rs398123040

Variant summary

Our verdict is Likely pathogenic. The variant received 7 ACMG points: 7P and 0B. PM2PP3_StrongPP5

The NM_002246.3(KCNK3):​c.289G>A​(p.Gly97Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 14/22 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

KCNK3
NM_002246.3 missense

Scores

18
1

Clinical Significance

Conflicting classifications of pathogenicity no assertion criteria provided P:1U:1

Conservation

PhyloP100: 9.92

Publications

12 publications found
Variant links:
Genes affected
KCNK3 (HGNC:6278): (potassium two pore domain channel subfamily K member 3) This gene encodes a member of the superfamily of potassium channel proteins that contain two pore-forming P domains. The encoded protein is an outwardly rectifying channel that is sensitive to changes in extracellular pH and is inhibited by extracellular acidification. Also referred to as an acid-sensitive potassium channel, it is activated by the anesthetics halothane and isoflurane. Although three transcripts are detected in northern blots, there is currently no sequence available to confirm transcript variants for this gene. [provided by RefSeq, Aug 2008]
KCNK3 Gene-Disease associations (from GenCC):
  • pulmonary arterial hypertension
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • pulmonary hypertension, primary, 4
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • heritable pulmonary arterial hypertension
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 7 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.992
PP5
Variant 2-26727672-G-A is Pathogenic according to our data. Variant chr2-26727672-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 60480.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KCNK3NM_002246.3 linkc.289G>A p.Gly97Arg missense_variant Exon 2 of 2 ENST00000302909.4 NP_002237.1
KCNK3XM_005264293.3 linkc.-42G>A 5_prime_UTR_variant Exon 2 of 2 XP_005264350.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KCNK3ENST00000302909.4 linkc.289G>A p.Gly97Arg missense_variant Exon 2 of 2 1 NM_002246.3 ENSP00000306275.3

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1360560
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
665136
African (AFR)
AF:
0.00
AC:
0
AN:
30166
American (AMR)
AF:
0.00
AC:
0
AN:
29506
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19894
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38308
South Asian (SAS)
AF:
0.00
AC:
0
AN:
69828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49872
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5188
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1061872
Other (OTH)
AF:
0.00
AC:
0
AN:
55926
GnomAD4 genome
Cov.:
33
Alfa
AF:
0.00
Hom.:
0

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:1Uncertain:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Pulmonary hypertension, primary, 4 Pathogenic:1
Jul 25, 2013
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

KCNK3-related disorder Uncertain:1
Dec 14, 2023
PreventionGenetics, part of Exact Sciences
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

The KCNK3 c.289G>A variant is predicted to result in the amino acid substitution p.Gly97Arg. This variant has been reported in a family with pulmonary arterial hypertension (Ma et al. 2013. PubMed ID: 23883380). The variant was present in the affected proband, the proband’s unaffected mother, and affected maternal aunt (Ma et al. 2013. PubMed ID: 23883380). Functional studies demonstrate this variant results in a loss of KCNK3 channel function (Bohnen et al. 2017. PubMed ID: 28889099; Le Ribeuz et al. 2020. PubMed ID: 32882918). This variant has not been reported in a large population database, indicating this variant is rare. Although we suspect that this variant may be pathogenic, at this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.45
D
BayesDel_noAF
Pathogenic
0.41
CADD
Pathogenic
34
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.96
D
Eigen
Pathogenic
1.0
Eigen_PC
Pathogenic
0.94
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Pathogenic
0.99
D
M_CAP
Pathogenic
0.57
D
MetaRNN
Pathogenic
0.99
D
MetaSVM
Pathogenic
0.89
D
MutationAssessor
Pathogenic
4.4
H
PhyloP100
9.9
PrimateAI
Pathogenic
0.96
D
PROVEAN
Pathogenic
-7.7
D
REVEL
Pathogenic
0.94
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0010
D
Polyphen
1.0
D
Vest4
1.0
MutPred
0.93
Gain of sheet (P = 0.1208);
MVP
0.96
ClinPred
1.0
D
GERP RS
5.1
Varity_R
0.94
gMVP
1.0
Mutation Taster
=1/99
disease causing (ClinVar)

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

Other links and lift over

dbSNP: rs398123040; hg19: chr2-26950540; COSMIC: COSV57194402; API