rs58022607

Variant summary

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

The NM_001365536.1(SCN9A):​c.1469G>A​(p.Ser490Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0109 in 1,613,832 control chromosomes in the GnomAD database, including 758 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.041 ( 389 hom., cov: 31)
Exomes 𝑓: 0.0078 ( 369 hom. )

Consequence

SCN9A
NM_001365536.1 missense

Scores

18

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:15

Conservation

PhyloP100: 0.386
Variant links:
Genes affected
SCN9A (HGNC:10597): (sodium voltage-gated channel alpha subunit 9) This gene encodes a voltage-gated sodium channel which plays a significant role in nociception signaling. Mutations in this gene have been associated with primary erythermalgia, channelopathy-associated insensitivity to pain, and paroxysmal extreme pain disorder. [provided by RefSeq, Aug 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0016465783).
BP6
Variant 2-166286469-C-T is Benign according to our data. Variant chr2-166286469-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 130258.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-166286469-C-T is described in Lovd as [Benign]. Variant chr2-166286469-C-T is described in Lovd as [Pathogenic].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.129 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SCN9ANM_001365536.1 linkuse as main transcriptc.1469G>A p.Ser490Asn missense_variant 11/27 ENST00000642356.2 NP_001352465.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SCN9AENST00000642356.2 linkuse as main transcriptc.1469G>A p.Ser490Asn missense_variant 11/27 NM_001365536.1 ENSP00000495601.1 Q15858-1
SCN9AENST00000303354.11 linkuse as main transcriptc.1469G>A p.Ser490Asn missense_variant 11/275 ENSP00000304748.7 Q15858-1
SCN9AENST00000409672.5 linkuse as main transcriptc.1469G>A p.Ser490Asn missense_variant 11/275 ENSP00000386306.1 Q15858-3
SCN9AENST00000645907.1 linkuse as main transcriptc.1469G>A p.Ser490Asn missense_variant 11/27 ENSP00000495983.1 Q15858-4
SCN9AENST00000454569.6 linkuse as main transcriptc.1469G>A p.Ser490Asn missense_variant 11/151 ENSP00000413212.2 A0A0C4DG82

Frequencies

GnomAD3 genomes
AF:
0.0412
AC:
6264
AN:
152116
Hom.:
389
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.132
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.0200
Gnomad ASJ
AF:
0.0282
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.0160
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0316
Gnomad NFE
AF:
0.00353
Gnomad OTH
AF:
0.0349
GnomAD3 exomes
AF:
0.0152
AC:
3780
AN:
249102
Hom.:
172
AF XY:
0.0140
AC XY:
1889
AN XY:
135136
show subpopulations
Gnomad AFR exome
AF:
0.136
Gnomad AMR exome
AF:
0.00849
Gnomad ASJ exome
AF:
0.0358
Gnomad EAS exome
AF:
0.0000557
Gnomad SAS exome
AF:
0.0171
Gnomad FIN exome
AF:
0.0000928
Gnomad NFE exome
AF:
0.00368
Gnomad OTH exome
AF:
0.0137
GnomAD4 exome
AF:
0.00775
AC:
11334
AN:
1461598
Hom.:
369
Cov.:
31
AF XY:
0.00789
AC XY:
5734
AN XY:
727074
show subpopulations
Gnomad4 AFR exome
AF:
0.136
Gnomad4 AMR exome
AF:
0.0102
Gnomad4 ASJ exome
AF:
0.0369
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0173
Gnomad4 FIN exome
AF:
0.000169
Gnomad4 NFE exome
AF:
0.00245
Gnomad4 OTH exome
AF:
0.0162
GnomAD4 genome
AF:
0.0413
AC:
6287
AN:
152234
Hom.:
389
Cov.:
31
AF XY:
0.0398
AC XY:
2964
AN XY:
74452
show subpopulations
Gnomad4 AFR
AF:
0.132
Gnomad4 AMR
AF:
0.0201
Gnomad4 ASJ
AF:
0.0282
Gnomad4 EAS
AF:
0.000387
Gnomad4 SAS
AF:
0.0164
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00353
Gnomad4 OTH
AF:
0.0346
Alfa
AF:
0.0111
Hom.:
82
Bravo
AF:
0.0455
TwinsUK
AF:
0.00405
AC:
15
ALSPAC
AF:
0.00182
AC:
7
ESP6500AA
AF:
0.125
AC:
464
ESP6500EA
AF:
0.00538
AC:
44
ExAC
AF:
0.0169
AC:
2039
Asia WGS
AF:
0.0130
AC:
46
AN:
3476
EpiCase
AF:
0.00540
EpiControl
AF:
0.00682

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:15
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:7
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Likely benign, no assertion criteria providedclinical testingGenetic Services Laboratory, University of Chicago-Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)May 22, 2014- -
not provided Benign:3
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 22, 2023- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015This variant is associated with the following publications: (PMID: 19763161, 27884173) -
Primary erythromelalgia Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -
Channelopathy-associated congenital insensitivity to pain, autosomal recessive Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -
Generalized epilepsy with febrile seizures plus, type 7;C2752089:Neuropathy, hereditary sensory and autonomic, type 2A Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Small fiber neuropathy Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Paroxysmal extreme pain disorder Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.094
BayesDel_addAF
Benign
-0.51
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
18
DANN
Benign
0.97
DEOGEN2
Benign
0.23
.;T;.;.;T;.;.
Eigen
Benign
-0.18
Eigen_PC
Benign
-0.042
FATHMM_MKL
Benign
0.65
D
LIST_S2
Benign
0.71
T;.;T;T;T;T;T
MetaRNN
Benign
0.0016
T;T;T;T;T;T;T
MetaSVM
Benign
-0.84
T
MutationAssessor
Benign
0.69
N;N;N;.;N;N;.
PrimateAI
Benign
0.33
T
PROVEAN
Benign
-0.48
N;N;.;.;.;N;.
REVEL
Benign
0.23
Sift
Benign
0.24
T;D;.;.;.;T;.
Sift4G
Benign
0.41
T;T;.;.;.;T;.
Polyphen
0.0
.;B;.;.;B;.;.
Vest4
0.060
MPC
0.11
ClinPred
0.0048
T
GERP RS
4.0
Varity_R
0.053
gMVP
0.27

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: rs58022607; hg19: chr2-167142979; COSMIC: COSV104409075; COSMIC: COSV104409075; API