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GeneBe

11-2909224-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_002555.6(SLC22A18):c.271G>T(p.Ala91Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000325 in 1,539,132 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 34)
Exomes 𝑓: 0.0000029 ( 0 hom. )

Consequence

SLC22A18
NM_002555.6 missense

Scores

7
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.56
Variant links:
Genes affected
SLC22A18 (HGNC:10964): (solute carrier family 22 member 18) This gene is one of several tumor-suppressing subtransferable fragments located in the imprinted gene domain of 11p15.5, an important tumor-suppressor gene region. Alterations in this region have been associated with the Beckwith-Wiedemann syndrome, Wilms tumor, rhabdomyosarcoma, adrenocortical carcinoma, and lung, ovarian, and breast cancer. This gene is imprinted, with preferential expression from the maternal allele. Mutations in this gene have been found in Wilms' tumor and lung cancer. This protein may act as a transporter of organic cations, and have a role in the transport of chloroquine and quinidine-related compounds in kidney. Several alternatively spliced transcript variants encoding different isoforms have been described. [provided by RefSeq, Oct 2015]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SLC22A18NM_002555.6 linkuse as main transcriptc.271G>T p.Ala91Ser missense_variant 4/11 ENST00000649076.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SLC22A18ENST00000649076.2 linkuse as main transcriptc.271G>T p.Ala91Ser missense_variant 4/11 NM_002555.6 P1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152202
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000146
AC:
2
AN:
136528
Hom.:
0
AF XY:
0.0000133
AC XY:
1
AN XY:
75226
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000380
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000288
AC:
4
AN:
1386930
Hom.:
0
Cov.:
36
AF XY:
0.00000146
AC XY:
1
AN XY:
685146
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:
0.00000370
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152202
Hom.:
0
Cov.:
34
AF XY:
0.0000134
AC XY:
1
AN XY:
74352
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.0000188
AC:
2

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsOct 06, 2021The c.271G>T (p.A91S) alteration is located in exon 4 (coding exon 3) of the SLC22A18 gene. This alteration results from a G to T substitution at nucleotide position 271, causing the alanine (A) at amino acid position 91 to be replaced by a serine (S). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.0027
T
BayesDel_noAF
Benign
-0.24
Cadd
Uncertain
24
Dann
Uncertain
0.98
DEOGEN2
Benign
0.089
T;T;T;T;.
Eigen
Benign
0.045
Eigen_PC
Benign
-0.17
FATHMM_MKL
Benign
0.25
N
M_CAP
Uncertain
0.13
D
MetaRNN
Uncertain
0.46
T;T;T;T;T
MetaSVM
Benign
-0.33
T
MutationAssessor
Uncertain
2.5
M;M;M;M;.
MutationTaster
Benign
1.0
N;N;N;N
PrimateAI
Uncertain
0.71
T
PROVEAN
Benign
-2.2
N;N;.;N;D
REVEL
Uncertain
0.32
Sift
Uncertain
0.012
D;D;.;D;T
Sift4G
Benign
0.11
T;T;.;T;T
Polyphen
0.99
D;D;D;D;.
Vest4
0.37
MutPred
0.69
Gain of phosphorylation at A91 (P = 0.0587);Gain of phosphorylation at A91 (P = 0.0587);Gain of phosphorylation at A91 (P = 0.0587);Gain of phosphorylation at A91 (P = 0.0587);Gain of phosphorylation at A91 (P = 0.0587);
MVP
0.83
MPC
0.58
ClinPred
0.81
D
GERP RS
3.1
Varity_R
0.54
gMVP
0.41

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs749996735; hg19: chr11-2930454; API