16-56884085-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_001126108.2(SLC12A3):​c.1706C>A​(p.Ala569Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,878 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A569V) has been classified as Uncertain significance.

Frequency

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

Consequence

SLC12A3
NM_001126108.2 missense

Scores

6
6
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.09
Variant links:
Genes affected
SLC12A3 (HGNC:10912): (solute carrier family 12 member 3) This gene encodes a renal thiazide-sensitive sodium-chloride cotransporter that is important for electrolyte homeostasis. This cotransporter mediates sodium and chloride reabsorption in the distal convoluted tubule. Mutations in this gene cause Gitelman syndrome, a disease similar to Bartter's syndrome, that is characterized by hypokalemic alkalosis combined with hypomagnesemia, low urinary calcium, and increased renin activity associated with normal blood pressure. This cotransporter is the target for thiazide diuretics that are used for treating high blood pressure. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.916

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SLC12A3NM_001126108.2 linkuse as main transcriptc.1706C>A p.Ala569Glu missense_variant 14/26 ENST00000563236.6
SLC12A3NM_000339.3 linkuse as main transcriptc.1706C>A p.Ala569Glu missense_variant 14/26
SLC12A3NM_001126107.2 linkuse as main transcriptc.1703C>A p.Ala568Glu missense_variant 14/26
SLC12A3NM_001410896.1 linkuse as main transcriptc.1703C>A p.Ala568Glu missense_variant 14/26

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SLC12A3ENST00000563236.6 linkuse as main transcriptc.1706C>A p.Ala569Glu missense_variant 14/261 NM_001126108.2 A1P55017-1
SLC12A3ENST00000438926.6 linkuse as main transcriptc.1706C>A p.Ala569Glu missense_variant 14/261 A1P55017-2
SLC12A3ENST00000566786.5 linkuse as main transcriptc.1703C>A p.Ala568Glu missense_variant 14/261 P4P55017-3
SLC12A3ENST00000262502.5 linkuse as main transcriptc.1703C>A p.Ala568Glu missense_variant 14/265 A1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251174
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135780
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000289
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461878
Hom.:
0
Cov.:
34
AF XY:
0.00
AC XY:
0
AN XY:
727242
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378

ClinVar

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

Submissions by phenotype

Familial hypokalemia-hypomagnesemia Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.77
BayesDel_addAF
Pathogenic
0.17
D
BayesDel_noAF
Uncertain
0.090
CADD
Benign
20
DANN
Uncertain
0.98
DEOGEN2
Pathogenic
0.87
.;.;D;D
Eigen
Benign
-0.32
Eigen_PC
Benign
-0.28
FATHMM_MKL
Benign
0.46
N
LIST_S2
Uncertain
0.95
D;D;D;D
M_CAP
Uncertain
0.22
D
MetaRNN
Pathogenic
0.92
D;D;D;D
MetaSVM
Pathogenic
0.90
D
MutationAssessor
Benign
1.7
.;L;L;.
MutationTaster
Benign
0.89
N;N;N;N
PrimateAI
Benign
0.31
T
PROVEAN
Benign
-2.0
N;N;N;N
REVEL
Pathogenic
0.66
Sift
Uncertain
0.012
D;D;D;D
Sift4G
Uncertain
0.026
D;D;D;D
Polyphen
0.052
B;B;B;.
Vest4
0.74
MutPred
0.82
.;Gain of loop (P = 0.1069);Gain of loop (P = 0.1069);.;
MVP
0.95
MPC
0.12
ClinPred
0.53
D
GERP RS
3.6
Varity_R
0.32
gMVP
0.96

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: rs79351185; hg19: chr16-56917997; API