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rs758253791

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 1P and 4B. PP2BS2

The NM_014191.4(SCN8A):​c.2003C>T​(p.Thr668Ile) variant causes a missense change. The variant allele was found at a frequency of 0.0000254 in 1,575,754 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T668A) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000027 ( 0 hom. )

Consequence

SCN8A
NM_014191.4 missense

Scores

6
9
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1O:1

Conservation

PhyloP100: 5.84
Variant links:
Genes affected
SCN8A (HGNC:10596): (sodium voltage-gated channel alpha subunit 8) This gene encodes a member of the sodium channel alpha subunit gene family. The encoded protein forms the ion pore region of the voltage-gated sodium channel. This protein is essential for the rapid membrane depolarization that occurs during the formation of the action potential in excitable neurons. Mutations in this gene are associated with cognitive disability, pancerebellar atrophy and ataxia. Alternate splicing results in multiple transcript variants.[provided by RefSeq, May 2010]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PP2
Missense variant where missense usually causes diseases, SCN8A
BS2
High AC in GnomAdExome4 at 39 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SCN8ANM_001330260.2 linkuse as main transcriptc.2003C>T p.Thr668Ile missense_variant 13/27 ENST00000627620.5
SCN8ANM_014191.4 linkuse as main transcriptc.2003C>T p.Thr668Ile missense_variant 13/27 ENST00000354534.11
SCN8ANM_001177984.3 linkuse as main transcriptc.2003C>T p.Thr668Ile missense_variant 13/26
SCN8ANM_001369788.1 linkuse as main transcriptc.2003C>T p.Thr668Ile missense_variant 13/26

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SCN8AENST00000354534.11 linkuse as main transcriptc.2003C>T p.Thr668Ile missense_variant 13/271 NM_014191.4 P4Q9UQD0-1
SCN8AENST00000627620.5 linkuse as main transcriptc.2003C>T p.Thr668Ile missense_variant 13/275 NM_001330260.2 A1Q9UQD0-2

Frequencies

GnomAD3 genomes
AF:
0.00000664
AC:
1
AN:
150584
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000245
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000137
AC:
3
AN:
218480
Hom.:
0
AF XY:
0.00000843
AC XY:
1
AN XY:
118636
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000292
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000274
AC:
39
AN:
1425170
Hom.:
0
Cov.:
32
AF XY:
0.0000198
AC XY:
14
AN XY:
707702
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000355
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000664
AC:
1
AN:
150584
Hom.:
0
Cov.:
32
AF XY:
0.0000136
AC XY:
1
AN XY:
73366
show subpopulations
Gnomad4 AFR
AF:
0.0000245
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.00000828
AC:
1

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1Other:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Early infantile epileptic encephalopathy with suppression bursts Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingInvitaeOct 14, 2023This sequence change replaces threonine, which is neutral and polar, with isoleucine, which is neutral and non-polar, at codon 668 of the SCN8A protein (p.Thr668Ile). This variant is present in population databases (rs758253791, gnomAD 0.002%). This missense change has been observed in individual(s) with clinical features of SCN8A-related conditions (PMID: 25849321; Invitae). ClinVar contains an entry for this variant (Variation ID: 253283). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt SCN8A protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Developmental and epileptic encephalopathy, 13 Other:1
not provided, no classification providedliterature onlyGeneReviews-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.41
BayesDel_addAF
Pathogenic
0.28
D
BayesDel_noAF
Pathogenic
0.19
CADD
Uncertain
26
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.73
D;.;.;.;.;.
Eigen
Uncertain
0.67
Eigen_PC
Pathogenic
0.68
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Benign
0.84
T;T;.;T;T;T
M_CAP
Uncertain
0.21
D
MetaRNN
Uncertain
0.72
D;D;D;D;D;D
MetaSVM
Pathogenic
0.80
D
MutationAssessor
Uncertain
2.1
M;M;M;.;M;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.68
T
PROVEAN
Uncertain
-3.8
D;D;D;.;.;.
REVEL
Pathogenic
0.72
Sift
Benign
0.030
D;D;D;.;.;.
Sift4G
Benign
0.18
T;T;T;T;T;D
Polyphen
0.74
P;.;.;P;.;.
Vest4
0.44
MutPred
0.35
Gain of loop (P = 0.0166);Gain of loop (P = 0.0166);Gain of loop (P = 0.0166);.;Gain of loop (P = 0.0166);.;
MVP
0.89
MPC
1.1
ClinPred
0.73
D
GERP RS
5.2
Varity_R
0.36
gMVP
0.74

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs758253791; hg19: chr12-52139691; API