rs794728349

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP6_Very_StrongBA1

The NM_000238.4(KCNH2):​c.3331-9_3331-8delGT variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00287 in 1,557,036 control chromosomes in the GnomAD database, including 125 homozygotes. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.015 ( 74 hom., cov: 32)
Exomes 𝑓: 0.0015 ( 51 hom. )

Consequence

KCNH2
NM_000238.4 splice_region, intron

Scores

Not classified

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 2.08
Variant links:
Genes affected
KCNH2 (HGNC:6251): (potassium voltage-gated channel subfamily H member 2) This gene encodes a component of a voltage-activated potassium channel found in cardiac muscle, nerve cells, and microglia. Four copies of this protein interact with one copy of the KCNE2 protein to form a functional potassium channel. Mutations in this gene can cause long QT syndrome type 2 (LQT2). Transcript variants encoding distinct isoforms have been identified. [provided by RefSeq, May 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP6
Variant 7-150945521-TAC-T is Benign according to our data. Variant chr7-150945521-TAC-T is described in ClinVar as [Likely_benign]. Clinvar id is 200266.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-150945521-TAC-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0517 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KCNH2NM_000238.4 linkuse as main transcriptc.3331-9_3331-8delGT splice_region_variant, intron_variant ENST00000262186.10 NP_000229.1 Q12809-1Q15BH2A0A090N8Q0

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KCNH2ENST00000262186.10 linkuse as main transcriptc.3331-9_3331-8delGT splice_region_variant, intron_variant 1 NM_000238.4 ENSP00000262186.5 Q12809-1
KCNH2ENST00000330883.9 linkuse as main transcriptc.2311-9_2311-8delGT splice_region_variant, intron_variant 1 ENSP00000328531.4 Q12809-2
KCNH2ENST00000684241.1 linkuse as main transcriptn.4164-9_4164-8delGT splice_region_variant, intron_variant

Frequencies

GnomAD3 genomes
AF:
0.0154
AC:
2336
AN:
151260
Hom.:
74
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0537
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00591
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000209
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00318
Gnomad NFE
AF:
0.000177
Gnomad OTH
AF:
0.0124
GnomAD3 exomes
AF:
0.00367
AC:
593
AN:
161778
Hom.:
20
AF XY:
0.00260
AC XY:
223
AN XY:
85904
show subpopulations
Gnomad AFR exome
AF:
0.0549
Gnomad AMR exome
AF:
0.00295
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000432
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000159
Gnomad OTH exome
AF:
0.00175
GnomAD4 exome
AF:
0.00152
AC:
2139
AN:
1405658
Hom.:
51
AF XY:
0.00131
AC XY:
912
AN XY:
693924
show subpopulations
Gnomad4 AFR exome
AF:
0.0552
Gnomad4 AMR exome
AF:
0.00294
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000113
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000563
Gnomad4 OTH exome
AF:
0.00326
GnomAD4 genome
AF:
0.0154
AC:
2334
AN:
151378
Hom.:
74
Cov.:
32
AF XY:
0.0150
AC XY:
1110
AN XY:
73908
show subpopulations
Gnomad4 AFR
AF:
0.0536
Gnomad4 AMR
AF:
0.00591
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000177
Gnomad4 OTH
AF:
0.0123
Alfa
AF:
0.00764
Hom.:
2
Bravo
AF:
0.0174
Asia WGS
AF:
0.00202
AC:
7
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Benign, criteria provided, single submitterclinical testingGeneDxMar 19, 2013This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpSep 03, 2019Variant summary: KCNH2 c.3331-9_3331-8delGT alters a nucleotide located close to a canonical splice site and therefore could affect mRNA splicing, leading to a significantly altered protein sequence. 5/5 computational tools predict no significant impact on normal splicing. However, these predictions have yet to be confirmed by functional studies. The variant allele was found at a frequency of 0.0037 in 161778 control chromosomes, predominantly at a frequency of 0.055 within the African or African-American subpopulation in the gnomAD database, including 19 homozygotes. The observed variant frequency within African or African-American control individuals in the gnomAD database is approximately 550 fold of the estimated maximal expected allele frequency for a pathogenic variant in KCNH2 causing Arrhythmia phenotype (0.0001), strongly suggesting that the variant is a benign polymorphism found primarily in populations of African or African-American origin. Four ClinVar submitters (evaluation after 2014) cite the variant as benign (3x) and once as likely benign. Based on the evidence outlined above, the variant was classified as benign. -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsJul 05, 2017- -
Long QT syndrome Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesJun 30, 2022- -
Short QT syndrome type 1;C3150943:Long QT syndrome 2 Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsFeb 15, 2022- -
Cardiac arrhythmia Benign:1
Benign, criteria provided, single submitterclinical testingColor Diagnostics, LLC DBA Color HealthMar 15, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs41313749; hg19: chr7-150642609; API