rs146152956

Variant summary

Our verdict is Benign. The variant received -14 ACMG points: 0P and 14B. BP4_StrongBP6BP7BS1BS2

The NM_020822.3(KCNT1):​c.99A>G​(p.Gln33Gln) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00263 in 1,610,794 control chromosomes in the GnomAD database, including 10 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0031 ( 3 hom., cov: 32)
Exomes 𝑓: 0.0026 ( 7 hom. )

Consequence

KCNT1
NM_020822.3 synonymous

Scores

2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:7

Conservation

PhyloP100: -0.149

Publications

2 publications found
Variant links:
Genes affected
KCNT1 (HGNC:18865): (potassium sodium-activated channel subfamily T member 1) Potassium 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. This gene encodes a sodium-activated potassium channel subunit which is thought to function in ion conductance and developmental signaling pathways. Mutations in this gene cause the early-onset epileptic disorders, malignant migrating partial seizures of infancy and autosomal dominant nocturnal frontal lobe epilepsy. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 2012]
SOHLH1 (HGNC:27845): (spermatogenesis and oogenesis specific basic helix-loop-helix 1) This gene encodes one of testis-specific transcription factors which are essential for spermatogenesis, oogenesis and folliculogenesis. This gene is located on chromosome 9. Mutations in this gene are associated with nonobstructive azoospermia. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Aug 2013]
SOHLH1 Gene-Disease associations (from GenCC):
  • ovarian dysgenesis 5
    Inheritance: AR, AD Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • hypogonadism
    Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -14 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.87).
BP6
Variant 9-135702357-A-G is Benign according to our data. Variant chr9-135702357-A-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 193439.
BP7
Synonymous conserved (PhyloP=-0.149 with no splicing effect.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00314 (477/151724) while in subpopulation AFR AF = 0.00454 (188/41368). AF 95% confidence interval is 0.00401. There are 3 homozygotes in GnomAd4. There are 226 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High AC in GnomAd4 at 477 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KCNT1NM_020822.3 linkc.99A>G p.Gln33Gln synonymous_variant Exon 1 of 31 ENST00000371757.7 NP_065873.2
KCNT1NM_001272003.2 linkc.99A>G p.Gln33Gln synonymous_variant Exon 1 of 31 NP_001258932.1
SOHLH1XM_011518698.4 linkc.-2253T>C upstream_gene_variant XP_011517000.1
SOHLH1XM_006717109.5 linkc.-2382T>C upstream_gene_variant XP_006717172.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KCNT1ENST00000371757.7 linkc.99A>G p.Gln33Gln synonymous_variant Exon 1 of 31 1 NM_020822.3 ENSP00000360822.2

Frequencies

GnomAD3 genomes
AF:
0.00313
AC:
475
AN:
151608
Hom.:
3
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00451
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00269
Gnomad ASJ
AF:
0.00375
Gnomad EAS
AF:
0.00157
Gnomad SAS
AF:
0.000624
Gnomad FIN
AF:
0.000379
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00312
Gnomad OTH
AF:
0.00385
GnomAD2 exomes
AF:
0.00209
AC:
513
AN:
244966
AF XY:
0.00208
show subpopulations
Gnomad AFR exome
AF:
0.00407
Gnomad AMR exome
AF:
0.00160
Gnomad ASJ exome
AF:
0.00252
Gnomad EAS exome
AF:
0.000717
Gnomad FIN exome
AF:
0.000418
Gnomad NFE exome
AF:
0.00284
Gnomad OTH exome
AF:
0.00315
GnomAD4 exome
AF:
0.00257
AC:
3753
AN:
1459070
Hom.:
7
Cov.:
31
AF XY:
0.00255
AC XY:
1853
AN XY:
725912
show subpopulations
African (AFR)
AF:
0.00559
AC:
187
AN:
33424
American (AMR)
AF:
0.00175
AC:
78
AN:
44672
Ashkenazi Jewish (ASJ)
AF:
0.00334
AC:
87
AN:
26082
East Asian (EAS)
AF:
0.00391
AC:
155
AN:
39658
South Asian (SAS)
AF:
0.000615
AC:
53
AN:
86228
European-Finnish (FIN)
AF:
0.000346
AC:
18
AN:
52062
Middle Eastern (MID)
AF:
0.00262
AC:
15
AN:
5734
European-Non Finnish (NFE)
AF:
0.00272
AC:
3022
AN:
1110942
Other (OTH)
AF:
0.00229
AC:
138
AN:
60268
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.460
Heterozygous variant carriers
0
183
367
550
734
917
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
112
224
336
448
560
<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:
0.00314
AC:
477
AN:
151724
Hom.:
3
Cov.:
32
AF XY:
0.00305
AC XY:
226
AN XY:
74184
show subpopulations
African (AFR)
AF:
0.00454
AC:
188
AN:
41368
American (AMR)
AF:
0.00268
AC:
41
AN:
15284
Ashkenazi Jewish (ASJ)
AF:
0.00375
AC:
13
AN:
3470
East Asian (EAS)
AF:
0.00157
AC:
8
AN:
5080
South Asian (SAS)
AF:
0.000625
AC:
3
AN:
4802
European-Finnish (FIN)
AF:
0.000379
AC:
4
AN:
10568
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.00312
AC:
212
AN:
67846
Other (OTH)
AF:
0.00381
AC:
8
AN:
2102
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
24
48
72
96
120
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00305
Hom.:
1
Bravo
AF:
0.00344
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.00382
EpiControl
AF:
0.00410

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:7
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:3
Mar 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

KCNT1: BP4, BP7 -

Jan 26, 2015
Eurofins Ntd Llc (ga)
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not specified Benign:2
-
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Aug 05, 2016
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

Developmental and epileptic encephalopathy, 14;C3554306:Autosomal dominant nocturnal frontal lobe epilepsy 5 Benign:1
Jan 30, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Benign:1
May 03, 2016
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.87
CADD
Benign
2.9
DANN
Benign
0.29
PhyloP100
-0.15
PromoterAI
0.0087
Neutral
Mutation Taster
=100/0
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: rs146152956; hg19: chr9-138594203; COSMIC: COSV53681766; COSMIC: COSV53681766; API