 2021
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.746C>T (p.A249V) alteration is located in exon 1 (coding exon 1) of the KCND2 gene. This alteration results from a C to T substitution at nucleotide position 746, causing the alanine (A) at amino acid position 249 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

KCND2-related disorder Benign:1
Jul 14, 2022
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This 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). -

Early myoclonic encephalopathy Benign:1
Jan 11, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.060
BayesDel_addAF
Benign
-0.26
T
BayesDel_noAF
Benign
-0.14
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.37
T
Eigen
Benign
-0.11
Eigen_PC
Benign
0.12
FATHMM_MKL
Benign
0.69
D
LIST_S2
Benign
0.85
D
M_CAP
Benign
0.068
D
MetaRNN
Benign
0.045
T
MetaSVM
Uncertain
0.41
D
MutationAssessor
Benign
0.26
N
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
0.83
N
REVEL
Benign
0.29
Sift
Benign
0.035
D
Sift4G
Benign
0.062
T
Polyphen
0.0
B
Vest4
0.10
MVP
0.41
MPC
1.3
ClinPred
0.053
T
GERP RS
5.6
Varity_R
0.055
gMVP
0.56

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: rs146220085; hg19: chr7-119915432; COSMIC: COSV105228317; API