ClinVar

Description

Variant summary: CLCN1 c.2926C>T (p.Arg976X) results in a premature termination codon, predicted to cause a truncation of the encoded protein by removing the last 13 amino acids. No pathogenic variants have been observed downstream. The variant allele was found at a frequency of 0.00021 in 1613610 control chromosomes in the gnomAD database, including 1 homozygotes. This frequency is not significantly higher than estimated for a pathogenic variant in CLCN1 causing Myotonia congenita (0.00021 vs 0.0035), allowing no conclusion about variant significance. c.2926C>T has been reported in the literature in individuals affected with Myotonia congenita (Suetterlin_2022, Modoni_2011, Vereb_2021) without definitive evidence for causality. These data do not allow any conclusion about variant significance. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 21221019, 34529042, 33263785). Three submitters have cited clinical-significance assessments for this variant to ClinVar after 2014. All submitters classified the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance.