20-46051869-T-C

Variant summary

Our verdict is Benign. The variant received -10 ACMG points: 0P and 10B. BP4_StrongBP6BP7BS1

The NM_020708.5(SLC12A5):​c.2376T>C​(p.Ile792Ile) variant causes a splice region, synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000198 in 1,208,122 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00063 ( 0 hom., cov: 28)
Exomes 𝑓: 0.00015 ( 1 hom. )

Consequence

SLC12A5
NM_020708.5 splice_region, synonymous

Scores

2
Splicing: ADA: 0.00006808
2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: -3.12

Publications

0 publications found
Variant links:
Genes affected
SLC12A5 (HGNC:13818): (solute carrier family 12 member 5) K-Cl cotransporters are proteins that lower intracellular chloride concentrations below the electrochemical equilibrium potential. The protein encoded by this gene is an integral membrane K-Cl cotransporter that can function in either a net efflux or influx pathway, depending on the chemical concentration gradients of potassium and chloride. The encoded protein can act as a homomultimer, or as a heteromultimer with other K-Cl cotransporters, to maintain chloride homeostasis in neurons. Alternative splicing results in two transcript variants encoding different isoforms. [provided by RefSeq, Sep 2008]
SLC12A5 Gene-Disease associations (from GenCC):
  • developmental and epileptic encephalopathy, 34
    Inheritance: AR Classification: STRONG, MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Illumina, Ambry Genetics
  • epilepsy of infancy with migrating focal seizures
    Inheritance: AR Classification: STRONG Submitted by: G2P
  • malignant migrating partial seizures of infancy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • epilepsy, idiopathic generalized, susceptibility to, 14
    Inheritance: AD Classification: LIMITED, NO_KNOWN Submitted by: Illumina, Ambry Genetics
  • genetic developmental and epileptic encephalopathy
    Inheritance: AR Classification: LIMITED Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -10 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.53).
BP6
Variant 20-46051869-T-C is Benign according to our data. Variant chr20-46051869-T-C is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 475649.We mark this variant Likely_benign, oryginal submission is: [Conflicting_classifications_of_pathogenicity].
BP7
Synonymous conserved (PhyloP=-3.12 with no splicing effect.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.000633 (73/115412) while in subpopulation AFR AF = 0.00195 (58/29728). AF 95% confidence interval is 0.00155. There are 0 homozygotes in GnomAd4. There are 43 alleles in the male GnomAd4 subpopulation. Median coverage is 28. This position passed quality control check.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SLC12A5NM_020708.5 linkc.2376T>C p.Ile792Ile splice_region_variant, synonymous_variant Exon 18 of 26 ENST00000243964.7 NP_065759.1 Q9H2X9-2
SLC12A5NM_001134771.2 linkc.2445T>C p.Ile815Ile splice_region_variant, synonymous_variant Exon 18 of 26 NP_001128243.1 Q9H2X9-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SLC12A5ENST00000243964.7 linkc.2376T>C p.Ile792Ile splice_region_variant, synonymous_variant Exon 18 of 26 1 NM_020708.5 ENSP00000243964.4 Q9H2X9-2

Frequencies

GnomAD3 genomes
AF:
0.000615
AC:
71
AN:
115374
Hom.:
0
Cov.:
28
show subpopulations
Gnomad AFR
AF:
0.00189
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00132
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000165
Gnomad OTH
AF:
0.00189
GnomAD2 exomes
AF:
0.000159
AC:
30
AN:
188656
AF XY:
0.000133
show subpopulations
Gnomad AFR exome
AF:
0.000591
Gnomad AMR exome
AF:
0.000637
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000765
Gnomad OTH exome
AF:
0.000466
GnomAD4 exome
AF:
0.000152
AC:
166
AN:
1092710
Hom.:
1
Cov.:
31
AF XY:
0.000148
AC XY:
80
AN XY:
541464
show subpopulations
African (AFR)
AF:
0.00300
AC:
65
AN:
21686
American (AMR)
AF:
0.000599
AC:
16
AN:
26728
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
16610
East Asian (EAS)
AF:
0.00
AC:
0
AN:
14662
South Asian (SAS)
AF:
0.00
AC:
0
AN:
72606
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
30982
Middle Eastern (MID)
AF:
0.000909
AC:
4
AN:
4400
European-Non Finnish (NFE)
AF:
0.0000706
AC:
61
AN:
863668
Other (OTH)
AF:
0.000483
AC:
20
AN:
41368
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.464
Heterozygous variant carriers
0
6
13
19
26
32
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<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:
0.000633
AC:
73
AN:
115412
Hom.:
0
Cov.:
28
AF XY:
0.000815
AC XY:
43
AN XY:
52790
show subpopulations
African (AFR)
AF:
0.00195
AC:
58
AN:
29728
American (AMR)
AF:
0.00132
AC:
11
AN:
8346
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3226
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3562
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3470
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
4046
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
208
European-Non Finnish (NFE)
AF:
0.0000165
AC:
1
AN:
60434
Other (OTH)
AF:
0.00188
AC:
3
AN:
1596
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.483
Heterozygous variant carriers
0
3
6
10
13
16
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000855
Hom.:
0
Bravo
AF:
0.000725
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Epilepsy, idiopathic generalized, susceptibility to, 14;C4225257:Developmental and epileptic encephalopathy, 34 Uncertain:1
Feb 09, 2021
New York Genome Center
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Developmental and epileptic encephalopathy, 34 Uncertain:1
Oct 24, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change affects codon 792 of the SLC12A5 mRNA. It is a 'silent' change, meaning that it does not change the encoded amino acid sequence of the SLC12A5 protein. It affects a nucleotide within the consensus splice site. This variant is present in population databases (rs201525976, gnomAD 0.07%). This variant has not been reported in the literature in individuals affected with SLC12A5-related conditions. ClinVar contains an entry for this variant (Variation ID: 475649). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant is not likely to affect RNA splicing. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

not provided Benign:1
May 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

SLC12A5: BP4, BP7 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.53
CADD
Benign
0.23
DANN
Benign
0.65
PhyloP100
-3.1
Mutation Taster
=36/64
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000068
dbscSNV1_RF
Benign
0.052
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

Other links and lift over

dbSNP: rs201525976; hg19: chr20-44680508; API