rs137853333

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP2PP3PP5_Moderate

The NM_001161352.2(KCNMA1):ā€‹c.1301A>Gā€‹(p.Asp434Gly) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000657 in 152,146 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (ā˜…).

Frequency

Genomes: š‘“ 0.0000066 ( 0 hom., cov: 32)

Consequence

KCNMA1
NM_001161352.2 missense

Scores

6
5
8

Clinical Significance

Pathogenic criteria provided, single submitter P:2

Conservation

PhyloP100: 8.02
Variant links:
Genes affected
KCNMA1 (HGNC:6284): (potassium calcium-activated channel subfamily M alpha 1) This gene encodes the alpha subunit of calcium-activated BK channel. The encoded protein is involved in several physiological processes including smooth muscle contraction, neurotransmitter release and neuronal excitability. Mutations in this gene are associated with a spectrum of neurological disorders including Paroxysmal Nonkinesigenic Dyskinesia 3, Idiopathic Generalized Epilepsy 16 and Liang-Wang syndrome. [provided by RefSeq, Aug 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), KCNMA1. . Gene score misZ 5.0622 (greater than the threshold 3.09). Trascript score misZ 6.5162 (greater than threshold 3.09). GenCC has associacion of gene with cerebellar atrophy, developmental delay, and seizures, generalized epilepsy-paroxysmal dyskinesia syndrome, Liang-Wang syndrome.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.813
PP5
Variant 10-77090433-T-C is Pathogenic according to our data. Variant chr10-77090433-T-C is described in ClinVar as [Pathogenic]. Clinvar id is 9427.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KCNMA1NM_001161352.2 linkuse as main transcriptc.1301A>G p.Asp434Gly missense_variant 10/28 ENST00000286628.14

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KCNMA1ENST00000286628.14 linkuse as main transcriptc.1301A>G p.Asp434Gly missense_variant 10/281 NM_001161352.2 A2Q12791-1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152146
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000478
GnomAD4 exome
Cov.:
30
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152146
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74314
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000478

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenOct 01, 2016- -
Generalized epilepsy-paroxysmal dyskinesia syndrome Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMJul 01, 2005- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.95
BayesDel_addAF
Pathogenic
0.40
D
BayesDel_noAF
Pathogenic
0.33
CADD
Uncertain
25
DANN
Benign
0.85
DEOGEN2
Benign
0.069
T;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;T;.;T;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;D;T;.;.;.;.;.;.;.;.;.;.;.;.;.;.
Eigen
Uncertain
0.26
Eigen_PC
Uncertain
0.38
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Pathogenic
0.98
D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;.;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D
M_CAP
Benign
0.037
D
MetaRNN
Pathogenic
0.81
D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D
MetaSVM
Benign
-0.86
T
MutationAssessor
Benign
0.025
.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;N;N;N;.;.;.;.;.;N;.;.;.;N;N;N;.;.;.
MutationTaster
Benign
1.0
A;A;A;A;A;A;A
PrimateAI
Pathogenic
0.90
D
PROVEAN
Uncertain
-3.3
.;.;.;.;.;.;.;.;D;.;.;.;.;D;.;.;D;.;D;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;D;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.
REVEL
Uncertain
0.63
Sift
Benign
0.58
.;.;.;.;.;.;.;.;T;.;.;.;.;D;.;.;D;.;T;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;T;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.
Sift4G
Benign
0.40
T;.;.;.;.;.;.;.;T;.;.;.;.;.;.;.;T;.;T;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;T;T;T;T;.;.;.;.;.;.;.;T;.;.;.;.;.
Polyphen
0.0, 0.99, 0.0010, 0.019
.;.;.;.;.;.;.;.;B;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;D;B;B;.;.;.;.;.;D;B;.;.;B;.;.;.;.;.
Vest4
0.84, 0.93, 0.85, 0.84, 0.87, 0.85, 0.53, 0.76
MutPred
0.59
.;Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);.;Loss of stability (P = 0.0116);.;Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);.;.;Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);.;.;.;.;.;.;Loss of stability (P = 0.0116);.;Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);.;.;.;Loss of stability (P = 0.0116);.;Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);.;Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);Loss of stability (P = 0.0116);.;.;Loss of stability (P = 0.0116);
MVP
0.98
MPC
2.6
ClinPred
0.81
D
GERP RS
5.7
Varity_R
0.86
gMVP
0.95

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: rs137853333; hg19: chr10-78850191; API