rs199473356

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM1PM2PM5

The NM_000219.6(KCNE1):ā€‹c.210G>Cā€‹(p.Lys70Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000693 in 1,442,528 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as not provided (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. K70E) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 17)
Exomes š‘“: 6.9e-7 ( 0 hom. )

Consequence

KCNE1
NM_000219.6 missense

Scores

3
10
6

Clinical Significance

not provided no classification provided O:1

Conservation

PhyloP100: -0.0100
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]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 1 benign, 12 uncertain in NM_000219.6
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr21-34449426-T-A is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KCNE1NM_000219.6 linkuse as main transcriptc.210G>C p.Lys70Asn missense_variant 4/4 ENST00000399286.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KCNE1ENST00000399286.3 linkuse as main transcriptc.210G>C p.Lys70Asn missense_variant 4/41 NM_000219.6 P1

Frequencies

GnomAD3 genomes
Cov.:
17
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251398
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135910
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
6.93e-7
AC:
1
AN:
1442528
Hom.:
0
Cov.:
28
AF XY:
0.00
AC XY:
0
AN XY:
718648
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
17

ClinVar

Significance: not provided
Submissions summary: Other:1
Revision: no classification provided
LINK: link

Submissions by phenotype

Congenital long QT syndrome Other:1
not provided, no classification providedliterature onlyCardiovascular Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust-This variant has been reported as associated with Long QT syndrome in the following publications (PMID:16155735). This is a literature report, and does not necessarily reflect the clinical interpretation of the Imperial College / Royal Brompton Cardiovascular Genetics laboratory. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.96
BayesDel_addAF
Benign
0.0099
T
BayesDel_noAF
Uncertain
-0.010
CADD
Benign
19
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.94
D;D;D;D;D;D;D;D
Eigen
Benign
-0.047
Eigen_PC
Benign
-0.22
FATHMM_MKL
Benign
0.63
D
LIST_S2
Benign
0.82
.;.;T;.;.;.;.;.
M_CAP
Uncertain
0.14
D
MetaRNN
Uncertain
0.48
T;T;T;T;T;T;T;T
MetaSVM
Pathogenic
0.85
D
MutationAssessor
Uncertain
2.8
M;M;M;M;M;M;M;M
MutationTaster
Benign
0.98
D;D;D;D;D;D;D;D;D;D;D;D
PrimateAI
Uncertain
0.72
T
PROVEAN
Uncertain
-3.4
D;.;.;D;D;D;D;D
REVEL
Uncertain
0.63
Sift
Uncertain
0.0030
D;.;.;D;D;D;D;D
Sift4G
Uncertain
0.0050
D;D;D;D;D;D;D;D
Polyphen
1.0
D;D;D;D;D;D;D;D
Vest4
0.34
MutPred
0.33
Loss of ubiquitination at K70 (P = 0.0141);Loss of ubiquitination at K70 (P = 0.0141);Loss of ubiquitination at K70 (P = 0.0141);Loss of ubiquitination at K70 (P = 0.0141);Loss of ubiquitination at K70 (P = 0.0141);Loss of ubiquitination at K70 (P = 0.0141);Loss of ubiquitination at K70 (P = 0.0141);Loss of ubiquitination at K70 (P = 0.0141);
MVP
0.91
MPC
0.46
ClinPred
0.98
D
GERP RS
-3.6
Varity_R
0.52
gMVP
0.77

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: rs199473356; hg19: chr21-35821723; API