rs199473362

Variant summary

Our verdict is Uncertain significance. The variant received 3 ACMG points: 3P and 0B. PP3_ModeratePP5

The NM_000219.6(KCNE1):​c.292C>T​(p.Arg98Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000434 in 1,588,590 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R98L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0000071 ( 0 hom., cov: 17)
Exomes 𝑓: 0.000047 ( 0 hom. )

Consequence

KCNE1
NM_000219.6 missense

Scores

7
9
2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:4U:2O:1

Conservation

PhyloP100: 2.58

Publications

22 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 3 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.852
PP5
Variant 21-34449343-G-A is Pathogenic according to our data. Variant chr21-34449343-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 132676.

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.292C>Tp.Arg98Trp
missense
Exon 4 of 4NP_000210.2P15382
KCNE1
NM_001127668.4
c.292C>Tp.Arg98Trp
missense
Exon 3 of 3NP_001121140.1P15382
KCNE1
NM_001127669.4
c.292C>Tp.Arg98Trp
missense
Exon 3 of 3NP_001121141.1C7S316

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNE1
ENST00000399286.3
TSL:1 MANE Select
c.292C>Tp.Arg98Trp
missense
Exon 4 of 4ENSP00000382226.2P15382
KCNE1
ENST00000399289.7
TSL:1
c.292C>Tp.Arg98Trp
missense
Exon 3 of 3ENSP00000382228.3P15382
KCNE1
ENST00000416357.6
TSL:1
c.292C>Tp.Arg98Trp
missense
Exon 2 of 2ENSP00000416258.2P15382

Frequencies

GnomAD3 genomes
AF:
0.00000708
AC:
1
AN:
141302
Hom.:
0
Cov.:
17
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000236
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000318
AC:
8
AN:
251432
AF XY:
0.0000515
show subpopulations
Gnomad AFR exome
AF:
0.0000616
Gnomad AMR exome
AF:
0.0000289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000352
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000470
AC:
68
AN:
1447288
Hom.:
0
Cov.:
29
AF XY:
0.0000555
AC XY:
40
AN XY:
720798
show subpopulations
African (AFR)
AF:
0.000270
AC:
9
AN:
33338
American (AMR)
AF:
0.0000224
AC:
1
AN:
44712
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26012
East Asian (EAS)
AF:
0.000101
AC:
4
AN:
39642
South Asian (SAS)
AF:
0.0000813
AC:
7
AN:
86090
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53368
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5758
European-Non Finnish (NFE)
AF:
0.0000419
AC:
46
AN:
1098392
Other (OTH)
AF:
0.0000167
AC:
1
AN:
59976
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.454
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
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
AF:
0.00000708
AC:
1
AN:
141302
Hom.:
0
Cov.:
17
AF XY:
0.00
AC XY:
0
AN XY:
68446
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
38702
American (AMR)
AF:
0.00
AC:
0
AN:
13916
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3250
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4606
South Asian (SAS)
AF:
0.000236
AC:
1
AN:
4232
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9684
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
306
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
63872
Other (OTH)
AF:
0.00
AC:
0
AN:
1894
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.0000889
Hom.:
0
Bravo
AF:
0.0000793
ExAC
AF:
0.0000165
AC:
2
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
1
-
Long QT syndrome (2)
1
1
-
not provided (2)
1
-
-
Cardiovascular phenotype (1)
1
-
-
Long QT syndrome 5 (1)
-
-
-
Congenital long QT syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Pathogenic
0.22
D
BayesDel_noAF
Pathogenic
0.38
CADD
Pathogenic
26
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.92
D
Eigen
Uncertain
0.49
Eigen_PC
Uncertain
0.37
FATHMM_MKL
Uncertain
0.80
D
LIST_S2
Uncertain
0.89
D
M_CAP
Uncertain
0.23
D
MetaRNN
Pathogenic
0.85
D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Uncertain
2.7
M
PhyloP100
2.6
PrimateAI
Benign
0.47
T
PROVEAN
Uncertain
-3.1
D
REVEL
Pathogenic
0.74
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.0020
D
Polyphen
1.0
D
Vest4
0.52
MVP
0.93
MPC
0.44
ClinPred
0.80
D
GERP RS
4.0
Varity_R
0.24
gMVP
0.76
Mutation Taster
=0/100
disease causing (ClinVar)

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: rs199473362; hg19: chr21-35821641; API