22-19176421-G-A

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM1PM2PP3PP5_Moderate

The NM_005984.5(SLC25A1):​c.821C>T​(p.Ala274Val) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.00000744 in 1,613,230 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Likely pathogenic (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000075 ( 0 hom. )

Consequence

SLC25A1
NM_005984.5 missense, splice_region

Scores

9
8
2
Splicing: ADA: 0.9884
2

Clinical Significance

Likely pathogenic criteria provided, single submitter P:2

Conservation

PhyloP100: 5.40
Variant links:
Genes affected
SLC25A1 (HGNC:10979): (solute carrier family 25 member 1) This gene encodes a member of the mitochondrial carrier subfamily of solute carrier proteins. Members of this family include nuclear-encoded transporters that translocate small metabolites across the mitochondrial membrane. This protein regulates the movement of citrate across the inner membranes of the mitochondria. Mutations in this gene have been associated with combined D-2- and L-2-hydroxyglutaric aciduria. Pseudogenes of this gene have been identified on chromosomes 7, 11, 16, and 19. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PM1
In a repeat Solcar 3 (size 85) in uniprot entity TXTP_HUMAN there are 10 pathogenic changes around while only 0 benign (100%) in NM_005984.5
PM2
Very rare variant in population databases, with high coverage;
PP3
Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF, max_spliceai. No scorers claiming Uncertain. No scorers claiming Benign.
PP5
Variant 22-19176421-G-A is Pathogenic according to our data. Variant chr22-19176421-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 42197.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-19176421-G-A is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SLC25A1NM_005984.5 linkuse as main transcriptc.821C>T p.Ala274Val missense_variant, splice_region_variant 8/9 ENST00000215882.10 NP_005975.1
SLC25A1NM_001256534.2 linkuse as main transcriptc.842C>T p.Ala281Val missense_variant, splice_region_variant 7/8 NP_001243463.1
SLC25A1NM_001287387.2 linkuse as main transcriptc.512C>T p.Ala171Val missense_variant, splice_region_variant 8/9 NP_001274316.1
SLC25A1NR_046298.3 linkuse as main transcriptn.745C>T splice_region_variant, non_coding_transcript_exon_variant 7/8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SLC25A1ENST00000215882.10 linkuse as main transcriptc.821C>T p.Ala274Val missense_variant, splice_region_variant 8/91 NM_005984.5 ENSP00000215882 P1
SLC25A1ENST00000451283.5 linkuse as main transcriptc.512C>T p.Ala171Val missense_variant, splice_region_variant 8/92 ENSP00000401480
SLC25A1ENST00000470922.5 linkuse as main transcriptn.963C>T splice_region_variant, non_coding_transcript_exon_variant 7/82

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152126
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000753
AC:
11
AN:
1461104
Hom.:
0
Cov.:
33
AF XY:
0.00000688
AC XY:
5
AN XY:
726880
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:
0.00000989
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152126
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
74310
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000688
Hom.:
0
Bravo
AF:
0.0000113
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ExAC
AF:
0.00000824
AC:
1

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

D,L-2-hydroxyglutaric aciduria Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMApr 04, 2013- -
not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingRevvity Omics, RevvitySep 03, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.73
BayesDel_addAF
Pathogenic
0.36
D
BayesDel_noAF
Pathogenic
0.28
CADD
Pathogenic
36
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.63
D;T
Eigen
Pathogenic
0.69
Eigen_PC
Pathogenic
0.68
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Uncertain
0.96
D;D
M_CAP
Pathogenic
0.74
D
MetaRNN
Pathogenic
0.94
D;D
MetaSVM
Uncertain
0.16
D
MutationAssessor
Benign
1.7
L;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.60
T
PROVEAN
Uncertain
-3.7
D;D
REVEL
Pathogenic
0.79
Sift
Uncertain
0.0080
D;D
Sift4G
Uncertain
0.055
T;T
Polyphen
1.0
D;.
Vest4
0.89
MutPred
0.72
Gain of methylation at K273 (P = 0.0391);.;
MVP
0.85
MPC
0.85
ClinPred
1.0
D
GERP RS
5.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.70
gMVP
0.95

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.99
dbscSNV1_RF
Pathogenic
0.80
SpliceAI score (max)
0.71
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.71
Position offset: 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: rs483352910; hg19: chr22-19163934; API