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rs149028586

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_020822.3(KCNT1):​c.2376C>T​(p.Asp792=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00462 in 1,613,998 control chromosomes in the GnomAD database, including 29 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0035 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0047 ( 29 hom. )

Consequence

KCNT1
NM_020822.3 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: -1.54
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.47).
BP6
Variant 9-135777364-C-T is Benign according to our data. Variant chr9-135777364-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 195619.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-135777364-C-T is described in Lovd as [Likely_benign].
BP7
Synonymous conserved (PhyloP=-1.54 with no splicing effect.
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.00354 (539/152342) while in subpopulation AMR AF= 0.00614 (94/15310). AF 95% confidence interval is 0.00514. There are 0 homozygotes in gnomad4. There are 238 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 539 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KCNT1NM_020822.3 linkuse as main transcriptc.2376C>T p.Asp792= synonymous_variant 21/31 ENST00000371757.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KCNT1ENST00000371757.7 linkuse as main transcriptc.2376C>T p.Asp792= synonymous_variant 21/311 NM_020822.3 A2Q5JUK3-3

Frequencies

GnomAD3 genomes
AF:
0.00355
AC:
540
AN:
152224
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00157
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00615
Gnomad ASJ
AF:
0.00806
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00186
Gnomad FIN
AF:
0.00103
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.00467
Gnomad OTH
AF:
0.00574
GnomAD3 exomes
AF:
0.00390
AC:
980
AN:
251142
Hom.:
6
AF XY:
0.00408
AC XY:
554
AN XY:
135730
show subpopulations
Gnomad AFR exome
AF:
0.00148
Gnomad AMR exome
AF:
0.00440
Gnomad ASJ exome
AF:
0.00927
Gnomad EAS exome
AF:
0.000163
Gnomad SAS exome
AF:
0.00176
Gnomad FIN exome
AF:
0.000739
Gnomad NFE exome
AF:
0.00513
Gnomad OTH exome
AF:
0.00898
GnomAD4 exome
AF:
0.00473
AC:
6913
AN:
1461656
Hom.:
29
Cov.:
30
AF XY:
0.00465
AC XY:
3381
AN XY:
727150
show subpopulations
Gnomad4 AFR exome
AF:
0.00102
Gnomad4 AMR exome
AF:
0.00541
Gnomad4 ASJ exome
AF:
0.00938
Gnomad4 EAS exome
AF:
0.000327
Gnomad4 SAS exome
AF:
0.00231
Gnomad4 FIN exome
AF:
0.000786
Gnomad4 NFE exome
AF:
0.00518
Gnomad4 OTH exome
AF:
0.00595
GnomAD4 genome
AF:
0.00354
AC:
539
AN:
152342
Hom.:
0
Cov.:
33
AF XY:
0.00320
AC XY:
238
AN XY:
74488
show subpopulations
Gnomad4 AFR
AF:
0.00156
Gnomad4 AMR
AF:
0.00614
Gnomad4 ASJ
AF:
0.00806
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00186
Gnomad4 FIN
AF:
0.00103
Gnomad4 NFE
AF:
0.00467
Gnomad4 OTH
AF:
0.00568
Alfa
AF:
0.00477
Hom.:
2
Bravo
AF:
0.00414
EpiCase
AF:
0.00513
EpiControl
AF:
0.00564

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)May 15, 2015- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsDec 17, 2019- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 07, 2016This 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. -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
not provided Benign:3
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenFeb 01, 2024KCNT1: BP4, BP7, BS1, BS2 -
Likely benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Developmental and epileptic encephalopathy, 14;C3554306:Autosomal dominant nocturnal frontal lobe epilepsy 5 Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeJan 29, 2024- -
Inborn genetic diseases Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsMar 21, 2016This 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. -
Developmental and epileptic encephalopathy, 14 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabMar 15, 2022- -
Autosomal dominant nocturnal frontal lobe epilepsy 5 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabMar 15, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.47
CADD
Benign
5.3
DANN
Benign
0.63

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs149028586; hg19: chr9-138669210; COSMIC: COSV53702057; COSMIC: COSV53702057; API