12-46788529-T-A

Variant summary

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

The NM_018018.5(SLC38A4):​c.209A>T​(p.His70Leu) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.000000685 in 1,460,046 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

SLC38A4
NM_018018.5 missense, splice_region

Scores

3
16
Splicing: ADA: 0.9845
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.32
Variant links:
Genes affected
SLC38A4 (HGNC:14679): (solute carrier family 38 member 4) SLC38A4 is found predominantly in liver and transports both cationic and neutral amino acids. The transport of cationic amino acids by SLC38A4 is Na(+) and pH independent, while the transport of neutral amino acids is Na(+) and pH dependent (Hatanaka et al., 2001 [PubMed 11342143]).[supplied by OMIM, Mar 2008]

Genome browser will be placed here

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 Protein UniProt
SLC38A4NM_018018.5 linkuse as main transcriptc.209A>T p.His70Leu missense_variant, splice_region_variant 4/17 ENST00000266579.9 NP_060488.2 Q969I6A0A024R0X7
SLC38A4NM_001143824.2 linkuse as main transcriptc.209A>T p.His70Leu missense_variant, splice_region_variant 3/16 NP_001137296.1 Q969I6A0A024R0X7
SLC38A4XM_005268997.3 linkuse as main transcriptc.209A>T p.His70Leu missense_variant, splice_region_variant 3/16 XP_005269054.1 Q969I6A0A024R0X7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SLC38A4ENST00000266579.9 linkuse as main transcriptc.209A>T p.His70Leu missense_variant, splice_region_variant 4/171 NM_018018.5 ENSP00000266579.4 Q969I6

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.85e-7
AC:
1
AN:
1460046
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
726356
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

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 GeneticsSep 22, 2023The c.209A>T (p.H70L) alteration is located in exon 4 (coding exon 2) of the SLC38A4 gene. This alteration results from a A to T substitution at nucleotide position 209, causing the histidine (H) at amino acid position 70 to be replaced by a leucine (L). 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
0.093
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Benign
-0.40
CADD
Uncertain
25
DANN
Benign
0.97
DEOGEN2
Benign
0.043
T;T;T;.
Eigen
Benign
-0.0055
Eigen_PC
Benign
0.17
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Uncertain
0.86
.;D;D;D
M_CAP
Benign
0.012
T
MetaRNN
Benign
0.18
T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.0
N;N;.;.
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
-1.3
N;N;N;N
REVEL
Benign
0.12
Sift
Benign
0.46
T;T;T;T
Sift4G
Benign
0.51
T;T;.;.
Polyphen
0.079
B;B;.;.
Vest4
0.32
MutPred
0.38
Gain of catalytic residue at T74 (P = 0.0478);Gain of catalytic residue at T74 (P = 0.0478);Gain of catalytic residue at T74 (P = 0.0478);Gain of catalytic residue at T74 (P = 0.0478);
MVP
0.068
MPC
0.34
ClinPred
0.65
D
GERP RS
5.5
Varity_R
0.19
gMVP
0.39

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.98
dbscSNV1_RF
Pathogenic
0.87
SpliceAI score (max)
0.080
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr12-47182312; API