rs77442996

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6

The NM_000219.6(KCNE1):​c.325G>A​(p.Val109Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V109G) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00012 ( 0 hom., cov: 17)
Exomes 𝑓: 0.000060 ( 0 hom. )

Consequence

KCNE1
NM_000219.6 missense

Scores

1
17

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:5B:3O:1

Conservation

PhyloP100: -0.483

Publications

15 publications found
Variant links:
Genes affected
KCNE1 (HGNC:6240): (potassium voltage-gated channel subfamily E regulatory subunit 1) The product of this gene belongs to the potassium channel KCNE family. Potassium ion channels are essential to many cellular functions and show a high degree of diversity, varying in their electrophysiologic and pharmacologic properties. This gene encodes a transmembrane protein known to associate with the product of the KVLQT1 gene to form the delayed rectifier potassium channel. Mutation in this gene are associated with both Jervell and Lange-Nielsen and Romano-Ward forms of long-QT syndrome. Alternatively spliced transcript variants encoding the same protein have been identified. [provided by RefSeq, Jul 2008]
KCNE1 Gene-Disease associations (from GenCC):
  • long QT syndrome 5
    Inheritance: AD Classification: DEFINITIVE, STRONG, LIMITED Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae), ClinGen
  • Jervell and Lange-Nielsen syndrome 2
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: G2P, ClinGen, Labcorp Genetics (formerly Invitae)
  • Jervell and Lange-Nielsen syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • atrial fibrillation
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.060816973).
BP6
Variant 21-34449310-C-T is Benign according to our data. Variant chr21-34449310-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 132678.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000219.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNE1
NM_000219.6
MANE Select
c.325G>Ap.Val109Ile
missense
Exon 4 of 4NP_000210.2P15382
KCNE1
NM_001127668.4
c.325G>Ap.Val109Ile
missense
Exon 3 of 3NP_001121140.1P15382
KCNE1
NM_001127669.4
c.325G>Ap.Val109Ile
missense
Exon 3 of 3NP_001121141.1C7S316

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNE1
ENST00000399286.3
TSL:1 MANE Select
c.325G>Ap.Val109Ile
missense
Exon 4 of 4ENSP00000382226.2P15382
KCNE1
ENST00000399289.7
TSL:1
c.325G>Ap.Val109Ile
missense
Exon 3 of 3ENSP00000382228.3P15382
KCNE1
ENST00000416357.6
TSL:1
c.325G>Ap.Val109Ile
missense
Exon 2 of 2ENSP00000416258.2P15382

Frequencies

GnomAD3 genomes
AF:
0.000120
AC:
16
AN:
133038
Hom.:
0
Cov.:
17
show subpopulations
Gnomad AFR
AF:
0.000380
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000769
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:
0.0000166
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000131
AC:
33
AN:
251204
AF XY:
0.000125
show subpopulations
Gnomad AFR exome
AF:
0.000801
Gnomad AMR exome
AF:
0.0000289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000528
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000602
AC:
75
AN:
1245262
Hom.:
0
Cov.:
18
AF XY:
0.0000604
AC XY:
38
AN XY:
629076
show subpopulations
African (AFR)
AF:
0.000639
AC:
19
AN:
29752
American (AMR)
AF:
0.0000233
AC:
1
AN:
42926
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23918
East Asian (EAS)
AF:
0.0000518
AC:
2
AN:
38578
South Asian (SAS)
AF:
0.000295
AC:
24
AN:
81280
European-Finnish (FIN)
AF:
0.0000377
AC:
2
AN:
53002
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5366
European-Non Finnish (NFE)
AF:
0.0000273
AC:
25
AN:
917262
Other (OTH)
AF:
0.0000376
AC:
2
AN:
53178
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
3
6
10
13
16
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000120
AC:
16
AN:
133152
Hom.:
0
Cov.:
17
AF XY:
0.000155
AC XY:
10
AN XY:
64378
show subpopulations
African (AFR)
AF:
0.000379
AC:
14
AN:
36974
American (AMR)
AF:
0.0000768
AC:
1
AN:
13022
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3012
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4232
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3856
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9028
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
264
European-Non Finnish (NFE)
AF:
0.0000166
AC:
1
AN:
60180
Other (OTH)
AF:
0.00
AC:
0
AN:
1788
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.519
Heterozygous variant carriers
0
1
2
3
4
5
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000115
Hom.:
0
Bravo
AF:
0.000196
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.000148
AC:
18

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
1
Long QT syndrome (2)
-
1
1
not specified (2)
-
-
1
Cardiovascular phenotype (1)
-
1
-
Long QT syndrome 5 (1)
-
1
-
Long QT syndrome 5;C2676723:Jervell and Lange-Nielsen syndrome 2 (1)
-
1
-
not provided (2)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.067
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.16
CADD
Benign
0.10
DANN
Benign
0.28
DEOGEN2
Benign
0.40
T
Eigen
Benign
-1.6
Eigen_PC
Benign
-1.6
FATHMM_MKL
Benign
0.0044
N
LIST_S2
Benign
0.58
T
M_CAP
Benign
0.018
T
MetaRNN
Benign
0.061
T
MetaSVM
Benign
-0.62
T
MutationAssessor
Benign
-1.1
N
PhyloP100
-0.48
PrimateAI
Benign
0.25
T
PROVEAN
Benign
0.28
N
REVEL
Uncertain
0.48
Sift
Benign
1.0
T
Sift4G
Benign
1.0
T
Polyphen
0.0
B
Vest4
0.25
MVP
0.43
MPC
0.062
ClinPred
0.010
T
GERP RS
-4.6
Varity_R
0.012
gMVP
0.33
Mutation Taster
=1/99
disease causing

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: rs77442996; hg19: chr21-35821608; API