rs370113959

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 1P and 14B. PP2BP4_ModerateBP6_Very_StrongBS2

The NM_021072.4(HCN1):​c.259C>T​(p.Pro87Ser) variant causes a missense change. The variant allele was found at a frequency of 0.0000381 in 1,601,824 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. P87P) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00020 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000021 ( 0 hom. )

Consequence

HCN1
NM_021072.4 missense

Scores

2
1
16

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 3.77
Variant links:
Genes affected
HCN1 (HGNC:4845): (hyperpolarization activated cyclic nucleotide gated potassium channel 1) The membrane protein encoded by this gene is a hyperpolarization-activated cation channel that contributes to the native pacemaker currents in heart and neurons. The encoded protein can homodimerize or heterodimerize with other pore-forming subunits to form a potassium channel. This channel may act as a receptor for sour tastes. [provided by RefSeq, Oct 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

PP2
Missense variant in the HCN1 gene, where missense mutations are typically associated with disease (based on misZ statistic). The gene has 36 curated pathogenic missense variants (we use a threshold of 10). The gene has 59 curated benign missense variants. Gene score misZ: 3.6647 (above the threshold of 3.09). Trascript score misZ: 3.2427 (above the threshold of 3.09). GenCC associations: The gene is linked to generalized epilepsy with febrile seizures plus, type 10, undetermined early-onset epileptic encephalopathy, developmental and epileptic encephalopathy, 24, generalized epilepsy with febrile seizures plus.
BP4
Computational evidence support a benign effect (MetaRNN=0.10881284).
BP6
Variant 5-45695835-G-A is Benign according to our data. Variant chr5-45695835-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 461373.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 31 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
HCN1NM_021072.4 linkc.259C>T p.Pro87Ser missense_variant Exon 1 of 8 ENST00000303230.6 NP_066550.2 O60741Q86WJ6

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
HCN1ENST00000303230.6 linkc.259C>T p.Pro87Ser missense_variant Exon 1 of 8 1 NM_021072.4 ENSP00000307342.4 O60741
HCN1ENST00000673735.1 linkc.259C>T p.Pro87Ser missense_variant Exon 1 of 9 ENSP00000501107.1 A0A669KB45
HCN1ENST00000634658.1 linkc.259C>T p.Pro87Ser missense_variant Exon 1 of 2 3 ENSP00000489134.1 A0A0U1RQR7
HCN1ENST00000638054.1 linkn.-110C>T upstream_gene_variant 5

Frequencies

GnomAD3 genomes
AF:
0.000205
AC:
31
AN:
151400
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000679
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000197
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000431
AC:
10
AN:
232052
Hom.:
0
AF XY:
0.0000468
AC XY:
6
AN XY:
128270
show subpopulations
Gnomad AFR exome
AF:
0.000588
Gnomad AMR exome
AF:
0.0000597
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:
0.00
GnomAD4 exome
AF:
0.0000207
AC:
30
AN:
1450320
Hom.:
0
Cov.:
33
AF XY:
0.0000208
AC XY:
15
AN XY:
721874
show subpopulations
Gnomad4 AFR exome
AF:
0.000823
Gnomad4 AMR exome
AF:
0.0000680
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
AF:
0.000205
AC:
31
AN:
151504
Hom.:
0
Cov.:
32
AF XY:
0.000176
AC XY:
13
AN XY:
74032
show subpopulations
Gnomad4 AFR
AF:
0.000677
Gnomad4 AMR
AF:
0.000197
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.000193
ESP6500AA
AF:
0.000233
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000583
AC:
7

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Inborn genetic diseases Benign:1
Dec 13, 2016
Ambry Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as likely 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
Oct 15, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

HCN1-related disorder Benign:1
May 21, 2023
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.066
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.28
CADD
Benign
19
DANN
Benign
0.96
DEOGEN2
Benign
0.080
T;T
Eigen
Benign
-0.83
Eigen_PC
Benign
-0.67
FATHMM_MKL
Benign
0.70
D
LIST_S2
Benign
0.60
T;T
M_CAP
Pathogenic
0.99
D
MetaRNN
Benign
0.11
T;T
MetaSVM
Uncertain
-0.026
T
MutationAssessor
Benign
0.0
N;.
PrimateAI
Pathogenic
0.87
D
PROVEAN
Benign
-0.10
N;.
REVEL
Benign
0.24
Sift
Benign
0.28
T;.
Sift4G
Benign
0.77
T;T
Polyphen
0.0
B;.
Vest4
0.15
MVP
0.25
MPC
1.5
ClinPred
0.015
T
GERP RS
2.4
Varity_R
0.042
gMVP
0.52

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: rs370113959; hg19: chr5-45695937; COSMIC: COSV100297896; COSMIC: COSV100297896; API