ClinVar Miner

Submissions for variant NM_000334.4(SCN4A):c.3473C>T (p.Pro1158Leu)

dbSNP: rs1555601448
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Total submissions: 2
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Athena Diagnostics Inc RCV000518217 SCV000615086 likely pathogenic not provided 2017-04-20 criteria provided, single submitter clinical testing
Invitae RCV000545880 SCV000658561 likely pathogenic Hyperkalemic periodic paralysis 2022-05-06 criteria provided, single submitter clinical testing Experimental studies have shown that this missense change affects SCN4A function (PMID: 27164696). This sequence change replaces proline, which is neutral and non-polar, with leucine, which is neutral and non-polar, at codon 1158 of the SCN4A protein (p.Pro1158Leu). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individuals with myotonia permanens (PMID: 27164696). ClinVar contains an entry for this variant (Variation ID: 448275). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Probably Damaging"; Align-GVGD: "Class C0"). This variant disrupts the p.Pro1158 amino acid residue in SCN4A. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 10851391, 21221019). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. In summary, the currently available evidence indicates that the variant is pathogenic, but additional data are needed to prove that conclusively. Therefore, this variant has been classified as Likely Pathogenic.

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