rs199473360

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM1

The NM_000219.6(KCNE1):​c.247G>A​(p.Glu83Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000425 in 1,460,276 control chromosomes in the GnomAD database, including 1 homozygotes. 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. E83D) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000042 ( 0 hom., cov: 17)
Exomes 𝑓: 0.000042 ( 1 hom. )
Failed GnomAD Quality Control

Consequence

KCNE1
NM_000219.6 missense

Scores

2
9
7

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:7O:1

Conservation

PhyloP100: 1.34

Publications

8 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: Uncertain_significance. The variant received 2 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 2 benign, 109 uncertain in NM_000219.6

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.247G>Ap.Glu83Lys
missense
Exon 4 of 4NP_000210.2P15382
KCNE1
NM_001127668.4
c.247G>Ap.Glu83Lys
missense
Exon 3 of 3NP_001121140.1P15382
KCNE1
NM_001127669.4
c.247G>Ap.Glu83Lys
missense
Exon 3 of 3NP_001121141.1C7S316

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNE1
ENST00000399286.3
TSL:1 MANE Select
c.247G>Ap.Glu83Lys
missense
Exon 4 of 4ENSP00000382226.2P15382
KCNE1
ENST00000399289.7
TSL:1
c.247G>Ap.Glu83Lys
missense
Exon 3 of 3ENSP00000382228.3P15382
KCNE1
ENST00000416357.6
TSL:1
c.247G>Ap.Glu83Lys
missense
Exon 2 of 2ENSP00000416258.2P15382

Frequencies

GnomAD3 genomes
AF:
0.0000416
AC:
6
AN:
144174
Hom.:
0
Cov.:
17
show subpopulations
Gnomad AFR
AF:
0.0000254
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000229
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000614
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000438
AC:
11
AN:
251428
AF XY:
0.0000294
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000867
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000163
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000264
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000425
AC:
62
AN:
1460276
Hom.:
1
Cov.:
30
AF XY:
0.0000372
AC XY:
27
AN XY:
726520
show subpopulations
African (AFR)
AF:
0.0000597
AC:
2
AN:
33478
American (AMR)
AF:
0.0000894
AC:
4
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26098
East Asian (EAS)
AF:
0.000126
AC:
5
AN:
39694
South Asian (SAS)
AF:
0.000116
AC:
10
AN:
86250
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53390
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.0000342
AC:
38
AN:
1110512
Other (OTH)
AF:
0.0000497
AC:
3
AN:
60364
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
4
8
11
15
19
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4
8
12
16
20
<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
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000416
AC:
6
AN:
144284
Hom.:
0
Cov.:
17
AF XY:
0.0000714
AC XY:
5
AN XY:
70028
show subpopulations
African (AFR)
AF:
0.0000254
AC:
1
AN:
39436
American (AMR)
AF:
0.00
AC:
0
AN:
14272
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3320
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4714
South Asian (SAS)
AF:
0.000230
AC:
1
AN:
4354
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9898
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
290
European-Non Finnish (NFE)
AF:
0.0000614
AC:
4
AN:
65178
Other (OTH)
AF:
0.00
AC:
0
AN:
1954
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
1
1
2
2
3
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:
0.000103
Hom.:
0
Bravo
AF:
0.0000416
ExAC
AF:
0.0000247
AC:
3
EpiCase
AF:
0.00
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
-
not provided (2)
-
1
-
Cardiovascular phenotype (1)
-
1
-
Jervell and Lange-Nielsen syndrome 2 (1)
-
1
-
Long QT syndrome (1)
-
1
-
Long QT syndrome 5;C2676723:Jervell and Lange-Nielsen syndrome 2 (1)
-
1
-
not specified (1)
-
-
-
Congenital long QT syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Uncertain
0.019
T
BayesDel_noAF
Pathogenic
0.17
CADD
Benign
16
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.70
D
Eigen
Benign
-0.073
Eigen_PC
Benign
-0.10
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Benign
0.83
T
M_CAP
Uncertain
0.20
D
MetaRNN
Uncertain
0.43
T
MetaSVM
Uncertain
0.13
D
MutationAssessor
Uncertain
2.6
M
PhyloP100
1.3
PrimateAI
Uncertain
0.53
T
PROVEAN
Benign
-1.7
N
REVEL
Pathogenic
0.65
Sift
Benign
0.14
T
Sift4G
Benign
0.19
T
Polyphen
0.81
P
Vest4
0.53
MVP
0.89
MPC
0.32
ClinPred
0.15
T
GERP RS
2.1
Varity_R
0.19
gMVP
0.69
Mutation Taster
=4/96
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: rs199473360; hg19: chr21-35821686; COSMIC: COSV100492580; API
For research and educational, non-commercial use only. Not for clinical or diagnostic use. GeneBe does not provide medical advice. Data use for AI modeling is prohibited: if used, the cost is $0.001 per byte of downloaded uncompressed data.