11-792640-C-T

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_001191061.2(SLC25A22):​c.500G>A​(p.Arg167Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00112 in 1,585,920 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. R167R) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0023 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0010 ( 3 hom. )

Consequence

SLC25A22
NM_001191061.2 missense

Scores

4
14

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:5

Conservation

PhyloP100: 2.78

Publications

1 publications found
Variant links:
Genes affected
SLC25A22 (HGNC:19954): (solute carrier family 25 member 22) This gene encodes a mitochondrial glutamate carrier. Mutations in this gene are associated with early infantile epileptic encephalopathy. Multiple alternatively spliced variants, encoding the same protein, have been identified.[provided by RefSeq, Jul 2010]
SLC25A22 Gene-Disease associations (from GenCC):
  • genetic developmental and epileptic encephalopathy
    Inheritance: AR, AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
  • developmental and epileptic encephalopathy, 3
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • early myoclonic encephalopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • malignant migrating partial seizures of infancy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009172082).
BP6
Variant 11-792640-C-T is Benign according to our data. Variant chr11-792640-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 207153.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00227 (346/152256) while in subpopulation AFR AF = 0.00578 (240/41542). AF 95% confidence interval is 0.00518. There are 0 homozygotes in GnomAd4. There are 168 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 3 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SLC25A22NM_001191061.2 linkc.500G>A p.Arg167Gln missense_variant Exon 7 of 10 ENST00000628067.3 NP_001177990.1 Q9H936

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SLC25A22ENST00000628067.3 linkc.500G>A p.Arg167Gln missense_variant Exon 7 of 10 1 NM_001191061.2 ENSP00000486058.1 Q9H936

Frequencies

GnomAD3 genomes
AF:
0.00226
AC:
344
AN:
152138
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00575
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00405
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000868
Gnomad OTH
AF:
0.000957
GnomAD2 exomes
AF:
0.00109
AC:
214
AN:
196674
AF XY:
0.000934
show subpopulations
Gnomad AFR exome
AF:
0.00549
Gnomad AMR exome
AF:
0.0000679
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000203
Gnomad FIN exome
AF:
0.00333
Gnomad NFE exome
AF:
0.00110
Gnomad OTH exome
AF:
0.000391
GnomAD4 exome
AF:
0.00100
AC:
1438
AN:
1433664
Hom.:
3
Cov.:
32
AF XY:
0.000958
AC XY:
682
AN XY:
711554
show subpopulations
African (AFR)
AF:
0.00630
AC:
208
AN:
33032
American (AMR)
AF:
0.000172
AC:
7
AN:
40746
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25700
East Asian (EAS)
AF:
0.000104
AC:
4
AN:
38516
South Asian (SAS)
AF:
0.000143
AC:
12
AN:
83908
European-Finnish (FIN)
AF:
0.00315
AC:
148
AN:
47010
Middle Eastern (MID)
AF:
0.000174
AC:
1
AN:
5732
European-Non Finnish (NFE)
AF:
0.000907
AC:
997
AN:
1099634
Other (OTH)
AF:
0.00103
AC:
61
AN:
59386
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
94
189
283
378
472
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
42
84
126
168
210
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00227
AC:
346
AN:
152256
Hom.:
0
Cov.:
33
AF XY:
0.00226
AC XY:
168
AN XY:
74448
show subpopulations
African (AFR)
AF:
0.00578
AC:
240
AN:
41542
American (AMR)
AF:
0.000131
AC:
2
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00405
AC:
43
AN:
10616
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000868
AC:
59
AN:
67996
Other (OTH)
AF:
0.000947
AC:
2
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
17
34
51
68
85
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00120
Hom.:
0
Bravo
AF:
0.00210
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00483
AC:
21
ESP6500EA
AF:
0.000822
AC:
7
ExAC
AF:
0.00118
AC:
140
Asia WGS
AF:
0.000866
AC:
3
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:5
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:2
Apr 28, 2021
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 16, 2019
Athena Diagnostics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 01, 2018
CeGaT Center for Human Genetics Tuebingen
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Benign:1
May 31, 2017
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Developmental and epileptic encephalopathy Benign:1
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Early myoclonic encephalopathy Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.095
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.24
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.078
T;T;T;.;.;.;.;.;.
Eigen
Benign
-0.21
Eigen_PC
Benign
-0.18
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Benign
0.81
.;.;T;T;T;T;T;T;T
MetaRNN
Benign
0.0092
T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.55
T
MutationAssessor
Benign
1.7
L;L;L;.;.;.;.;.;.
PhyloP100
2.8
PrimateAI
Uncertain
0.66
T
PROVEAN
Benign
-1.9
N;.;N;N;.;N;.;.;.
REVEL
Uncertain
0.29
Sift
Benign
0.033
D;.;D;D;.;D;.;.;.
Sift4G
Benign
0.077
T;T;T;T;T;.;T;T;T
Polyphen
0.24
B;B;B;.;.;.;.;.;.
Vest4
0.56
MVP
0.67
MPC
0.52
ClinPred
0.025
T
GERP RS
3.5
Varity_R
0.17
gMVP
0.83
Mutation Taster
=93/7
polymorphism

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

Other links and lift over

dbSNP: rs201089795; hg19: chr11-792640; COSMIC: COSV107332731; COSMIC: COSV107332731; API