chr7-143332781-G-A

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_000083.3(CLCN1):​c.1309G>A​(p.Ala437Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0121 in 1,614,042 control chromosomes in the GnomAD database, including 171 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0093 ( 12 hom., cov: 32)
Exomes 𝑓: 0.012 ( 159 hom. )

Consequence

CLCN1
NM_000083.3 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -0.259
Variant links:
Genes affected
CLCN1 (HGNC:2019): (chloride voltage-gated channel 1) The CLCN family of voltage-dependent chloride channel genes comprises nine members (CLCN1-7, Ka and Kb) which demonstrate quite diverse functional characteristics while sharing significant sequence homology. The protein encoded by this gene regulates the electric excitability of the skeletal muscle membrane. Mutations in this gene cause two forms of inherited human muscle disorders: recessive generalized myotonia congenita (Becker) and dominant myotonia (Thomsen). Alternative splicing results in multiple transcript variants. [provided by RefSeq, Mar 2012]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0034332275).
BP6
Variant 7-143332781-G-A is Benign according to our data. Variant chr7-143332781-G-A is described in ClinVar as [Benign]. Clinvar id is 359109.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-143332781-G-A is described in Lovd as [Benign]. Variant chr7-143332781-G-A is described in Lovd as [Likely_benign].
BS2
High Homozygotes in GnomAd4 at 12 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CLCN1NM_000083.3 linkuse as main transcriptc.1309G>A p.Ala437Thr missense_variant 12/23 ENST00000343257.7 NP_000074.3 P35523
CLCN1NR_046453.2 linkuse as main transcriptn.1356+278G>A intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CLCN1ENST00000343257.7 linkuse as main transcriptc.1309G>A p.Ala437Thr missense_variant 12/231 NM_000083.3 ENSP00000339867.2 P35523
CLCN1ENST00000432192.6 linkuse as main transcriptn.*594G>A non_coding_transcript_exon_variant 12/231 ENSP00000395949.2 H7C0N6
CLCN1ENST00000432192.6 linkuse as main transcriptn.*594G>A 3_prime_UTR_variant 12/231 ENSP00000395949.2 H7C0N6
CLCN1ENST00000650516.2 linkuse as main transcriptc.1309G>A p.Ala437Thr missense_variant 12/23 ENSP00000498052.2 A0A3B3IU72

Frequencies

GnomAD3 genomes
AF:
0.00929
AC:
1414
AN:
152132
Hom.:
12
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00290
Gnomad AMI
AF:
0.00877
Gnomad AMR
AF:
0.0114
Gnomad ASJ
AF:
0.0556
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00539
Gnomad FIN
AF:
0.00443
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.0120
Gnomad OTH
AF:
0.0129
GnomAD3 exomes
AF:
0.0109
AC:
2746
AN:
251460
Hom.:
29
AF XY:
0.0112
AC XY:
1526
AN XY:
135902
show subpopulations
Gnomad AFR exome
AF:
0.00252
Gnomad AMR exome
AF:
0.00757
Gnomad ASJ exome
AF:
0.0527
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00617
Gnomad FIN exome
AF:
0.00457
Gnomad NFE exome
AF:
0.0133
Gnomad OTH exome
AF:
0.0178
GnomAD4 exome
AF:
0.0124
AC:
18174
AN:
1461792
Hom.:
159
Cov.:
32
AF XY:
0.0123
AC XY:
8954
AN XY:
727192
show subpopulations
Gnomad4 AFR exome
AF:
0.00236
Gnomad4 AMR exome
AF:
0.00863
Gnomad4 ASJ exome
AF:
0.0506
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00653
Gnomad4 FIN exome
AF:
0.00464
Gnomad4 NFE exome
AF:
0.0132
Gnomad4 OTH exome
AF:
0.0140
GnomAD4 genome
AF:
0.00929
AC:
1415
AN:
152250
Hom.:
12
Cov.:
32
AF XY:
0.00875
AC XY:
651
AN XY:
74420
show subpopulations
Gnomad4 AFR
AF:
0.00294
Gnomad4 AMR
AF:
0.0114
Gnomad4 ASJ
AF:
0.0556
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00560
Gnomad4 FIN
AF:
0.00443
Gnomad4 NFE
AF:
0.0120
Gnomad4 OTH
AF:
0.0128
Alfa
AF:
0.0135
Hom.:
38
Bravo
AF:
0.00999
TwinsUK
AF:
0.0135
AC:
50
ALSPAC
AF:
0.0122
AC:
47
ESP6500AA
AF:
0.00272
AC:
12
ESP6500EA
AF:
0.0137
AC:
118
ExAC
AF:
0.0111
AC:
1346
Asia WGS
AF:
0.00375
AC:
13
AN:
3478
EpiCase
AF:
0.0148
EpiControl
AF:
0.0155

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, criteria provided, single submitterclinical testingGeneDxFeb 04, 2016This 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. -
Benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsMay 03, 2021- -
Batten-Turner congenital myopathy 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. -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Congenital myotonia, autosomal recessive form;C2936781:Congenital myotonia, autosomal dominant form Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.058
BayesDel_addAF
Benign
-0.54
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
0.030
DANN
Benign
0.73
DEOGEN2
Benign
0.34
T
Eigen
Benign
-1.9
Eigen_PC
Benign
-2.0
FATHMM_MKL
Benign
0.038
N
LIST_S2
Benign
0.33
T
MetaRNN
Benign
0.0034
T
MetaSVM
Benign
-0.81
T
MutationAssessor
Benign
0.59
N
PrimateAI
Benign
0.24
T
PROVEAN
Benign
-0.19
N
REVEL
Benign
0.21
Sift
Benign
0.57
T
Sift4G
Benign
0.65
T
Polyphen
0.0020
B
Vest4
0.11
MPC
0.18
ClinPred
0.0024
T
GERP RS
-11
Varity_R
0.045
gMVP
0.49

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: rs41276054; hg19: chr7-143029874; COSMIC: COSV99070811; COSMIC: COSV99070811; API