rs774195502

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 3P and 5B. PS1_ModeratePP2BS1_SupportingBS2

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 same amino acid change has been previously reported as Likely pathogenicin UniProt.

Frequency

Genomes: 𝑓 0.000059 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000055 ( 0 hom. )

Consequence

SCN3A
NM_006922.4 missense

Scores

5
8
6

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts P:1U:3

Conservation

PhyloP100: 4.12
Variant links:
Genes affected
SCN3A (HGNC:10590): (sodium voltage-gated channel alpha subunit 3) Voltage-gated sodium channels are transmembrane glycoprotein complexes composed of a large alpha subunit with 24 transmembrane domains and one or more regulatory beta subunits. They are responsible for the generation and propagation of action potentials in neurons and muscle. This gene encodes one member of the sodium channel alpha subunit gene family, and is found in a cluster of five alpha subunit genes on chromosome 2. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PS1
Transcript NM_006922.4 (SCN3A) is affected with MISSENSE_VARIANT having same AA change as one Pathogenic present in UniProt
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), SCN3A. . Gene score misZ 4.618 (greater than the threshold 3.09). Trascript score misZ 6.3553 (greater than threshold 3.09). GenCC has associacion of gene with undetermined early-onset epileptic encephalopathy, developmental and epileptic encephalopathy, epilepsy, familial focal, with variable foci 4, developmental and epileptic encephalopathy, 62.
BS1
Variant frequency is greater than expected in population afr. gnomad4_exome allele frequency = 0.0000554 (81/1461876) while in subpopulation AFR AF= 0.0000896 (3/33480). AF 95% confidence interval is 0.0000525. There are 0 homozygotes in gnomad4_exome. There are 37 alleles in male gnomad4_exome subpopulation. Median coverage is 32. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High AC in GnomAd4 at 9 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SCN3ANM_006922.4 linkuse as main transcriptc.1070G>A p.Arg357Gln missense_variant 10/28 ENST00000283254.12 NP_008853.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SCN3AENST00000283254.12 linkuse as main transcriptc.1070G>A p.Arg357Gln missense_variant 10/281 NM_006922.4 ENSP00000283254 P1Q9NY46-3

Frequencies

GnomAD3 genomes
AF:
0.0000592
AC:
9
AN:
152108
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000735
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000517
AC:
13
AN:
251482
Hom.:
0
AF XY:
0.0000662
AC XY:
9
AN XY:
135916
show subpopulations
Gnomad AFR exome
AF:
0.0000615
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:
0.000105
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000554
AC:
81
AN:
1461876
Hom.:
0
Cov.:
32
AF XY:
0.0000509
AC XY:
37
AN XY:
727236
show subpopulations
Gnomad4 AFR exome
AF:
0.0000896
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000464
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000647
Gnomad4 OTH exome
AF:
0.0000331
GnomAD4 genome
AF:
0.0000592
AC:
9
AN:
152108
Hom.:
0
Cov.:
32
AF XY:
0.0000673
AC XY:
5
AN XY:
74294
show subpopulations
Gnomad4 AFR
AF:
0.0000724
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000735
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000851
Hom.:
0
Bravo
AF:
0.0000529
ExAC
AF:
0.0000659
AC:
8
EpiCase
AF:
0.0000545
EpiControl
AF:
0.000119

ClinVar

Significance: Uncertain significance
Submissions summary: Pathogenic:1Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:3
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpOct 22, 2023This 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). 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 SCN3A protein function. 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. -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxOct 09, 2023Reported 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) -
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvitySep 19, 2019- -
Epilepsy, familial focal, with variable foci 4 Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMSep 01, 2020- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.048
T
BayesDel_noAF
Benign
-0.10
CADD
Uncertain
25
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.80
D;.;.;.;.
Eigen
Uncertain
0.19
Eigen_PC
Uncertain
0.23
FATHMM_MKL
Uncertain
0.88
D
LIST_S2
Uncertain
0.91
D;D;D;D;D
M_CAP
Pathogenic
0.63
D
MetaRNN
Uncertain
0.54
D;D;D;D;D
MetaSVM
Pathogenic
0.98
D
MutationAssessor
Benign
1.7
L;L;.;L;.
MutationTaster
Benign
0.94
D;D;D
PrimateAI
Uncertain
0.64
T
PROVEAN
Uncertain
-3.0
D;D;.;D;D
REVEL
Pathogenic
0.81
Sift
Uncertain
0.0020
D;D;.;D;D
Sift4G
Benign
0.51
T;T;.;T;T
Polyphen
0.014
B;B;.;P;P
Vest4
0.69
MutPred
0.40
Gain of relative solvent accessibility (P = 0.0166);Gain of relative solvent accessibility (P = 0.0166);Gain of relative solvent accessibility (P = 0.0166);Gain of relative solvent accessibility (P = 0.0166);Gain of relative solvent accessibility (P = 0.0166);
MVP
0.80
MPC
1.4
ClinPred
0.32
T
GERP RS
3.6
Varity_R
0.40
gMVP
0.84

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

LitVar

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

Other links and lift over

dbSNP: rs774195502; hg19: chr2-166012375; COSMIC: COSV51800839; API