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rs760669515

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_004588.5(SCN2B):​c.250C>T​(p.Arg84Cys) variant causes a missense change. The variant allele was found at a frequency of 0.0000353 in 1,614,098 control chromosomes in the GnomAD database, including 2 homozygotes. 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. R84H) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00012 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000027 ( 2 hom. )

Consequence

SCN2B
NM_004588.5 missense

Scores

3
7
9

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 4.20
Variant links:
Genes affected
SCN2B (HGNC:10589): (sodium voltage-gated channel beta subunit 2) The protein encoded by this gene is the beta 2 subunit of the type II voltage-gated sodium channel. The encoded protein is involved in cell-cell adhesion and cell migration. Defects in this gene can be a cause of Brugada Syndrome, atrial fibrillation, or sudden infant death syndrome. [provided by RefSeq, Jul 2015]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BS2
High AC in GnomAd4 at 18 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SCN2BNM_004588.5 linkuse as main transcriptc.250C>T p.Arg84Cys missense_variant 3/4 ENST00000278947.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SCN2BENST00000278947.6 linkuse as main transcriptc.250C>T p.Arg84Cys missense_variant 3/41 NM_004588.5 P1
SCN2BENST00000665446.1 linkuse as main transcriptn.486C>T non_coding_transcript_exon_variant 4/4
SCN2BENST00000669850.1 linkuse as main transcriptn.492C>T non_coding_transcript_exon_variant 3/4
SCN2BENST00000658882.1 linkuse as main transcriptc.*75C>T 3_prime_UTR_variant, NMD_transcript_variant 4/5

Frequencies

GnomAD3 genomes
AF:
0.000118
AC:
18
AN:
152234
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00105
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000637
AC:
16
AN:
251318
Hom.:
1
AF XY:
0.0000589
AC XY:
8
AN XY:
135878
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000318
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000163
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000880
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000267
AC:
39
AN:
1461746
Hom.:
2
Cov.:
32
AF XY:
0.0000220
AC XY:
16
AN XY:
727174
show subpopulations
Gnomad4 AFR exome
AF:
0.0000896
Gnomad4 AMR exome
AF:
0.000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000327
Gnomad4 SAS exome
AF:
0.0000232
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000630
Gnomad4 OTH exome
AF:
0.0000662
GnomAD4 genome
AF:
0.000118
AC:
18
AN:
152352
Hom.:
0
Cov.:
32
AF XY:
0.000188
AC XY:
14
AN XY:
74504
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00104
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000658
Hom.:
0
Bravo
AF:
0.0000604
ExAC
AF:
0.0000494
AC:
6
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Atrial fibrillation, familial, 14 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingInvitaeJun 04, 2022In 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. Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Possibly Damaging"; Align-GVGD: "Class C15"). ClinVar contains an entry for this variant (Variation ID: 408876). This variant has not been reported in the literature in individuals affected with SCN2B-related conditions. This variant is present in population databases (rs760669515, gnomAD 0.03%). This sequence change replaces arginine, which is basic and polar, with cysteine, which is neutral and slightly polar, at codon 84 of the SCN2B protein (p.Arg84Cys). -
Cardiovascular phenotype Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJul 28, 2020The p.R84C variant (also known as c.250C>T), located in coding exon 3 of the SCN2B gene, results from a C to T substitution at nucleotide position 250. The arginine at codon 84 is replaced by cysteine, an amino acid with highly dissimilar properties. This alteration was detected by whole exome sequencing in an individual with sudden cardiac arrest due to idiopathic ventricular fibrillation. This individual also carried missense alterations in ANK2 (c.9689C>T p.Thr3230Met), CTNNA3 (c.1853A>G p.His618Arg), and TCAP (c.145G>A p.Glu49Lys) (Song JS et al. J. Hum. Genet., 2017 Jun;62:615-620). This amino acid position is well conserved in available vertebrate species. In addition, the in silico prediction for this alteration is inconclusive. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.86
BayesDel_addAF
Benign
-0.13
T
BayesDel_noAF
Benign
-0.12
CADD
Pathogenic
33
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.56
D
Eigen
Uncertain
0.57
Eigen_PC
Uncertain
0.57
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.91
D
M_CAP
Benign
0.035
D
MetaRNN
Uncertain
0.69
D
MetaSVM
Benign
-0.41
T
MutationAssessor
Benign
1.6
L
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.57
T
PROVEAN
Benign
-1.4
N
REVEL
Benign
0.26
Sift
Benign
0.053
T
Sift4G
Uncertain
0.038
D
Polyphen
1.0
D
Vest4
0.72
MVP
0.88
MPC
0.81
ClinPred
0.39
T
GERP RS
4.9
Varity_R
0.43
gMVP
0.80

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs760669515; hg19: chr11-118038998; API