rs886041691

Variant summary

Our verdict is Pathogenic. The variant received 15 ACMG points: 15P and 0B. PS3PM2PP3PP5_Very_Strong

The NM_020822.3(KCNT1):​c.1546A>G​(p.Met516Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). ClinVar reports functional evidence for this variant: "SCV003441324: Experimental studies have shown that this missense change affects KCNT1 function (PMID:26784557).".

Frequency

Genomes: not found (cov: 34)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

KCNT1
NM_020822.3 missense

Scores

2
4
12

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:5

Conservation

PhyloP100: 3.55

Publications

12 publications found
Variant links:
Genes affected
KCNT1 (HGNC:18865): (potassium sodium-activated channel subfamily T member 1) Potassium channels represent the most complex class of voltage-gated ion channels from both functional and structural standpoints. Their diverse functions include regulating neurotransmitter release, heart rate, insulin secretion, neuronal excitability, epithelial electrolyte transport, smooth muscle contraction, and cell volume. This gene encodes a sodium-activated potassium channel subunit which is thought to function in ion conductance and developmental signaling pathways. Mutations in this gene cause the early-onset epileptic disorders, malignant migrating partial seizures of infancy and autosomal dominant nocturnal frontal lobe epilepsy. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 2012]
KCNT1 Gene-Disease associations (from GenCC):
  • childhood-onset epilepsy syndrome
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • developmental and epileptic encephalopathy, 14
    Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
  • malignant migrating partial seizures of infancy
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, G2P
  • autosomal dominant nocturnal frontal lobe epilepsy 5
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • autosomal dominant nocturnal frontal lobe epilepsy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 15 ACMG points.

PS3
PS3 evidence extracted from ClinVar submissions: SCV003441324: Experimental studies have shown that this missense change affects KCNT1 function (PMID: 26784557).
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.772
PP5
Variant 9-135769982-A-G is Pathogenic according to our data. Variant chr9-135769982-A-G is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 280499.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_020822.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNT1
NM_020822.3
MANE Select
c.1546A>Gp.Met516Val
missense
Exon 16 of 31NP_065873.2Q5JUK3-3
KCNT1
NM_001272003.2
c.1411A>Gp.Met471Val
missense
Exon 15 of 31NP_001258932.1Q5JUK3-4

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
KCNT1
ENST00000371757.7
TSL:1 MANE Select
c.1546A>Gp.Met516Val
missense
Exon 16 of 31ENSP00000360822.2Q5JUK3-3
KCNT1
ENST00000460750.5
TSL:1
n.*1156A>G
non_coding_transcript_exon
Exon 16 of 32ENSP00000418777.1F8WC49
KCNT1
ENST00000460750.5
TSL:1
n.*1156A>G
3_prime_UTR
Exon 16 of 32ENSP00000418777.1F8WC49

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1404376
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
693328
African (AFR)
AF:
0.00
AC:
0
AN:
31898
American (AMR)
AF:
0.00
AC:
0
AN:
36878
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25194
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36238
South Asian (SAS)
AF:
0.00
AC:
0
AN:
79542
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
48776
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5310
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1082366
Other (OTH)
AF:
0.00
AC:
0
AN:
58174
GnomAD4 genome
Cov.:
34
Alfa
AF:
0.000130
Hom.:
0

ClinVar

ClinVar submissions
Significance:Pathogenic/Likely pathogenic
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
2
-
-
Developmental and epileptic encephalopathy, 14 (2)
1
-
-
Developmental and epileptic encephalopathy, 14;C3554306:Autosomal dominant nocturnal frontal lobe epilepsy 5 (1)
1
-
-
Malignant migrating partial seizures of infancy (1)
1
-
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.22
BayesDel_addAF
Benign
-0.084
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
17
DANN
Benign
0.97
DEOGEN2
Benign
0.25
T
Eigen
Benign
-0.34
Eigen_PC
Benign
-0.26
FATHMM_MKL
Uncertain
0.76
D
LIST_S2
Pathogenic
0.98
D
M_CAP
Benign
0.030
D
MetaRNN
Pathogenic
0.77
D
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
1.7
L
PhyloP100
3.6
PrimateAI
Uncertain
0.71
T
PROVEAN
Benign
-2.2
N
REVEL
Benign
0.18
Sift
Uncertain
0.0040
D
Sift4G
Uncertain
0.0090
D
Polyphen
0.013
B
Vest4
0.89
MutPred
0.68
Gain of ubiquitination at K494 (P = 0.078)
MVP
0.59
MPC
0.68
ClinPred
0.76
D
GERP RS
2.2
Varity_R
0.43
gMVP
0.85
Mutation Taster
=0/100
disease causing (ClinVar)

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: rs886041691; hg19: chr9-138661828; API
For research and educational, non-commercial use only. Not for clinical or diagnostic use. GeneBe does not provide medical advice. Data use for AI modeling is prohibited: if used, the cost is $0.001 per byte of downloaded uncompressed data.