rs80358275

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 5P and 4B. PM1PM5PP3BS2

The NM_004700.4(KCNQ4):ā€‹c.785A>Gā€‹(p.Asp262Gly) variant causes a missense change. The variant allele was found at a frequency of 0.00000547 in 1,461,716 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D262V) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000055 ( 0 hom. )

Consequence

KCNQ4
NM_004700.4 missense

Scores

8
5
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.46
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM1
In a mutagenesis_site No effect on inhibition by potassium channel toxin SsTX. (size 0) in uniprot entity KCNQ4_HUMAN
PM5
Other missense variant is known to change same aminoacid residue: Variant chr1-40819423-A-T is described in Lovd as [Pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.805
BS2
High AC in GnomAdExome4 at 8 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KCNQ4NM_004700.4 linkuse as main transcriptc.785A>G p.Asp262Gly missense_variant 5/14 ENST00000347132.10 NP_004691.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KCNQ4ENST00000347132.10 linkuse as main transcriptc.785A>G p.Asp262Gly missense_variant 5/141 NM_004700.4 ENSP00000262916 P2P56696-1
KCNQ4ENST00000509682.6 linkuse as main transcriptc.785A>G p.Asp262Gly missense_variant 5/135 ENSP00000423756 A1P56696-2
KCNQ4ENST00000443478.3 linkuse as main transcriptc.473A>G p.Asp158Gly missense_variant 4/135 ENSP00000406735
KCNQ4ENST00000506017.1 linkuse as main transcriptn.104A>G non_coding_transcript_exon_variant 2/112

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000547
AC:
8
AN:
1461716
Hom.:
0
Cov.:
36
AF XY:
0.00000688
AC XY:
5
AN XY:
727172
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000719
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.0000370
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxSep 30, 2019Not observed in large population cohorts (Lek et al., 2016); In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; Has not been previously published as pathogenic or benign to our knowledge -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Pathogenic
0.46
D
BayesDel_noAF
Pathogenic
0.42
CADD
Pathogenic
26
DANN
Uncertain
0.99
DEOGEN2
Pathogenic
0.86
D;D;.
Eigen
Uncertain
0.28
Eigen_PC
Uncertain
0.36
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Benign
0.74
.;T;T
M_CAP
Pathogenic
0.33
D
MetaRNN
Pathogenic
0.80
D;D;D
MetaSVM
Pathogenic
0.99
D
MutationAssessor
Benign
0.21
N;N;N
MutationTaster
Benign
1.0
D;D
PrimateAI
Pathogenic
0.82
D
PROVEAN
Uncertain
-2.5
.;N;D
REVEL
Pathogenic
0.87
Sift
Benign
0.28
.;T;T
Sift4G
Benign
0.16
.;T;T
Polyphen
1.0
D;D;B
Vest4
0.30, 0.35
MVP
0.97
MPC
2.6
ClinPred
0.96
D
GERP RS
5.1
Varity_R
0.48
gMVP
0.98

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: rs80358275; hg19: chr1-41285095; API