3-121114989-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001308330.2(STXBP5L):ā€‹c.535A>Gā€‹(p.Thr179Ala) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000138 in 1,450,190 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 0.0000014 ( 0 hom. )

Consequence

STXBP5L
NM_001308330.2 missense

Scores

3
9
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.32
Variant links:
Genes affected
STXBP5L (HGNC:30757): (syntaxin binding protein 5L) The protein encoded by this gene is similar to syntaxin-binding protein 5 and contains ten N-terminal WD40 repeats, four variable region WD40 repeats, and a C-terminal R-SNARE domain. Studies of the orthologous proteins in mouse and rat have shown that the encoded protein may inhibit exocytosis in neurosecretory cells, and may negatively regulate the secretion of insulin. A missense variant in this gene is likely the cause of an infantile-onset neurodegenerative disorder diagnosed in two siblings of consanguineous parents. [provided by RefSeq, Jan 2017]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
STXBP5LNM_001308330.2 linkuse as main transcriptc.535A>G p.Thr179Ala missense_variant 6/27 ENST00000471454.6 NP_001295259.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
STXBP5LENST00000471454.6 linkuse as main transcriptc.535A>G p.Thr179Ala missense_variant 6/272 NM_001308330.2 ENSP00000420019.1 E9PFI2

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000138
AC:
2
AN:
1450190
Hom.:
0
Cov.:
29
AF XY:
0.00000139
AC XY:
1
AN XY:
721256
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:
0.00000181
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

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 GeneticsJun 29, 2022The c.535A>G (p.T179A) alteration is located in exon 6 (coding exon 5) of the STXBP5L gene. This alteration results from a A to G substitution at nucleotide position 535, causing the threonine (T) at amino acid position 179 to be replaced by an alanine (A). 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
Uncertain
0.38
BayesDel_addAF
Uncertain
0.073
D
BayesDel_noAF
Benign
-0.13
CADD
Pathogenic
27
DANN
Uncertain
0.99
DEOGEN2
Benign
0.023
T;T;T;T;.;T
Eigen
Pathogenic
0.75
Eigen_PC
Pathogenic
0.76
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.93
D;D;D;D;D;D
M_CAP
Benign
0.033
D
MetaRNN
Uncertain
0.51
D;D;D;D;D;D
MetaSVM
Benign
-0.62
T
MutationAssessor
Benign
1.7
L;.;.;.;.;.
PrimateAI
Uncertain
0.71
T
PROVEAN
Benign
-1.5
N;N;N;N;N;N
REVEL
Uncertain
0.33
Sift
Uncertain
0.010
D;D;D;D;D;D
Sift4G
Uncertain
0.020
D;D;D;D;D;D
Polyphen
0.99
D;D;.;.;.;.
Vest4
0.58
MutPred
0.43
Gain of methylation at R176 (P = 0.09);Gain of methylation at R176 (P = 0.09);Gain of methylation at R176 (P = 0.09);Gain of methylation at R176 (P = 0.09);Gain of methylation at R176 (P = 0.09);Gain of methylation at R176 (P = 0.09);
MVP
0.29
MPC
0.72
ClinPred
0.91
D
GERP RS
5.6
Varity_R
0.24
gMVP
0.53

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: chr3-120833836; API