5-132369975-G-T

Variant summary

Our verdict is Pathogenic. The variant received 11 ACMG points: 11P and 0B. PVS1PM2PP5

The NM_003060.4(SLC22A5):​c.3G>T​(p.Met1?) variant causes a start lost change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (no stars).

Frequency

Genomes: not found (cov: 33)

Consequence

SLC22A5
NM_003060.4 start_lost

Scores

6
7
3

Clinical Significance

Pathogenic/Likely pathogenic no assertion criteria provided P:2

Conservation

PhyloP100: 5.64

Publications

6 publications found
Variant links:
Genes affected
SLC22A5 (HGNC:10969): (solute carrier family 22 member 5) Polyspecific organic cation transporters in the liver, kidney, intestine, and other organs are critical for elimination of many endogenous small organic cations as well as a wide array of drugs and environmental toxins. The encoded protein is a plasma integral membrane protein which functions both as an organic cation transporter and as a sodium-dependent high affinity carnitine transporter. The encoded protein is involved in the active cellular uptake of carnitine. Mutations in this gene are the cause of systemic primary carnitine deficiency (CDSP), an autosomal recessive disorder manifested early in life by hypoketotic hypoglycemia and acute metabolic decompensation, and later in life by skeletal myopathy or cardiomyopathy. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, Apr 2015]
MIR3936HG (HGNC:40538): (MIR3936 host gene)

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ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 11 ACMG points.

PVS1
Start lost variant, next in-frame start position is after 108 pathogenic variants. Next in-frame start position is after 177 codons. Genomic position: 132384178. Lost 0.316 part of the original CDS.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 5-132369975-G-T is Pathogenic according to our data. Variant chr5-132369975-G-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 6425.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SLC22A5NM_003060.4 linkc.3G>T p.Met1? start_lost Exon 1 of 10 ENST00000245407.8 NP_003051.1 O76082-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SLC22A5ENST00000245407.8 linkc.3G>T p.Met1? start_lost Exon 1 of 10 1 NM_003060.4 ENSP00000245407.3 O76082-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:2
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Renal carnitine transport defect Pathogenic:2
Sep 08, 2016
Counsyl
Significance:Likely pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -

Mar 01, 2005
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.63
D
BayesDel_noAF
Pathogenic
0.23
CADD
Uncertain
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.32
T;.
Eigen
Uncertain
0.38
Eigen_PC
Uncertain
0.43
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.90
D;D
M_CAP
Pathogenic
0.86
D
MetaRNN
Pathogenic
0.99
D;D
MetaSVM
Uncertain
0.072
D
PhyloP100
5.6
PROVEAN
Uncertain
-2.5
D;D
REVEL
Pathogenic
0.68
Sift
Benign
0.099
T;T
Sift4G
Uncertain
0.042
D;D
Polyphen
0.85
P;.
Vest4
0.84
MutPred
1.0
Gain of catalytic residue at M1 (P = 0.0353);Gain of catalytic residue at M1 (P = 0.0353);
MVP
0.87
ClinPred
0.99
D
GERP RS
5.0
PromoterAI
0.15
Neutral
Varity_R
0.55
gMVP
0.76
Mutation Taster
=4/196
disease causing (ClinVar)

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: rs121908892; hg19: chr5-131705667; API