20-62657175-G-A

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_016354.4(SLCO4A1):​c.721G>A​(p.Ala241Thr) variant causes a missense change. The variant allele was found at a frequency of 0.00000356 in 1,403,102 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 (★).

Frequency

Genomes: not found (cov: 34)
Exomes 𝑓: 0.0000036 ( 0 hom. )

Consequence

SLCO4A1
NM_016354.4 missense

Scores

1
11
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.49
Variant links:
Genes affected
SLCO4A1 (HGNC:10953): (solute carrier organic anion transporter family member 4A1) Predicted to enable sodium-independent organic anion transmembrane transporter activity and thyroid hormone transmembrane transporter activity. Predicted to be involved in sodium-independent organic anion transport. Predicted to be located in plasma membrane. Predicted to be integral component of plasma membrane. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.953

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SLCO4A1NM_016354.4 linkuse as main transcriptc.721G>A p.Ala241Thr missense_variant 2/12 ENST00000217159.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SLCO4A1ENST00000217159.6 linkuse as main transcriptc.721G>A p.Ala241Thr missense_variant 2/121 NM_016354.4 P1Q96BD0-1
SLCO4A1ENST00000370507.5 linkuse as main transcriptc.721G>A p.Ala241Thr missense_variant 1/111 P1Q96BD0-1
SLCO4A1ENST00000497209.5 linkuse as main transcriptc.721G>A p.Ala241Thr missense_variant, NMD_transcript_variant 2/101

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD4 exome
AF:
0.00000356
AC:
5
AN:
1403102
Hom.:
0
Cov.:
33
AF XY:
0.00000144
AC XY:
1
AN XY:
693004
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000462
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
34

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 GeneticsNov 10, 2022The c.721G>A (p.A241T) alteration is located in exon 2 (coding exon 1) of the SLCO4A1 gene. This alteration results from a G to A substitution at nucleotide position 721, causing the alanine (A) at amino acid position 241 to be replaced by a threonine (T). 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
0.30
BayesDel_addAF
Uncertain
0.035
T
BayesDel_noAF
Benign
-0.19
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.20
T;T
Eigen
Uncertain
0.28
Eigen_PC
Uncertain
0.27
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.89
D;.
M_CAP
Benign
0.039
D
MetaRNN
Pathogenic
0.95
D;D
MetaSVM
Benign
-0.84
T
MutationAssessor
Uncertain
2.1
M;M
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.61
T
PROVEAN
Uncertain
-3.4
D;D
REVEL
Benign
0.25
Sift
Uncertain
0.0040
D;D
Sift4G
Uncertain
0.0060
D;D
Polyphen
0.62
P;P
Vest4
0.81
MutPred
0.82
Gain of phosphorylation at T242 (P = 0.2216);Gain of phosphorylation at T242 (P = 0.2216);
MVP
0.67
MPC
0.81
ClinPred
0.97
D
GERP RS
4.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.46
gMVP
0.77

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr20-61288527; API