rs2297385

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_172107.4(KCNQ2):​c.912C>T​(p.Phe304Phe) variant causes a synonymous change. The variant allele was found at a frequency of 0.0843 in 1,612,774 control chromosomes in the GnomAD database, including 9,799 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.082 ( 1029 hom., cov: 33)
Exomes 𝑓: 0.085 ( 8770 hom. )

Consequence

KCNQ2
NM_172107.4 synonymous

Scores

1
1
6

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: 4.80
Variant links:
Genes affected
KCNQ2 (HGNC:6296): (potassium voltage-gated channel subfamily Q member 2) The M channel is a slowly activating and deactivating potassium channel that plays a critical role in the regulation of neuronal excitability. The M channel is formed by the association of the protein encoded by this gene and a related protein encoded by the KCNQ3 gene, both integral membrane proteins. M channel currents are inhibited by M1 muscarinic acetylcholine receptors and activated by retigabine, a novel anti-convulsant drug. Defects in this gene are a cause of benign familial neonatal convulsions type 1 (BFNC), also known as epilepsy, benign neonatal type 1 (EBN1). At least five transcript variants encoding five different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008976191).
BP6
Variant 20-63439613-G-A is Benign according to our data. Variant chr20-63439613-G-A is described in ClinVar as [Benign]. Clinvar id is 129345.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr20-63439613-G-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.438 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KCNQ2NM_172107.4 linkc.912C>T p.Phe304Phe synonymous_variant Exon 6 of 17 ENST00000359125.7 NP_742105.1 O43526-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KCNQ2ENST00000359125.7 linkc.912C>T p.Phe304Phe synonymous_variant Exon 6 of 17 1 NM_172107.4 ENSP00000352035.2 O43526-1

Frequencies

GnomAD3 genomes
AF:
0.0816
AC:
12427
AN:
152210
Hom.:
1030
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0170
Gnomad AMI
AF:
0.0559
Gnomad AMR
AF:
0.151
Gnomad ASJ
AF:
0.0922
Gnomad EAS
AF:
0.454
Gnomad SAS
AF:
0.147
Gnomad FIN
AF:
0.0888
Gnomad MID
AF:
0.0854
Gnomad NFE
AF:
0.0706
Gnomad OTH
AF:
0.0937
GnomAD3 exomes
AF:
0.120
AC:
30118
AN:
250874
Hom.:
3072
AF XY:
0.119
AC XY:
16164
AN XY:
135838
show subpopulations
Gnomad AFR exome
AF:
0.0159
Gnomad AMR exome
AF:
0.171
Gnomad ASJ exome
AF:
0.0957
Gnomad EAS exome
AF:
0.442
Gnomad SAS exome
AF:
0.139
Gnomad FIN exome
AF:
0.0840
Gnomad NFE exome
AF:
0.0721
Gnomad OTH exome
AF:
0.105
GnomAD4 exome
AF:
0.0845
AC:
123473
AN:
1460446
Hom.:
8770
Cov.:
32
AF XY:
0.0864
AC XY:
62811
AN XY:
726602
show subpopulations
Gnomad4 AFR exome
AF:
0.0145
Gnomad4 AMR exome
AF:
0.168
Gnomad4 ASJ exome
AF:
0.0903
Gnomad4 EAS exome
AF:
0.447
Gnomad4 SAS exome
AF:
0.135
Gnomad4 FIN exome
AF:
0.0834
Gnomad4 NFE exome
AF:
0.0655
Gnomad4 OTH exome
AF:
0.0973
GnomAD4 genome
AF:
0.0815
AC:
12420
AN:
152328
Hom.:
1029
Cov.:
33
AF XY:
0.0881
AC XY:
6561
AN XY:
74478
show subpopulations
Gnomad4 AFR
AF:
0.0170
Gnomad4 AMR
AF:
0.152
Gnomad4 ASJ
AF:
0.0922
Gnomad4 EAS
AF:
0.454
Gnomad4 SAS
AF:
0.146
Gnomad4 FIN
AF:
0.0888
Gnomad4 NFE
AF:
0.0706
Gnomad4 OTH
AF:
0.0927
Alfa
AF:
0.0770
Hom.:
799
Bravo
AF:
0.0829
TwinsUK
AF:
0.0636
AC:
236
ALSPAC
AF:
0.0576
AC:
222
ESP6500AA
AF:
0.0213
AC:
94
ESP6500EA
AF:
0.0673
AC:
579
ExAC
AF:
0.114
AC:
13856
Asia WGS
AF:
0.256
AC:
887
AN:
3478
EpiCase
AF:
0.0782
EpiControl
AF:
0.0809

ClinVar

Significance: Benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5
-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Jul 15, 2024
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is classified as Benign based on local population frequency. This variant was detected in 20% of patients studied in a panel designed for Epileptic and Developmental Encephalopathy and Progressive Myoclonus Epilepsy. Number of patients: 19. Only high quality variants are reported. -

Apr 25, 2013
Genetic Services Laboratory, University of Chicago
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:3
Mar 03, 2015
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Dec 06, 2018
Athena Diagnostics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Inborn genetic diseases Benign:1
Dec 31, 2015
Ambry Genetics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as 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. -

Early infantile epileptic encephalopathy with suppression bursts Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.60
T
BayesDel_noAF
Benign
-0.50
CADD
Benign
8.2
DANN
Benign
0.66
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Benign
0.24
T
MetaRNN
Benign
0.0090
T
Sift4G
Pathogenic
0.0
D
GERP RS
3.0

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: rs2297385; hg19: chr20-62070966; COSMIC: COSV60438458; COSMIC: COSV60438458; API