16-55656715-C-A

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 1P and 10B. PP2BP4_StrongBP6_ModerateBS2

The NM_001172501.3(SLC6A2):​c.21C>A​(p.Asn7Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000592 in 1,612,658 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

Genomes: 𝑓 0.00052 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00060 ( 2 hom. )

Consequence

SLC6A2
NM_001172501.3 missense

Scores

1
18

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: -0.0260
Variant links:
Genes affected
SLC6A2 (HGNC:11048): (solute carrier family 6 member 2) This gene encodes a member of the sodium:neurotransmitter symporter family. This member is a multi-pass membrane protein, which is responsible for reuptake of norepinephrine into presynaptic nerve terminals and is a regulator of norepinephrine homeostasis. Mutations in this gene cause orthostatic intolerance, a syndrome characterized by lightheadedness, fatigue, altered mentation and syncope. Alternatively spliced transcript variants encoding different isoforms have been identified in this gene.[provided by RefSeq, Feb 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), SLC6A2. . Gene score misZ 2.0193 (greater than the threshold 3.09). Trascript score misZ 3.3305 (greater than threshold 3.09). GenCC has associacion of gene with postural orthostatic tachycardia syndrome.
BP4
Computational evidence support a benign effect (MetaRNN=0.0108683705).
BP6
Variant 16-55656715-C-A is Benign according to our data. Variant chr16-55656715-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 2057794.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High AC in GnomAd4 at 79 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SLC6A2NM_001172501.3 linkuse as main transcriptc.21C>A p.Asn7Lys missense_variant 2/15 ENST00000568943.6 NP_001165972.1 P23975-1A0A024R6T9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SLC6A2ENST00000568943.6 linkuse as main transcriptc.21C>A p.Asn7Lys missense_variant 2/151 NM_001172501.3 ENSP00000457473.1 P23975-1

Frequencies

GnomAD3 genomes
AF:
0.000519
AC:
79
AN:
152148
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00202
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000283
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000853
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.000620
AC:
153
AN:
246920
Hom.:
1
AF XY:
0.000722
AC XY:
97
AN XY:
134294
show subpopulations
Gnomad AFR exome
AF:
0.0000639
Gnomad AMR exome
AF:
0.000492
Gnomad ASJ exome
AF:
0.00130
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000980
Gnomad FIN exome
AF:
0.0000925
Gnomad NFE exome
AF:
0.00103
Gnomad OTH exome
AF:
0.000658
GnomAD4 exome
AF:
0.000599
AC:
875
AN:
1460392
Hom.:
2
Cov.:
32
AF XY:
0.000617
AC XY:
448
AN XY:
726494
show subpopulations
Gnomad4 AFR exome
AF:
0.000150
Gnomad4 AMR exome
AF:
0.000492
Gnomad4 ASJ exome
AF:
0.00126
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000464
Gnomad4 FIN exome
AF:
0.000132
Gnomad4 NFE exome
AF:
0.000692
Gnomad4 OTH exome
AF:
0.000514
GnomAD4 genome
AF:
0.000519
AC:
79
AN:
152266
Hom.:
0
Cov.:
32
AF XY:
0.000336
AC XY:
25
AN XY:
74432
show subpopulations
Gnomad4 AFR
AF:
0.000144
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00202
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000283
Gnomad4 NFE
AF:
0.000853
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.00116
Hom.:
0
Bravo
AF:
0.000521
ESP6500AA
AF:
0.000455
AC:
2
ESP6500EA
AF:
0.000931
AC:
8
ExAC
AF:
0.000585
AC:
71
EpiCase
AF:
0.00147
EpiControl
AF:
0.00148

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 18, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.55
CADD
Benign
15
DANN
Benign
0.93
DEOGEN2
Benign
0.063
T;.;T;.;T;T;.;T
Eigen
Benign
-0.80
Eigen_PC
Benign
-0.70
FATHMM_MKL
Benign
0.30
N
LIST_S2
Benign
0.77
.;T;T;T;T;T;T;T
M_CAP
Benign
0.028
D
MetaRNN
Benign
0.011
T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.90
T
MutationAssessor
Benign
0.46
N;.;.;.;N;.;N;.
PrimateAI
Uncertain
0.67
T
PROVEAN
Benign
0.070
N;N;N;N;N;N;N;N
REVEL
Benign
0.19
Sift
Benign
0.78
T;T;T;T;T;T;T;T
Sift4G
Benign
0.57
T;T;T;T;T;T;T;T
Polyphen
0.0
B;.;.;.;B;.;.;.
Vest4
0.18
MutPred
0.15
Gain of ubiquitination at N7 (P = 0.0042);Gain of ubiquitination at N7 (P = 0.0042);Gain of ubiquitination at N7 (P = 0.0042);Gain of ubiquitination at N7 (P = 0.0042);Gain of ubiquitination at N7 (P = 0.0042);Gain of ubiquitination at N7 (P = 0.0042);Gain of ubiquitination at N7 (P = 0.0042);Gain of ubiquitination at N7 (P = 0.0042);
MVP
0.46
MPC
0.84
ClinPred
0.039
T
GERP RS
-1.4
Varity_R
0.063
gMVP
0.48

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs11568323; hg19: chr16-55690627; API