rs528421254

Variant summary

Our verdict is Benign. The variant received -10 ACMG points: 0P and 10B. BP4_StrongBP6_ModerateBS2

The NM_004070.4(CLCNKA):​c.1939C>T​(p.Leu647Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000548 in 1,614,158 control chromosomes in the GnomAD database, including 16 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.00032 ( 1 hom., cov: 33)
Exomes 𝑓: 0.00057 ( 15 hom. )

Consequence

CLCNKA
NM_004070.4 missense

Scores

3
6
8

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 0.725

Publications

1 publications found
Variant links:
Genes affected
CLCNKA (HGNC:2026): (chloride voltage-gated channel Ka) This gene is a member of the CLC family of voltage-gated chloride channels. The encoded protein is predicted to have 12 transmembrane domains, and requires a beta subunit called barttin to form a functional channel. It is thought to function in salt reabsorption in the kidney and potassium recycling in the inner ear. The gene is highly similar to CLCNKB, which is located 10 kb downstream from this gene. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]
CLCNKA Gene-Disease associations (from GenCC):
  • Bartter disease type 4B
    Inheritance: AR, Unknown Classification: MODERATE, LIMITED Submitted by: G2P, Ambry Genetics
  • Bartter syndrome type 4
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -10 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.012031764).
BP6
Variant 1-16033179-C-T is Benign according to our data. Variant chr1-16033179-C-T is described in ClinVar as Likely_benign. ClinVar VariationId is 447086.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High Homozygotes in GnomAdExome4 at 15 Unknown,AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004070.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CLCNKA
NM_004070.4
MANE Select
c.1939C>Tp.Leu647Phe
missense
Exon 19 of 20NP_004061.3
CLCNKA
NM_001042704.2
c.1936C>Tp.Leu646Phe
missense
Exon 19 of 20NP_001036169.1P51800-3
CLCNKA
NM_001257139.2
c.1810C>Tp.Leu604Phe
missense
Exon 18 of 19NP_001244068.1P51800-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CLCNKA
ENST00000331433.5
TSL:1 MANE Select
c.1939C>Tp.Leu647Phe
missense
Exon 19 of 20ENSP00000332771.4P51800-1
CLCNKA
ENST00000375692.5
TSL:1
c.1936C>Tp.Leu646Phe
missense
Exon 20 of 21ENSP00000364844.1P51800-3
CLCNKA
ENST00000861487.1
c.1978C>Tp.Leu660Phe
missense
Exon 19 of 20ENSP00000531546.1

Frequencies

GnomAD3 genomes
AF:
0.000309
AC:
47
AN:
152226
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00828
Gnomad FIN
AF:
0.0000941
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00111
AC:
278
AN:
251426
AF XY:
0.00141
show subpopulations
Gnomad AFR exome
AF:
0.000185
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000176
Gnomad OTH exome
AF:
0.00163
GnomAD4 exome
AF:
0.000573
AC:
837
AN:
1461814
Hom.:
15
Cov.:
31
AF XY:
0.000788
AC XY:
573
AN XY:
727218
show subpopulations
African (AFR)
AF:
0.0000896
AC:
3
AN:
33480
American (AMR)
AF:
0.00
AC:
0
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26126
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39700
South Asian (SAS)
AF:
0.00774
AC:
668
AN:
86254
European-Finnish (FIN)
AF:
0.0000375
AC:
2
AN:
53404
Middle Eastern (MID)
AF:
0.000520
AC:
3
AN:
5768
European-Non Finnish (NFE)
AF:
0.0000926
AC:
103
AN:
1111972
Other (OTH)
AF:
0.000944
AC:
57
AN:
60390
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.428
Heterozygous variant carriers
0
48
96
145
193
241
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.000315
AC:
48
AN:
152344
Hom.:
1
Cov.:
33
AF XY:
0.000403
AC XY:
30
AN XY:
74508
show subpopulations
African (AFR)
AF:
0.000120
AC:
5
AN:
41582
American (AMR)
AF:
0.00
AC:
0
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00849
AC:
41
AN:
4828
European-Finnish (FIN)
AF:
0.0000941
AC:
1
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
68030
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.494
Heterozygous variant carriers
0
3
6
9
12
15
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
2
4
6
8
10
<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:
0.000201
Hom.:
0
Bravo
AF:
0.000136
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ExAC
AF:
0.00132
AC:
160
Asia WGS
AF:
0.00375
AC:
13
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.00

ClinVar

ClinVar submissions
Significance:Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
not provided (1)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Uncertain
0.010
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.31
T
Eigen
Uncertain
0.42
Eigen_PC
Uncertain
0.26
FATHMM_MKL
Benign
0.35
N
LIST_S2
Benign
0.79
T
MetaRNN
Benign
0.012
T
MetaSVM
Pathogenic
0.97
D
MutationAssessor
Pathogenic
3.1
M
PhyloP100
0.72
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-2.3
N
REVEL
Pathogenic
0.78
Sift
Uncertain
0.0050
D
Sift4G
Uncertain
0.018
D
Polyphen
1.0
D
Vest4
0.39
MVP
0.87
MPC
0.46
ClinPred
0.086
T
GERP RS
3.0
Varity_R
0.46
gMVP
0.48
Mutation Taster
=95/5
polymorphism

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: rs528421254; hg19: chr1-16359674; COSMIC: COSV58894830; COSMIC: COSV58894830; API