17-44261630-T-G

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000342.4(SLC4A1):ā€‹c.113A>Cā€‹(p.Asp38Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0386 in 1,614,004 control chromosomes in the GnomAD database, including 1,345 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.028 ( 100 hom., cov: 32)
Exomes š‘“: 0.040 ( 1245 hom. )

Consequence

SLC4A1
NM_000342.4 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: -0.973
Variant links:
Genes affected
SLC4A1 (HGNC:11027): (solute carrier family 4 member 1 (Diego blood group)) The protein encoded by this gene is part of the anion exchanger (AE) family and is expressed in the erythrocyte plasma membrane, where it functions as a chloride/bicarbonate exchanger involved in carbon dioxide transport from tissues to lungs. The protein comprises two domains that are structurally and functionally distinct. The N-terminal 40kDa domain is located in the cytoplasm and acts as an attachment site for the red cell skeleton by binding ankyrin. The glycosylated C-terminal membrane-associated domain contains 12-14 membrane spanning segments and carries out the stilbene disulphonate-sensitive exchange transport of anions. The cytoplasmic tail at the extreme C-terminus of the membrane domain binds carbonic anhydrase II. The encoded protein associates with the red cell membrane protein glycophorin A and this association promotes the correct folding and translocation of the exchanger. This protein is predominantly dimeric but forms tetramers in the presence of ankyrin. Many mutations in this gene are known in man, and these mutations can lead to two types of disease: destabilization of red cell membrane leading to hereditary spherocytosis, and defective kidney acid secretion leading to distal renal tubular acidosis. Other mutations that do not give rise to disease result in novel blood group antigens, which form the Diego blood group system. Southeast Asian ovalocytosis (SAO, Melanesian ovalocytosis) results from the heterozygous presence of a deletion in the encoded protein and is common in areas where Plasmodium falciparum malaria is endemic. One null mutation in this gene is known, resulting in very severe anemia and nephrocalcinosis. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0024415255).
BP6
Variant 17-44261630-T-G is Benign according to our data. Variant chr17-44261630-T-G is described in ClinVar as [Benign]. Clinvar id is 255903.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-44261630-T-G is described in Lovd as [Benign]. Variant chr17-44261630-T-G is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0692 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SLC4A1NM_000342.4 linkuse as main transcriptc.113A>C p.Asp38Ala missense_variant 4/20 ENST00000262418.12 NP_000333.1 P02730-1
SLC4A1XM_011525129.3 linkuse as main transcriptc.113A>C p.Asp38Ala missense_variant 4/19 XP_011523431.1
SLC4A1XM_011525130.2 linkuse as main transcriptc.113A>C p.Asp38Ala missense_variant 4/18 XP_011523432.1
SLC4A1XM_005257593.6 linkuse as main transcriptc.-83A>C 5_prime_UTR_variant 2/18 XP_005257650.1 P02730-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SLC4A1ENST00000262418.12 linkuse as main transcriptc.113A>C p.Asp38Ala missense_variant 4/201 NM_000342.4 ENSP00000262418.6 P02730-1
SLC4A1ENST00000399246.3 linkuse as main transcriptc.113A>C p.Asp38Ala missense_variant 4/155 ENSP00000382190.3 A0A0A0MS98
SLC4A1ENST00000471005.5 linkuse as main transcriptn.47A>C non_coding_transcript_exon_variant 2/43
SLC4A1ENST00000498270.1 linkuse as main transcriptn.394A>C non_coding_transcript_exon_variant 3/45

Frequencies

GnomAD3 genomes
AF:
0.0282
AC:
4294
AN:
152034
Hom.:
100
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00887
Gnomad AMI
AF:
0.0857
Gnomad AMR
AF:
0.0280
Gnomad ASJ
AF:
0.0271
Gnomad EAS
AF:
0.0754
Gnomad SAS
AF:
0.0350
Gnomad FIN
AF:
0.00659
Gnomad MID
AF:
0.0316
Gnomad NFE
AF:
0.0385
Gnomad OTH
AF:
0.0354
GnomAD3 exomes
AF:
0.0339
AC:
8517
AN:
251436
Hom.:
224
AF XY:
0.0350
AC XY:
4759
AN XY:
135894
show subpopulations
Gnomad AFR exome
AF:
0.00763
Gnomad AMR exome
AF:
0.0187
Gnomad ASJ exome
AF:
0.0277
Gnomad EAS exome
AF:
0.0841
Gnomad SAS exome
AF:
0.0371
Gnomad FIN exome
AF:
0.00753
Gnomad NFE exome
AF:
0.0385
Gnomad OTH exome
AF:
0.0394
GnomAD4 exome
AF:
0.0396
AC:
57946
AN:
1461852
Hom.:
1245
Cov.:
33
AF XY:
0.0398
AC XY:
28942
AN XY:
727228
show subpopulations
Gnomad4 AFR exome
AF:
0.00744
Gnomad4 AMR exome
AF:
0.0203
Gnomad4 ASJ exome
AF:
0.0262
Gnomad4 EAS exome
AF:
0.0655
Gnomad4 SAS exome
AF:
0.0396
Gnomad4 FIN exome
AF:
0.00996
Gnomad4 NFE exome
AF:
0.0420
Gnomad4 OTH exome
AF:
0.0417
GnomAD4 genome
AF:
0.0282
AC:
4293
AN:
152152
Hom.:
100
Cov.:
32
AF XY:
0.0267
AC XY:
1989
AN XY:
74412
show subpopulations
Gnomad4 AFR
AF:
0.00884
Gnomad4 AMR
AF:
0.0279
Gnomad4 ASJ
AF:
0.0271
Gnomad4 EAS
AF:
0.0754
Gnomad4 SAS
AF:
0.0346
Gnomad4 FIN
AF:
0.00659
Gnomad4 NFE
AF:
0.0385
Gnomad4 OTH
AF:
0.0360
Alfa
AF:
0.0391
Hom.:
305
Bravo
AF:
0.0302
TwinsUK
AF:
0.0396
AC:
147
ALSPAC
AF:
0.0423
AC:
163
ESP6500AA
AF:
0.00931
AC:
41
ESP6500EA
AF:
0.0372
AC:
320
ExAC
AF:
0.0345
AC:
4188
Asia WGS
AF:
0.0610
AC:
211
AN:
3478
EpiCase
AF:
0.0378
EpiControl
AF:
0.0400

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Benign, criteria provided, single submitterclinical testingGeneDxFeb 03, 2020- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 30, 2023- -
Autosomal dominant distal renal tubular acidosis Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This 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 benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Hereditary spherocytosis type 4 Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This 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 benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Hemolytic anemia Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This 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 benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.063
BayesDel_addAF
Benign
-0.64
T
BayesDel_noAF
Benign
-0.62
CADD
Benign
0.64
DANN
Benign
0.11
DEOGEN2
Benign
0.17
T;T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.6
FATHMM_MKL
Benign
0.0071
N
LIST_S2
Benign
0.083
T;T
MetaRNN
Benign
0.0024
T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
1.4
L;.
PrimateAI
Benign
0.24
T
PROVEAN
Benign
-0.44
N;.
REVEL
Benign
0.086
Sift
Benign
0.43
T;.
Sift4G
Benign
0.73
T;T
Polyphen
0.0
B;.
Vest4
0.13
MPC
0.44
ClinPred
0.0013
T
GERP RS
-5.7
Varity_R
0.031
gMVP
0.17

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: rs5035; hg19: chr17-42338998; COSMIC: COSV52259783; API