rs1420621771

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_012282.4(KCNE5):​c.263T>A​(p.Val88Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000529 in 1,210,549 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 19 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V88I) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000027 ( 0 hom., 1 hem., cov: 25)
Exomes 𝑓: 0.000056 ( 0 hom. 18 hem. )

Consequence

KCNE5
NM_012282.4 missense

Scores

1
2
12

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 1.01

Publications

0 publications found
Variant links:
Genes affected
KCNE5 (HGNC:6241): (potassium voltage-gated channel subfamily E regulatory subunit 5) This gene encodes a member of a family of single pass transmembrane domain proteins that function as ancillary subunits to voltage-gated potassium channels. Members of this family affect diverse processes in potassium channel regulation, including ion selectivity, voltage dependence, and anterograde recycling from the plasma membrane. Variants of this gene are associated with idiopathic ventricular fibrillation and Brugada syndrome. [provided by RefSeq, Nov 2016]
ACSL4 (HGNC:3571): (acyl-CoA synthetase long chain family member 4) The protein encoded by this gene is an isozyme of the long-chain fatty-acid-coenzyme A ligase family. Although differing in substrate specificity, subcellular localization, and tissue distribution, all isozymes of this family convert free long-chain fatty acids into fatty acyl-CoA esters, and thereby play a key role in lipid biosynthesis and fatty acid degradation. This isozyme preferentially utilizes arachidonate as substrate. The absence of this enzyme may contribute to the cognitive disability or Alport syndrome. Alternative splicing of this gene generates multiple transcript variants. [provided by RefSeq, Jan 2016]
ACSL4 Gene-Disease associations (from GenCC):
  • non-syndromic X-linked intellectual disability
    Inheritance: XL Classification: DEFINITIVE, MODERATE, SUPPORTIVE Submitted by: ClinGen, Illumina, Orphanet
  • intellectual disability, X-linked 63
    Inheritance: XL Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.08069107).
BS2
High AC in GnomAdExome4 at 61 Unknown,AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_012282.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNE5
NM_012282.4
MANE Select
c.263T>Ap.Val88Asp
missense
Exon 1 of 1NP_036414.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNE5
ENST00000372101.3
TSL:6 MANE Select
c.263T>Ap.Val88Asp
missense
Exon 1 of 1ENSP00000361173.2
ACSL4
ENST00000439581.1
TSL:3
n.387-437T>A
intron
N/A

Frequencies

GnomAD3 genomes
AF:
0.0000265
AC:
3
AN:
113123
Hom.:
0
Cov.:
25
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:
0.0000376
Gnomad OTH
AF:
0.000652
GnomAD2 exomes
AF:
0.00000566
AC:
1
AN:
176754
AF XY:
0.00
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000129
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000556
AC:
61
AN:
1097426
Hom.:
0
Cov.:
31
AF XY:
0.0000496
AC XY:
18
AN XY:
363014
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26388
American (AMR)
AF:
0.00
AC:
0
AN:
35142
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19361
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30180
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54060
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40301
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4136
European-Non Finnish (NFE)
AF:
0.0000713
AC:
60
AN:
841799
Other (OTH)
AF:
0.0000217
AC:
1
AN:
46059
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
3
6
8
11
14
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4
8
12
16
20
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000265
AC:
3
AN:
113123
Hom.:
0
Cov.:
25
AF XY:
0.0000283
AC XY:
1
AN XY:
35309
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31233
American (AMR)
AF:
0.00
AC:
0
AN:
10876
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2656
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3544
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6287
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
236
European-Non Finnish (NFE)
AF:
0.0000376
AC:
2
AN:
53248
Other (OTH)
AF:
0.000652
AC:
1
AN:
1533
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.375
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000113

ClinVar

ClinVar submissions as Germline

Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Brugada syndrome (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.31
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Benign
-0.52
CADD
Benign
16
DANN
Benign
0.96
DEOGEN2
Benign
0.37
T
FATHMM_MKL
Benign
0.16
N
LIST_S2
Benign
0.52
T
M_CAP
Benign
0.060
D
MetaRNN
Benign
0.081
T
MetaSVM
Benign
-0.99
T
PhyloP100
1.0
PrimateAI
Uncertain
0.51
T
PROVEAN
Benign
0.0
N
REVEL
Benign
0.032
Sift
Uncertain
0.0040
D
Sift4G
Pathogenic
0.0010
D
Polyphen
0.033
B
Vest4
0.10
MutPred
0.39
Gain of relative solvent accessibility (P = 0.0082)
MVP
0.19
MPC
0.72
ClinPred
0.21
T
GERP RS
0.54
PromoterAI
0.13
Neutral
Varity_R
0.44
gMVP
0.87
Mutation Taster
=95/5
polymorphism

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

Other links and lift over

dbSNP: rs1420621771; hg19: chrX-108867987; API