rs774195502
Variant summary
Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PS1_ModerateBS2
The NM_006922.4(SCN3A):c.1070G>A(p.Arg357Gln) variant causes a missense change. The variant allele was found at a frequency of 0.0000558 in 1,613,984 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely pathogenic in UniProt.
Frequency
Consequence
NM_006922.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Likely_benign. Variant got -2 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000592 AC: 9AN: 152108Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000517 AC: 13AN: 251482Hom.: 0 AF XY: 0.0000662 AC XY: 9AN XY: 135916
GnomAD4 exome AF: 0.0000554 AC: 81AN: 1461876Hom.: 0 Cov.: 32 AF XY: 0.0000509 AC XY: 37AN XY: 727236
GnomAD4 genome AF: 0.0000592 AC: 9AN: 152108Hom.: 0 Cov.: 32 AF XY: 0.0000673 AC XY: 5AN XY: 74294
ClinVar
Submissions by phenotype
not provided Uncertain:3
This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 357 of the SCN3A protein (p.Arg357Gln). This variant is present in population databases (rs774195502, gnomAD 0.009%). This missense change has been observed in individual(s) with clinical features of SCN3A-related conditions (PMID: 24157691). ClinVar contains an entry for this variant (Variation ID: 522563). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is not expected to disrupt SCN3A protein function with a negative predictive value of 80%. Experimental studies have shown that this missense change affects SCN3A function (PMID: 24157691). 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. -
Reported previously in a single individual with focal epilepsy but no segregation information was available. Aside from SCN1A testing, no additional testing to rule out other possible causes of epilepsy was reported (Vanoye et al., 2014); Published functional studies demonstrate that the R357Q variant affects protein function consistent with hyper-excitability (Vanoye et al., 2014); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 28488083, 31589614, 33236643, 29466837, 24157691) -
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Epilepsy, familial focal, with variable foci 4 Pathogenic:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at