rs4766309

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_000217.3(KCNA1):​c.1440T>A​(p.Thr480Thr) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.702 in 1,613,506 control chromosomes in the GnomAD database, including 400,817 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.75 ( 43764 hom., cov: 31)
Exomes 𝑓: 0.70 ( 357053 hom. )

Consequence

KCNA1
NM_000217.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:13

Conservation

PhyloP100: 1.46

Publications

17 publications found
Variant links:
Genes affected
KCNA1 (HGNC:6218): (potassium voltage-gated channel subfamily A member 1) This gene encodes a voltage-gated delayed potassium channel that is phylogenetically related to the Drosophila Shaker channel. The encoded protein has six putative transmembrane segments (S1-S6), and the loop between S5 and S6 forms the pore and contains the conserved selectivity filter motif (GYGD). The functional channel is a homotetramer. The N-terminus of the channel is associated with beta subunits that can modify the inactivation properties of the channel as well as affect expression levels. The C-terminus of the channel is complexed to a PDZ domain protein that is responsible for channel targeting. Mutations in this gene have been associated with myokymia with periodic ataxia (AEMK). [provided by RefSeq, Jul 2008]
KCNA1 Gene-Disease associations (from GenCC):
  • episodic ataxia type 1
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, ClinGen, Orphanet, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • episodic kinesigenic dyskinesia 1
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • isolated autosomal dominant hypomagnesemia, Glaudemans type
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • genetic developmental and epileptic encephalopathy
    Inheritance: AR, AD Classification: SUPPORTIVE, LIMITED Submitted by: G2P, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.63).
BP6
Variant 12-4912818-T-A is Benign according to our data. Variant chr12-4912818-T-A is described in ClinVar as Benign. ClinVar VariationId is 129313.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=1.46 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.939 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000217.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNA1
NM_000217.3
MANE Select
c.1440T>Ap.Thr480Thr
synonymous
Exon 2 of 2NP_000208.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNA1
ENST00000382545.5
TSL:4 MANE Select
c.1440T>Ap.Thr480Thr
synonymous
Exon 2 of 2ENSP00000371985.3
KCNA1
ENST00000639306.1
TSL:5
n.1278T>A
non_coding_transcript_exon
Exon 1 of 2ENSP00000492506.1
KCNA1
ENST00000639680.1
TSL:5
c.75+552T>A
intron
N/AENSP00000492218.1

Frequencies

GnomAD3 genomes
AF:
0.753
AC:
114409
AN:
152002
Hom.:
43710
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.855
Gnomad AMI
AF:
0.624
Gnomad AMR
AF:
0.750
Gnomad ASJ
AF:
0.681
Gnomad EAS
AF:
0.961
Gnomad SAS
AF:
0.748
Gnomad FIN
AF:
0.770
Gnomad MID
AF:
0.816
Gnomad NFE
AF:
0.678
Gnomad OTH
AF:
0.744
GnomAD2 exomes
AF:
0.738
AC:
185521
AN:
251334
AF XY:
0.733
show subpopulations
Gnomad AFR exome
AF:
0.858
Gnomad AMR exome
AF:
0.756
Gnomad ASJ exome
AF:
0.690
Gnomad EAS exome
AF:
0.965
Gnomad FIN exome
AF:
0.761
Gnomad NFE exome
AF:
0.682
Gnomad OTH exome
AF:
0.719
GnomAD4 exome
AF:
0.696
AC:
1017485
AN:
1461386
Hom.:
357053
Cov.:
45
AF XY:
0.696
AC XY:
506360
AN XY:
727024
show subpopulations
African (AFR)
AF:
0.861
AC:
28824
AN:
33472
American (AMR)
AF:
0.754
AC:
33708
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.690
AC:
18030
AN:
26132
East Asian (EAS)
AF:
0.951
AC:
37746
AN:
39700
South Asian (SAS)
AF:
0.730
AC:
62959
AN:
86250
European-Finnish (FIN)
AF:
0.758
AC:
40453
AN:
53398
Middle Eastern (MID)
AF:
0.771
AC:
4445
AN:
5768
European-Non Finnish (NFE)
AF:
0.673
AC:
747825
AN:
1111562
Other (OTH)
AF:
0.720
AC:
43495
AN:
60380
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
16344
32688
49031
65375
81719
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
19400
38800
58200
77600
97000
<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:
0.753
AC:
114520
AN:
152120
Hom.:
43764
Cov.:
31
AF XY:
0.759
AC XY:
56479
AN XY:
74390
show subpopulations
African (AFR)
AF:
0.855
AC:
35475
AN:
41504
American (AMR)
AF:
0.750
AC:
11466
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.681
AC:
2363
AN:
3468
East Asian (EAS)
AF:
0.961
AC:
4975
AN:
5176
South Asian (SAS)
AF:
0.747
AC:
3595
AN:
4814
European-Finnish (FIN)
AF:
0.770
AC:
8144
AN:
10582
Middle Eastern (MID)
AF:
0.820
AC:
241
AN:
294
European-Non Finnish (NFE)
AF:
0.678
AC:
46117
AN:
67972
Other (OTH)
AF:
0.747
AC:
1575
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1422
2844
4265
5687
7109
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
844
1688
2532
3376
4220
<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:
0.697
Hom.:
12114
Bravo
AF:
0.760
Asia WGS
AF:
0.867
AC:
3014
AN:
3478
EpiCase
AF:
0.680
EpiControl
AF:
0.687

ClinVar

ClinVar submissions as Germline

Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
5
Episodic ataxia type 1 (5)
-
-
4
not specified (4)
-
-
3
not provided (3)
-
-
1
Myokymia (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.63
CADD
Benign
9.4
DANN
Benign
0.69
PhyloP100
1.5
Mutation Taster
=100/0
polymorphism (auto)

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: rs4766309; hg19: chr12-5021984; COSMIC: COSV108226843; API