rs767463268

Variant summary

Our verdict is Benign. The variant received -17 ACMG points: 0P and 17B. BP4_StrongBP6_Very_StrongBP7BS2

The NM_012282.4(KCNE5):​c.325C>T​(p.Leu109Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000117 in 1,191,609 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 37 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. L109L) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000097 ( 0 hom., 3 hem., cov: 24)
Exomes 𝑓: 0.00012 ( 0 hom. 34 hem. )

Consequence

KCNE5
NM_012282.4 synonymous

Scores

2

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.0990

Publications

0 publications found
Variant links:
Genes affected
KCNE5 (HGNC:6241): (potassium voltage-gated channel subfamily E regulatory subunit 5) This gene encodes a member of a family of single pass transmembrane domain proteins that function as ancillary subunits to voltage-gated potassium channels. Members of this family affect diverse processes in potassium channel regulation, including ion selectivity, voltage dependence, and anterograde recycling from the plasma membrane. Variants of this gene are associated with idiopathic ventricular fibrillation and Brugada syndrome. [provided by RefSeq, Nov 2016]
ACSL4 (HGNC:3571): (acyl-CoA synthetase long chain family member 4) The protein encoded by this gene is an isozyme of the long-chain fatty-acid-coenzyme A ligase family. Although differing in substrate specificity, subcellular localization, and tissue distribution, all isozymes of this family convert free long-chain fatty acids into fatty acyl-CoA esters, and thereby play a key role in lipid biosynthesis and fatty acid degradation. This isozyme preferentially utilizes arachidonate as substrate. The absence of this enzyme may contribute to the cognitive disability or Alport syndrome. Alternative splicing of this gene generates multiple transcript variants. [provided by RefSeq, Jan 2016]
ACSL4 Gene-Disease associations (from GenCC):
  • non-syndromic X-linked intellectual disability
    Inheritance: XL Classification: DEFINITIVE, MODERATE, SUPPORTIVE Submitted by: ClinGen, Illumina, Orphanet
  • intellectual disability, X-linked 63
    Inheritance: XL Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -17 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.85).
BP6
Variant X-109624696-G-A is Benign according to our data. Variant chrX-109624696-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 532154.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.099 with no splicing effect.
BS2
High AC in GnomAd4 at 11 Unknown,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KCNE5NM_012282.4 linkc.325C>T p.Leu109Leu synonymous_variant Exon 1 of 1 ENST00000372101.3 NP_036414.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KCNE5ENST00000372101.3 linkc.325C>T p.Leu109Leu synonymous_variant Exon 1 of 1 6 NM_012282.4 ENSP00000361173.2
ACSL4ENST00000439581.1 linkn.387-375C>T intron_variant Intron 2 of 2 3

Frequencies

GnomAD3 genomes
AF:
0.0000973
AC:
11
AN:
113096
Hom.:
0
Cov.:
24
show subpopulations
Gnomad AFR
AF:
0.0000962
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:
0.000150
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000520
AC:
7
AN:
134668
AF XY:
0.000122
show subpopulations
Gnomad AFR exome
AF:
0.000125
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000110
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000119
AC:
128
AN:
1078513
Hom.:
0
Cov.:
31
AF XY:
0.0000967
AC XY:
34
AN XY:
351497
show subpopulations
African (AFR)
AF:
0.0000387
AC:
1
AN:
25831
American (AMR)
AF:
0.00
AC:
0
AN:
32406
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18917
East Asian (EAS)
AF:
0.00
AC:
0
AN:
29010
South Asian (SAS)
AF:
0.00
AC:
0
AN:
52059
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
38062
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4056
European-Non Finnish (NFE)
AF:
0.000148
AC:
123
AN:
832880
Other (OTH)
AF:
0.0000883
AC:
4
AN:
45292
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
6
12
17
23
29
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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:
0.0000973
AC:
11
AN:
113096
Hom.:
0
Cov.:
24
AF XY:
0.0000850
AC XY:
3
AN XY:
35282
show subpopulations
African (AFR)
AF:
0.0000962
AC:
3
AN:
31200
American (AMR)
AF:
0.00
AC:
0
AN:
10866
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2654
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3533
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2821
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6324
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
236
European-Non Finnish (NFE)
AF:
0.000150
AC:
8
AN:
53255
Other (OTH)
AF:
0.00
AC:
0
AN:
1530
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.438
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.000304
Hom.:
3
Bravo
AF:
0.000117

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
Jun 02, 2022
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Brugada syndrome Benign:1
Nov 23, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.85
CADD
Benign
2.4
DANN
Benign
0.82
PhyloP100
-0.099
PromoterAI
-0.077
Neutral
Mutation Taster
=100/0
polymorphism

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

Other links and lift over

dbSNP: rs767463268; hg19: chrX-108867925; API