rs72657556

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS1

The NM_001038.6(SCNN1A):​c.1427G>A​(p.Arg476Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000231 in 1,613,034 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R476W) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0011 ( 0 hom., cov: 30)
Exomes 𝑓: 0.00014 ( 1 hom. )

Consequence

SCNN1A
NM_001038.6 missense

Scores

5
14

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: 1.32

Publications

4 publications found
Variant links:
Genes affected
SCNN1A (HGNC:10599): (sodium channel epithelial 1 subunit alpha) Nonvoltage-gated, amiloride-sensitive, sodium channels control fluid and electrolyte transport across epithelia in many organs. These channels are heteromeric complexes consisting of 3 subunits: alpha, beta, and gamma. This gene encodes the alpha subunit, and mutations in this gene have been associated with pseudohypoaldosteronism type 1 (PHA1), a rare salt wasting disease resulting from target organ unresponsiveness to mineralocorticoids. Alternatively spliced transcript variants encoding different isoforms have been described for this gene. [provided by RefSeq, Apr 2009]
SCNN1A Gene-Disease associations (from GenCC):
  • pseudohypoaldosteronism, type IB1, autosomal recessive
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Laboratory for Molecular Medicine, Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • bronchiectasis with or without elevated sweat chloride 2
    Inheritance: Unknown, AD Classification: STRONG, MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia, Ambry Genetics
  • Brugada syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Liddle syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Liddle syndrome 3
    Inheritance: Unknown, AD Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.012654841).
BP6
Variant 12-6349339-C-T is Benign according to our data. Variant chr12-6349339-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 598965.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00114 (174/152204) while in subpopulation AFR AF = 0.004 (166/41510). AF 95% confidence interval is 0.0035. There are 0 homozygotes in GnomAd4. There are 82 alleles in the male GnomAd4 subpopulation. Median coverage is 30. This position passed quality control check.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SCNN1ANM_001038.6 linkc.1427G>A p.Arg476Gln missense_variant Exon 9 of 13 ENST00000228916.7 NP_001029.1 P37088-1
SCNN1ANM_001159576.2 linkc.1604G>A p.Arg535Gln missense_variant Exon 8 of 12 NP_001153048.1 P37088-2
SCNN1ANM_001159575.2 linkc.1496G>A p.Arg499Gln missense_variant Exon 9 of 13 NP_001153047.1 P37088-6
LOC107984500XR_007063191.1 linkn.87+1072C>T intron_variant Intron 1 of 3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SCNN1AENST00000228916.7 linkc.1427G>A p.Arg476Gln missense_variant Exon 9 of 13 1 NM_001038.6 ENSP00000228916.2 P37088-1

Frequencies

GnomAD3 genomes
AF:
0.00115
AC:
175
AN:
152086
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.00403
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
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:
0.0000588
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.000322
AC:
80
AN:
248698
AF XY:
0.000230
show subpopulations
Gnomad AFR exome
AF:
0.00451
Gnomad AMR exome
AF:
0.0000584
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000534
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000136
AC:
198
AN:
1460830
Hom.:
1
Cov.:
32
AF XY:
0.000107
AC XY:
78
AN XY:
726660
show subpopulations
African (AFR)
AF:
0.00416
AC:
139
AN:
33448
American (AMR)
AF:
0.0000449
AC:
2
AN:
44536
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26122
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39642
South Asian (SAS)
AF:
0.0000348
AC:
3
AN:
86120
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53362
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5766
European-Non Finnish (NFE)
AF:
0.0000396
AC:
44
AN:
1111484
Other (OTH)
AF:
0.000149
AC:
9
AN:
60350
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.466
Heterozygous variant carriers
0
10
20
30
40
50
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<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:
0.00114
AC:
174
AN:
152204
Hom.:
0
Cov.:
30
AF XY:
0.00110
AC XY:
82
AN XY:
74416
show subpopulations
African (AFR)
AF:
0.00400
AC:
166
AN:
41510
American (AMR)
AF:
0.000196
AC:
3
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4814
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10604
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000588
AC:
4
AN:
68006
Other (OTH)
AF:
0.000473
AC:
1
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
10
21
31
42
52
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.000485
Hom.:
0
Bravo
AF:
0.00120
ESP6500AA
AF:
0.00272
AC:
12
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000437
AC:
53
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:2Benign:1
Jan 23, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 19, 2018
Center for Personalized Medicine, Children's Hospital Los Angeles
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.27
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.17
.;.;T;T;.
Eigen
Benign
0.095
Eigen_PC
Benign
0.18
FATHMM_MKL
Uncertain
0.80
D
LIST_S2
Uncertain
0.93
D;D;D;D;D
M_CAP
Benign
0.065
D
MetaRNN
Benign
0.013
T;T;T;T;T
MetaSVM
Benign
-0.78
T
MutationAssessor
Uncertain
2.1
.;.;M;.;.
PhyloP100
1.3
PrimateAI
Uncertain
0.49
T
PROVEAN
Benign
-1.8
N;N;N;N;N
REVEL
Benign
0.19
Sift
Benign
0.11
T;T;T;T;T
Sift4G
Benign
0.29
T;T;T;T;T
Polyphen
0.33
B;.;P;.;.
Vest4
0.53
MVP
0.75
MPC
0.46
ClinPred
0.059
T
GERP RS
4.5
Varity_R
0.25
gMVP
0.56
Mutation Taster
=73/27
polymorphism

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: rs72657556; hg19: chr12-6458505; COSMIC: COSV57436248; COSMIC: COSV57436248; API