rs773015201

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM1PM2PP3

The NM_004700.4(KCNQ4):​c.909C>A​(p.Phe303Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 6.8e-7 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

KCNQ4
NM_004700.4 missense

Scores

10
3
6

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.312
Variant links:
Genes affected
KCNQ4 (HGNC:6298): (potassium voltage-gated channel subfamily Q member 4) The protein encoded by this gene forms a potassium channel that is thought to play a critical role in the regulation of neuronal excitability, particularly in sensory cells of the cochlea. The current generated by this channel is inhibited by M1 muscarinic acetylcholine receptors and activated by retigabine, a novel anti-convulsant drug. The encoded protein can form a homomultimeric potassium channel or possibly a heteromultimeric channel in association with the protein encoded by the KCNQ3 gene. Defects in this gene are a cause of nonsyndromic sensorineural deafness type 2 (DFNA2), an autosomal dominant form of progressive hearing loss. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 5 ACMG points.

PM1
In a helix (size 41) in uniprot entity KCNQ4_HUMAN there are 4 pathogenic changes around while only 0 benign (100%) in NM_004700.4
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.826

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KCNQ4NM_004700.4 linkuse as main transcriptc.909C>A p.Phe303Leu missense_variant 6/14 ENST00000347132.10 NP_004691.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KCNQ4ENST00000347132.10 linkuse as main transcriptc.909C>A p.Phe303Leu missense_variant 6/141 NM_004700.4 ENSP00000262916 P2P56696-1
KCNQ4ENST00000509682.6 linkuse as main transcriptc.909C>A p.Phe303Leu missense_variant 6/135 ENSP00000423756 A1P56696-2
KCNQ4ENST00000443478.3 linkuse as main transcriptc.597C>A p.Phe199Leu missense_variant 5/135 ENSP00000406735
KCNQ4ENST00000506017.1 linkuse as main transcriptn.228C>A non_coding_transcript_exon_variant 3/112

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
6.84e-7
AC:
1
AN:
1461862
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
ExAC
AF:
0.00000824
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.27
D
BayesDel_noAF
Pathogenic
0.31
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.87
D;D;.
Eigen
Benign
-0.28
Eigen_PC
Benign
-0.26
FATHMM_MKL
Benign
0.66
D
LIST_S2
Pathogenic
0.98
.;D;D
M_CAP
Pathogenic
0.32
D
MetaRNN
Pathogenic
0.83
D;D;D
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.59
N;N;N
MutationTaster
Benign
1.0
D;D
PrimateAI
Pathogenic
0.86
D
PROVEAN
Pathogenic
-5.6
.;D;D
REVEL
Pathogenic
0.67
Sift
Uncertain
0.0030
.;D;D
Sift4G
Uncertain
0.020
.;D;D
Polyphen
1.0
D;D;D
Vest4
0.90, 0.88
MutPred
0.59
Gain of helix (P = 0.132);Gain of helix (P = 0.132);Gain of helix (P = 0.132);
MVP
0.98
MPC
2.5
ClinPred
0.98
D
GERP RS
0.89
Varity_R
0.87
gMVP
0.97

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs773015201; hg19: chr1-41285621; API