rs142453905

Variant summary

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

The NM_004700.4(KCNQ4):ā€‹c.1325T>Cā€‹(p.Met442Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000187 in 1,607,644 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 Benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.00016 ( 0 hom., cov: 32)
Exomes š‘“: 0.00019 ( 0 hom. )

Consequence

KCNQ4
NM_004700.4 missense

Scores

6
13

Clinical Significance

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

Conservation

PhyloP100: 3.07
Variant links:
Genes affected
KCNQ4 (HGNC:6298): (potassium voltage-gated channel subfamily Q member 4) The protein encoded by this gene forms a potassium channel that is thought to play a critical role in the regulation of neuronal excitability, particularly in sensory cells of the cochlea. The current generated by this channel is inhibited by M1 muscarinic acetylcholine receptors and activated by retigabine, a novel anti-convulsant drug. The encoded protein can form a homomultimeric potassium channel or possibly a heteromultimeric channel in association with the protein encoded by the KCNQ3 gene. Defects in this gene are a cause of nonsyndromic sensorineural deafness type 2 (DFNA2), an autosomal dominant form of progressive hearing loss. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

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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=0.011752695).
BP6
Variant 1-40831116-T-C is Benign according to our data. Variant chr1-40831116-T-C is described in ClinVar as [Benign]. Clinvar id is 163754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 25 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KCNQ4NM_004700.4 linkuse as main transcriptc.1325T>C p.Met442Thr missense_variant 10/14 ENST00000347132.10 NP_004691.2 P56696-1B3KQH8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KCNQ4ENST00000347132.10 linkuse as main transcriptc.1325T>C p.Met442Thr missense_variant 10/141 NM_004700.4 ENSP00000262916.6 P56696-1
KCNQ4ENST00000509682.6 linkuse as main transcriptc.1163T>C p.Met388Thr missense_variant 9/135 ENSP00000423756.2 P56696-2
KCNQ4ENST00000443478.3 linkuse as main transcriptc.905T>C p.Met302Thr missense_variant 9/135 ENSP00000406735.3 H0Y6N7
KCNQ4ENST00000506017.1 linkuse as main transcriptn.644T>C non_coding_transcript_exon_variant 7/112

Frequencies

GnomAD3 genomes
AF:
0.000164
AC:
25
AN:
152084
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00634
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:
0.00
GnomAD3 exomes
AF:
0.000327
AC:
77
AN:
235548
Hom.:
0
AF XY:
0.000328
AC XY:
42
AN XY:
127998
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000297
Gnomad ASJ exome
AF:
0.00565
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000341
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000958
Gnomad OTH exome
AF:
0.000172
GnomAD4 exome
AF:
0.000189
AC:
275
AN:
1455560
Hom.:
0
Cov.:
33
AF XY:
0.000191
AC XY:
138
AN XY:
723486
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000272
Gnomad4 ASJ exome
AF:
0.00636
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000118
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000640
Gnomad4 OTH exome
AF:
0.000432
GnomAD4 genome
AF:
0.000164
AC:
25
AN:
152084
Hom.:
0
Cov.:
32
AF XY:
0.000135
AC XY:
10
AN XY:
74290
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00634
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000323
Hom.:
0
Bravo
AF:
0.000159
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000264
AC:
32

ClinVar

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

Submissions by phenotype

not specified Benign:1
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineOct 08, 2019The p.Met442Thr variant in KCNQ4 is classified as benign because it has been identified in 0.5% (56/10022) of Ashkenazi Jewish chromosomes by gnomAD (http://gnomad.broadinstitute.org). Computational prediction tools and conservation analysis suggest that this variant may not impact the protein. ACMG/AMP Criteria applied: BA1, BP4. -
Autosomal dominant nonsyndromic hearing loss 2A Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabApr 11, 2023- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpSep 20, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.21
BayesDel_addAF
Benign
-0.072
T
BayesDel_noAF
Uncertain
-0.040
CADD
Benign
23
DANN
Benign
0.83
DEOGEN2
Benign
0.37
T;T;.
Eigen
Benign
-0.14
Eigen_PC
Benign
0.053
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Benign
0.79
.;T;T
M_CAP
Benign
0.053
D
MetaRNN
Benign
0.012
T;T;T
MetaSVM
Uncertain
0.33
D
MutationAssessor
Benign
1.6
L;L;.
PrimateAI
Uncertain
0.72
T
PROVEAN
Uncertain
-2.5
.;D;D
REVEL
Uncertain
0.37
Sift
Benign
0.39
.;T;T
Sift4G
Benign
0.49
.;T;T
Polyphen
0.0050
B;B;B
Vest4
0.51, 0.49
MVP
0.52
MPC
0.15
ClinPred
0.043
T
GERP RS
5.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.19
gMVP
0.42

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: rs142453905; hg19: chr1-41296788; API