rs199473348

Variant summary

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

The NM_000219.6(KCNE1):​c.23C>T​(p.Ala8Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a benign outcome for this variant. 13/22 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. A8G) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000097 ( 0 hom., cov: 13)
Exomes 𝑓: 0.00010 ( 7 hom. )

Consequence

KCNE1
NM_000219.6 missense

Scores

5
13

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:8O:1

Conservation

PhyloP100: 1.19

Publications

14 publications found
Variant links:
Genes affected
KCNE1 (HGNC:6240): (potassium voltage-gated channel subfamily E regulatory subunit 1) The product of this gene belongs to the potassium channel KCNE family. Potassium ion channels are essential to many cellular functions and show a high degree of diversity, varying in their electrophysiologic and pharmacologic properties. This gene encodes a transmembrane protein known to associate with the product of the KVLQT1 gene to form the delayed rectifier potassium channel. Mutation in this gene are associated with both Jervell and Lange-Nielsen and Romano-Ward forms of long-QT syndrome. Alternatively spliced transcript variants encoding the same protein have been identified. [provided by RefSeq, Jul 2008]
KCNE1 Gene-Disease associations (from GenCC):
  • long QT syndrome 5
    Inheritance: AD Classification: DEFINITIVE, STRONG, LIMITED Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae), ClinGen
  • Jervell and Lange-Nielsen syndrome 2
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: G2P, ClinGen, Labcorp Genetics (formerly Invitae)
  • Jervell and Lange-Nielsen syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • atrial fibrillation
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

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=0.08138129).
BS2
High Homozygotes in GnomAdExome4 at 7 AD,AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000219.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNE1
NM_000219.6
MANE Select
c.23C>Tp.Ala8Val
missense
Exon 4 of 4NP_000210.2P15382
KCNE1
NM_001127668.4
c.23C>Tp.Ala8Val
missense
Exon 3 of 3NP_001121140.1P15382
KCNE1
NM_001127669.4
c.23C>Tp.Ala8Val
missense
Exon 3 of 3NP_001121141.1C7S316

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNE1
ENST00000399286.3
TSL:1 MANE Select
c.23C>Tp.Ala8Val
missense
Exon 4 of 4ENSP00000382226.2P15382
KCNE1
ENST00000399289.7
TSL:1
c.23C>Tp.Ala8Val
missense
Exon 3 of 3ENSP00000382228.3P15382
KCNE1
ENST00000416357.6
TSL:1
c.23C>Tp.Ala8Val
missense
Exon 2 of 2ENSP00000416258.2P15382

Frequencies

GnomAD3 genomes
AF:
0.0000969
AC:
9
AN:
92872
Hom.:
0
Cov.:
13
show subpopulations
Gnomad AFR
AF:
0.0000874
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000201
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000359
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000931
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000104
AC:
26
AN:
251178
AF XY:
0.000140
show subpopulations
Gnomad AFR exome
AF:
0.000370
Gnomad AMR exome
AF:
0.0000289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000490
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000352
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000102
AC:
81
AN:
795706
Hom.:
7
Cov.:
11
AF XY:
0.000103
AC XY:
42
AN XY:
409650
show subpopulations
African (AFR)
AF:
0.000153
AC:
3
AN:
19648
American (AMR)
AF:
0.0000818
AC:
3
AN:
36682
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19120
East Asian (EAS)
AF:
0.000120
AC:
4
AN:
33344
South Asian (SAS)
AF:
0.000250
AC:
16
AN:
63974
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
42244
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3814
European-Non Finnish (NFE)
AF:
0.0000946
AC:
51
AN:
539168
Other (OTH)
AF:
0.000106
AC:
4
AN:
37712
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.554
Heterozygous variant carriers
0
3
5
8
10
13
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome 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
GnomAD4 genome
AF:
0.0000968
AC:
9
AN:
92948
Hom.:
0
Cov.:
13
AF XY:
0.000134
AC XY:
6
AN XY:
44890
show subpopulations
African (AFR)
AF:
0.0000870
AC:
2
AN:
22980
American (AMR)
AF:
0.000200
AC:
2
AN:
9996
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2072
East Asian (EAS)
AF:
0.00
AC:
0
AN:
2704
South Asian (SAS)
AF:
0.000361
AC:
1
AN:
2770
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
7514
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
212
European-Non Finnish (NFE)
AF:
0.0000931
AC:
4
AN:
42946
Other (OTH)
AF:
0.00
AC:
0
AN:
1286
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.558
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
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:
0.000146
Hom.:
0
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000123
AC:
15
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.0000593

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
Cardiovascular phenotype (2)
-
2
-
Long QT syndrome (2)
-
2
-
not specified (2)
-
1
-
Long QT syndrome 5 (1)
-
1
-
Long QT syndrome 5;C2676723:Jervell and Lange-Nielsen syndrome 2 (1)
-
-
-
Congenital long QT syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.088
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Uncertain
0.010
CADD
Benign
14
DANN
Benign
0.95
DEOGEN2
Uncertain
0.69
D
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.15
N
LIST_S2
Benign
0.57
T
M_CAP
Benign
0.047
D
MetaRNN
Benign
0.081
T
MetaSVM
Uncertain
-0.077
T
MutationAssessor
Uncertain
2.6
M
PhyloP100
1.2
PrimateAI
Benign
0.29
T
PROVEAN
Benign
-1.5
N
REVEL
Uncertain
0.53
Sift
Benign
0.034
D
Sift4G
Benign
0.095
T
Polyphen
0.0030
B
Vest4
0.19
MVP
0.79
MPC
0.079
ClinPred
0.022
T
GERP RS
0.94
Varity_R
0.018
gMVP
0.45
Mutation Taster
=0/100
disease causing

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: rs199473348; hg19: chr21-35821910; COSMIC: COSV61607838; API