rs74824159

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_000083.3(CLCN1):​c.2284+5C>T variant causes a splice donor 5th base, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0246 in 1,590,352 control chromosomes in the GnomAD database, including 591 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.017 ( 32 hom., cov: 31)
Exomes 𝑓: 0.025 ( 559 hom. )

Consequence

CLCN1
NM_000083.3 splice_donor_5th_base, intron

Scores

2
Splicing: ADA: 0.001404
2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:9

Conservation

PhyloP100: -0.313
Variant links:
Genes affected
CLCN1 (HGNC:2019): (chloride voltage-gated channel 1) The CLCN family of voltage-dependent chloride channel genes comprises nine members (CLCN1-7, Ka and Kb) which demonstrate quite diverse functional characteristics while sharing significant sequence homology. The protein encoded by this gene regulates the electric excitability of the skeletal muscle membrane. Mutations in this gene cause two forms of inherited human muscle disorders: recessive generalized myotonia congenita (Becker) and dominant myotonia (Thomsen). Alternative splicing results in multiple transcript variants. [provided by RefSeq, Mar 2012]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.74).
BP6
Variant 7-143346256-C-T is Benign according to our data. Variant chr7-143346256-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 252462.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=1, Benign=6}. Variant chr7-143346256-C-T is described in Lovd as [Benign]. Variant chr7-143346256-C-T is described in Lovd as [Likely_benign]. Variant chr7-143346256-C-T is described in Lovd as [Pathogenic]. Variant chr7-143346256-C-T is described in Lovd as [Pathogenic]. Variant chr7-143346256-C-T is described in Lovd as [Pathogenic].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0171 (2605/152228) while in subpopulation NFE AF= 0.0281 (1913/68020). AF 95% confidence interval is 0.0271. There are 32 homozygotes in gnomad4. There are 1143 alleles in male gnomad4 subpopulation. Median coverage is 31. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 32 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CLCN1NM_000083.3 linkuse as main transcriptc.2284+5C>T splice_donor_5th_base_variant, intron_variant ENST00000343257.7
CLCN1NR_046453.2 linkuse as main transcriptn.2239+5C>T splice_donor_5th_base_variant, intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CLCN1ENST00000343257.7 linkuse as main transcriptc.2284+5C>T splice_donor_5th_base_variant, intron_variant 1 NM_000083.3 P4
CLCN1ENST00000432192.6 linkuse as main transcriptc.*1569+5C>T splice_donor_5th_base_variant, intron_variant, NMD_transcript_variant 1
CLCN1ENST00000650516.2 linkuse as main transcriptc.2284+5C>T splice_donor_5th_base_variant, intron_variant A2

Frequencies

GnomAD3 genomes
AF:
0.0171
AC:
2605
AN:
152110
Hom.:
32
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00572
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0183
Gnomad ASJ
AF:
0.0104
Gnomad EAS
AF:
0.000194
Gnomad SAS
AF:
0.00993
Gnomad FIN
AF:
0.00405
Gnomad MID
AF:
0.0222
Gnomad NFE
AF:
0.0281
Gnomad OTH
AF:
0.0196
GnomAD3 exomes
AF:
0.0178
AC:
4457
AN:
250744
Hom.:
56
AF XY:
0.0183
AC XY:
2475
AN XY:
135574
show subpopulations
Gnomad AFR exome
AF:
0.00524
Gnomad AMR exome
AF:
0.0141
Gnomad ASJ exome
AF:
0.00984
Gnomad EAS exome
AF:
0.000326
Gnomad SAS exome
AF:
0.00879
Gnomad FIN exome
AF:
0.00532
Gnomad NFE exome
AF:
0.0288
Gnomad OTH exome
AF:
0.0198
GnomAD4 exome
AF:
0.0254
AC:
36510
AN:
1438124
Hom.:
559
Cov.:
31
AF XY:
0.0250
AC XY:
17947
AN XY:
716904
show subpopulations
Gnomad4 AFR exome
AF:
0.00489
Gnomad4 AMR exome
AF:
0.0143
Gnomad4 ASJ exome
AF:
0.0111
Gnomad4 EAS exome
AF:
0.000202
Gnomad4 SAS exome
AF:
0.00922
Gnomad4 FIN exome
AF:
0.00748
Gnomad4 NFE exome
AF:
0.0301
Gnomad4 OTH exome
AF:
0.0207
GnomAD4 genome
AF:
0.0171
AC:
2605
AN:
152228
Hom.:
32
Cov.:
31
AF XY:
0.0154
AC XY:
1143
AN XY:
74430
show subpopulations
Gnomad4 AFR
AF:
0.00571
Gnomad4 AMR
AF:
0.0182
Gnomad4 ASJ
AF:
0.0104
Gnomad4 EAS
AF:
0.000194
Gnomad4 SAS
AF:
0.00994
Gnomad4 FIN
AF:
0.00405
Gnomad4 NFE
AF:
0.0281
Gnomad4 OTH
AF:
0.0194
Alfa
AF:
0.0220
Hom.:
14
Bravo
AF:
0.0175
Asia WGS
AF:
0.00289
AC:
10
AN:
3478
EpiCase
AF:
0.0291
EpiControl
AF:
0.0302

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:9
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, criteria provided, single submitterclinical testingGenomic Diagnostic Laboratory, Division of Genomic Diagnostics, Children's Hospital of PhiladelphiaNov 06, 2015- -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsJul 25, 2017- -
not provided Benign:3
Benign, criteria provided, single submitterclinical testingGeneDxMay 17, 2019This variant is associated with the following publications: (PMID: 24349310, 23739125, 11840191, 24452722, 15786415, 21221019, 22094069, 23152584, 12196568, 27614575, 27884173, 28427807, 15311340, 32117024) -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenMar 01, 2024CLCN1: BP4, BS1, BS2 -
Congenital myotonia, autosomal recessive form Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingCentre for Mendelian Genomics, University Medical Centre LjubljanaJan 01, 2016This variant was classified as: Uncertain significance. The following ACMG criteria were applied in classifying this variant: BP4. -
Batten-Turner congenital myopathy Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaMar 06, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Congenital myotonia, autosomal recessive form;C2936781:Congenital myotonia, autosomal dominant form Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.74
CADD
Benign
5.6
DANN
Benign
0.87

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0014
dbscSNV1_RF
Benign
0.018
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: rs74824159; hg19: chr7-143043349; API