rs977790637

Variant summary

Our verdict is Pathogenic. The variant received 10 ACMG points: 10P and 0B. PM2PM5PP3_StrongPP5_Moderate

The NM_133497.4(KCNV2):​c.562T>A​(p.Trp188Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 13/22 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. W188C) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 33)

Consequence

KCNV2
NM_133497.4 missense

Scores

15
3
1

Clinical Significance

Likely pathogenic criteria provided, single submitter P:2

Conservation

PhyloP100: 8.00

Publications

2 publications found
Variant links:
Genes affected
KCNV2 (HGNC:19698): (potassium voltage-gated channel modifier subfamily V member 2) Voltage-gated potassium (Kv) 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 member of the potassium voltage-gated channel subfamily V. This member is identified as a 'silent subunit', and it does not form homomultimers, but forms heteromultimers with several other subfamily members. Through obligatory heteromerization, it exerts a function-altering effect on other potassium channel subunits. This protein is strongly expressed in pancreas and has a weaker expression in several other tissues. [provided by RefSeq, Jul 2008]
KCNV2 Gene-Disease associations (from GenCC):
  • cone dystrophy with supernormal rod response
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, Labcorp Genetics (formerly Invitae)
  • inherited retinal dystrophy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen

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ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 10 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr9-2718303-G-C is described in ClinVar as Pathogenic. ClinVar VariationId is 1468960.Status of the report is criteria_provided_single_submitter, 1 stars.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.987
PP5
Variant 9-2718301-T-A is Pathogenic according to our data. Variant chr9-2718301-T-A is described in ClinVar as Likely_pathogenic. ClinVar VariationId is 438151.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KCNV2NM_133497.4 linkc.562T>A p.Trp188Arg missense_variant Exon 1 of 2 ENST00000382082.4 NP_598004.1 Q8TDN2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KCNV2ENST00000382082.4 linkc.562T>A p.Trp188Arg missense_variant Exon 1 of 2 1 NM_133497.4 ENSP00000371514.3 Q8TDN2
ENSG00000286670ENST00000768783.1 linkn.113+27997A>T intron_variant Intron 1 of 3
ENSG00000286670ENST00000768784.1 linkn.156+13644A>T intron_variant Intron 1 of 3
ENSG00000286670ENST00000768785.1 linkn.156+13644A>T intron_variant Intron 1 of 2

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
81
GnomAD4 genome
Cov.:
33
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

KCNV2-related disorder Pathogenic:1
Mar 02, 2023
PreventionGenetics, part of Exact Sciences
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The KCNV2 c.562T>A variant is predicted to result in the amino acid substitution p.Trp188Arg. This variant has been reported in the homozygous or compound heterozygous state in multiple individuals with KCNV2-related retinal cone dystrophy (Table S2, Carss et al. 2017. PubMed ID: 28041643; Kiray et al. 2020. PubMed ID: 32154435; Table S2, Turro et al. 2020. PubMed ID: 32581362). This variant has not been reported in a large population database (http://gnomad.broadinstitute.org), indicating this variant is rare. Different nucleotide changes resulting in the same or different amino acid substitution have been reported to be causative for KCNV2-related retinal cone dystrophy (c.562T>C (p.Trp188Arg) in Table S5, Taylor et al. 2017. PubMed ID: 28341476; c.564G>C (p.Trp188Cys), Wu et al. 2006. PubMed ID: 16909397). Taken together, the c.562T>A (p.Trp188Arg) variant is interpreted as likely pathogenic. -

Retinal dystrophy Pathogenic:1
Jan 01, 2015
NIHR Bioresource Rare Diseases, University of Cambridge
Significance:Likely pathogenic
Review Status:no assertion criteria provided
Collection Method:research

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.57
D
BayesDel_noAF
Pathogenic
0.59
CADD
Pathogenic
29
DANN
Uncertain
0.99
DEOGEN2
Pathogenic
0.87
D
Eigen
Pathogenic
0.89
Eigen_PC
Pathogenic
0.78
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.86
D
M_CAP
Pathogenic
0.71
D
MetaRNN
Pathogenic
0.99
D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Pathogenic
3.8
H
PhyloP100
8.0
PrimateAI
Pathogenic
0.85
D
PROVEAN
Pathogenic
-13
D
REVEL
Pathogenic
0.96
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.98
MutPred
0.86
Gain of methylation at W188 (P = 0.0148);
MVP
0.99
MPC
0.16
ClinPred
1.0
D
GERP RS
4.9
Varity_R
0.99
gMVP
0.99
Mutation Taster
=1/99
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: rs977790637; hg19: chr9-2718301; API