3-165067458-G-C

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001041.4(SI):​c.517C>G​(p.Pro173Ala) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00235 in 1,610,858 control chromosomes in the GnomAD database, including 70 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P173S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.013 ( 38 hom., cov: 32)
Exomes 𝑓: 0.0013 ( 32 hom. )

Consequence

SI
NM_001041.4 missense

Scores

5
7
5

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 8.26

Publications

4 publications found
Variant links:
Genes affected
SI (HGNC:10856): (sucrase-isomaltase) This gene encodes a sucrase-isomaltase enzyme that is expressed in the intestinal brush border. The encoded protein is synthesized as a precursor protein that is cleaved by pancreatic proteases into two enzymatic subunits sucrase and isomaltase. These two subunits heterodimerize to form the sucrose-isomaltase complex. This complex is essential for the digestion of dietary carbohydrates including starch, sucrose and isomaltose. Mutations in this gene are the cause of congenital sucrase-isomaltase deficiency.[provided by RefSeq, Apr 2010]
SI Gene-Disease associations (from GenCC):
  • congenital sucrase-isomaltase deficiency
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Laboratory for Molecular Medicine, PanelApp Australia, Labcorp Genetics (formerly Invitae), Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009579778).
BP6
Variant 3-165067458-G-C is Benign according to our data. Variant chr3-165067458-G-C is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 445929.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.0127 (1928/152038) while in subpopulation AFR AF = 0.0439 (1819/41480). AF 95% confidence interval is 0.0422. There are 38 homozygotes in GnomAd4. There are 941 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 38 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001041.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SI
NM_001041.4
MANE Select
c.517C>Gp.Pro173Ala
missense
Exon 6 of 48NP_001032.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SI
ENST00000264382.8
TSL:1 MANE Select
c.517C>Gp.Pro173Ala
missense
Exon 6 of 48ENSP00000264382.3

Frequencies

GnomAD3 genomes
AF:
0.0126
AC:
1915
AN:
151920
Hom.:
36
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0437
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00519
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00637
Gnomad NFE
AF:
0.000235
Gnomad OTH
AF:
0.00527
GnomAD2 exomes
AF:
0.00341
AC:
857
AN:
251150
AF XY:
0.00247
show subpopulations
Gnomad AFR exome
AF:
0.0455
Gnomad AMR exome
AF:
0.00275
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000115
Gnomad OTH exome
AF:
0.00114
GnomAD4 exome
AF:
0.00127
AC:
1853
AN:
1458820
Hom.:
32
Cov.:
29
AF XY:
0.00108
AC XY:
783
AN XY:
725920
show subpopulations
African (AFR)
AF:
0.0437
AC:
1458
AN:
33368
American (AMR)
AF:
0.00288
AC:
129
AN:
44716
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26098
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39546
South Asian (SAS)
AF:
0.000128
AC:
11
AN:
86178
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53392
Middle Eastern (MID)
AF:
0.00278
AC:
16
AN:
5758
European-Non Finnish (NFE)
AF:
0.0000901
AC:
100
AN:
1109518
Other (OTH)
AF:
0.00231
AC:
139
AN:
60246
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.455
Heterozygous variant carriers
0
83
165
248
330
413
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
48
96
144
192
240
<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:
0.0127
AC:
1928
AN:
152038
Hom.:
38
Cov.:
32
AF XY:
0.0127
AC XY:
941
AN XY:
74322
show subpopulations
African (AFR)
AF:
0.0439
AC:
1819
AN:
41480
American (AMR)
AF:
0.00518
AC:
79
AN:
15254
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5168
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10582
Middle Eastern (MID)
AF:
0.00685
AC:
2
AN:
292
European-Non Finnish (NFE)
AF:
0.000235
AC:
16
AN:
67952
Other (OTH)
AF:
0.00569
AC:
12
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
93
187
280
374
467
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.000947
Hom.:
1
Bravo
AF:
0.0143
ESP6500AA
AF:
0.0452
AC:
199
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.00413
AC:
502
Asia WGS
AF:
0.00348
AC:
12
AN:
3466
EpiCase
AF:
0.000109
EpiControl
AF:
0.000119

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Apr 27, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Sucrase-isomaltase deficiency Benign:1
Oct 12, 2017
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign.

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.22
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.40
CADD
Uncertain
24
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.64
D
Eigen
Pathogenic
0.85
Eigen_PC
Pathogenic
0.69
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.84
T
MetaRNN
Benign
0.0096
T
MetaSVM
Uncertain
-0.27
T
MutationAssessor
Pathogenic
4.1
H
PhyloP100
8.3
PrimateAI
Uncertain
0.52
T
PROVEAN
Pathogenic
-5.8
D
REVEL
Uncertain
0.36
Sift
Uncertain
0.0080
D
Sift4G
Uncertain
0.0020
D
Polyphen
1.0
D
Vest4
0.83
MVP
0.87
MPC
0.14
ClinPred
0.064
T
GERP RS
4.9
Varity_R
0.70
gMVP
0.63
Mutation Taster
=90/10
polymorphism

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

Other links and lift over

dbSNP: rs146960446; hg19: chr3-164785246; COSMIC: COSV106348590; COSMIC: COSV106348590; API