rs146883958

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_139318.5(KCNH5):​c.1098A>G​(p.Ile366Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00106 in 1,613,944 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.00081 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0011 ( 2 hom. )

Consequence

KCNH5
NM_139318.5 missense

Scores

4
10
5

Clinical Significance

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

Conservation

PhyloP100: 0.956
Variant links:
Genes affected
KCNH5 (HGNC:6254): (potassium voltage-gated channel subfamily H member 5) This gene encodes a member of voltage-gated potassium channels. Members of this family have diverse functions, including regulating neurotransmitter and hormone release, cardiac function, and cell volume. This protein is an outward-rectifying, noninactivating channel. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.040032953).
BP6
Variant 14-62950404-T-C is Benign according to our data. Variant chr14-62950404-T-C is described in ClinVar as [Benign]. Clinvar id is 416115.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr14-62950404-T-C is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.000808 (123/152142) while in subpopulation NFE AF= 0.00122 (83/68008). AF 95% confidence interval is 0.00101. There are 0 homozygotes in gnomad4. There are 52 alleles in male gnomad4 subpopulation. Median coverage is 31. This position pass quality control queck.
BS2
High AC in GnomAd4 at 123 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KCNH5NM_139318.5 linkc.1098A>G p.Ile366Met missense_variant Exon 7 of 11 ENST00000322893.12 NP_647479.2 Q8NCM2-1
KCNH5NM_172375.3 linkc.1098A>G p.Ile366Met missense_variant Exon 7 of 10 NP_758963.1 Q8NCM2-2
KCNH5XM_047431275.1 linkc.1098A>G p.Ile366Met missense_variant Exon 7 of 10 XP_047287231.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KCNH5ENST00000322893.12 linkc.1098A>G p.Ile366Met missense_variant Exon 7 of 11 1 NM_139318.5 ENSP00000321427.7 Q8NCM2-1
KCNH5ENST00000420622.6 linkc.1098A>G p.Ile366Met missense_variant Exon 7 of 10 1 ENSP00000395439.2 Q8NCM2-2
KCNH5ENST00000394964.3 linkn.1263A>G non_coding_transcript_exon_variant Exon 7 of 7 1
KCNH5ENST00000394968.2 linkc.924A>G p.Ile308Met missense_variant Exon 7 of 11 2 ENSP00000378419.1 Q8NCM2-3

Frequencies

GnomAD3 genomes
AF:
0.000809
AC:
123
AN:
152024
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000193
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000787
Gnomad ASJ
AF:
0.00432
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00122
Gnomad OTH
AF:
0.00192
GnomAD3 exomes
AF:
0.00114
AC:
285
AN:
250870
Hom.:
0
AF XY:
0.00106
AC XY:
144
AN XY:
135562
show subpopulations
Gnomad AFR exome
AF:
0.000369
Gnomad AMR exome
AF:
0.00205
Gnomad ASJ exome
AF:
0.00556
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000653
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.00111
Gnomad OTH exome
AF:
0.00376
GnomAD4 exome
AF:
0.00108
AC:
1586
AN:
1461802
Hom.:
2
Cov.:
32
AF XY:
0.00108
AC XY:
782
AN XY:
727202
show subpopulations
Gnomad4 AFR exome
AF:
0.000269
Gnomad4 AMR exome
AF:
0.00228
Gnomad4 ASJ exome
AF:
0.00574
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000104
Gnomad4 FIN exome
AF:
0.0000749
Gnomad4 NFE exome
AF:
0.00107
Gnomad4 OTH exome
AF:
0.00177
GnomAD4 genome
AF:
0.000808
AC:
123
AN:
152142
Hom.:
0
Cov.:
31
AF XY:
0.000699
AC XY:
52
AN XY:
74380
show subpopulations
Gnomad4 AFR
AF:
0.000193
Gnomad4 AMR
AF:
0.000786
Gnomad4 ASJ
AF:
0.00432
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000208
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00122
Gnomad4 OTH
AF:
0.00190
Alfa
AF:
0.00138
Hom.:
0
Bravo
AF:
0.000929
TwinsUK
AF:
0.00135
AC:
5
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.000930
AC:
8
ExAC
AF:
0.00105
AC:
127
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.00191
EpiControl
AF:
0.00166

ClinVar

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

Submissions by phenotype

Early infantile epileptic encephalopathy with suppression bursts Benign:1
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

KCNH5-related disorder Benign:1
Oct 28, 2019
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.47
BayesDel_addAF
Uncertain
0.012
T
BayesDel_noAF
Pathogenic
0.24
CADD
Benign
21
DANN
Uncertain
0.98
DEOGEN2
Pathogenic
0.82
D;.;.
Eigen
Benign
-0.36
Eigen_PC
Benign
-0.41
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Uncertain
0.97
D;D;D
M_CAP
Pathogenic
0.31
D
MetaRNN
Benign
0.040
T;T;T
MetaSVM
Uncertain
0.71
D
MutationAssessor
Benign
1.5
L;L;.
PrimateAI
Uncertain
0.78
T
PROVEAN
Uncertain
-2.5
D;D;D
REVEL
Pathogenic
0.72
Sift
Uncertain
0.028
D;D;D
Sift4G
Uncertain
0.049
D;T;T
Polyphen
0.85
P;B;P
Vest4
0.86
MVP
0.94
MPC
1.8
ClinPred
0.058
T
GERP RS
-6.6
Varity_R
0.45
gMVP
0.70

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: rs146883958; hg19: chr14-63417122; COSMIC: COSV105235765; API