9-137234241-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM2PP3_ModeratePP5

The NM_001177316.2(SLC34A3):​c.1058G>T​(p.Arg353Leu) variant causes a missense change. The variant allele was found at a frequency of 0.0000149 in 1,610,260 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 Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R353C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000015 ( 0 hom. )

Consequence

SLC34A3
NM_001177316.2 missense

Scores

2
12
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:3U:1

Conservation

PhyloP100: 4.71
Variant links:
Genes affected
SLC34A3 (HGNC:20305): (solute carrier family 34 member 3) This gene encodes a member of SLC34A transporter family of proteins, and is expressed primarily in the kidney. It is involved in transporting phosphate into cells via sodium cotransport in the renal brush border membrane, and contributes to the maintenance of inorganic phosphate concentration in the kidney. Mutations in this gene are associated with hereditary hypophosphatemic rickets with hypercalciuria. Alternatively spliced transcript variants varying in the 5' UTR have been found for this gene.[provided by RefSeq, Apr 2010]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 5 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.853
PP5
Variant 9-137234241-G-T is Pathogenic according to our data. Variant chr9-137234241-G-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 1427.We mark this variant Likely_pathogenic, oryginal submissions are: {Pathogenic=2, Uncertain_significance=1}.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SLC34A3NM_001177316.2 linkuse as main transcriptc.1058G>T p.Arg353Leu missense_variant 10/13 ENST00000673835.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SLC34A3ENST00000673835.1 linkuse as main transcriptc.1058G>T p.Arg353Leu missense_variant 10/13 NM_001177316.2 P1
SLC34A3ENST00000361134.2 linkuse as main transcriptc.1058G>T p.Arg353Leu missense_variant 10/132 P1
SLC34A3ENST00000538474.5 linkuse as main transcriptc.1058G>T p.Arg353Leu missense_variant 10/135 P1
SLC34A3ENST00000673865.1 linkuse as main transcriptc.1058G>T p.Arg353Leu missense_variant 10/10

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152098
Hom.:
0
Cov.:
32
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:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000164
AC:
4
AN:
243200
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
132434
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000365
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000151
AC:
22
AN:
1458162
Hom.:
0
Cov.:
35
AF XY:
0.0000110
AC XY:
8
AN XY:
725376
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000225
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:
0.0000162
Gnomad4 OTH exome
AF:
0.0000332
GnomAD4 genome
AF:
0.0000131
AC:
2
AN:
152098
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74296
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:
0.0000294
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000603
Hom.:
0
Bravo
AF:
0.0000151
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.0000332
AC:
4

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:3Uncertain:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Autosomal recessive hypophosphatemic bone disease Pathogenic:3
Pathogenic, criteria provided, single submitterclinical testingInstitute of Human Genetics Munich, Klinikum Rechts Der Isar, TU MünchenOct 04, 2017- -
Pathogenic, no assertion criteria providedliterature onlyOMIMFeb 01, 2006- -
Pathogenic, criteria provided, single submitterclinical testingMendelicsMay 04, 2022- -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpAug 16, 2022In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Tolerated"; PolyPhen-2: "Probably Damaging"; Align-GVGD: "Class C15"). ClinVar contains an entry for this variant (Variation ID: 1427). This missense change has been observed in individual(s) with hypophosphatemic rickets (PMID: 16358215; Invitae). It has also been observed to segregate with disease in related individuals. This variant is present in population databases (rs121918234, gnomAD 0.004%). This sequence change replaces arginine, which is basic and polar, with leucine, which is neutral and non-polar, at codon 353 of the SLC34A3 protein (p.Arg353Leu). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Uncertain
0.10
D
BayesDel_noAF
Uncertain
0.020
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.56
D;D
Eigen
Benign
-0.39
Eigen_PC
Benign
-0.54
FATHMM_MKL
Benign
0.61
D
LIST_S2
Uncertain
0.93
D;.
M_CAP
Pathogenic
0.79
D
MetaRNN
Pathogenic
0.85
D;D
MetaSVM
Uncertain
-0.28
T
MutationAssessor
Uncertain
2.6
M;M
MutationTaster
Benign
8.2e-9
A;A
PrimateAI
Uncertain
0.57
T
PROVEAN
Uncertain
-3.3
D;D
REVEL
Uncertain
0.57
Sift
Uncertain
0.020
D;D
Sift4G
Uncertain
0.022
D;D
Polyphen
0.91
P;P
Vest4
0.39
MVP
0.76
MPC
0.30
ClinPred
0.90
D
GERP RS
-0.38
Varity_R
0.30
gMVP
0.59

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
Details are displayed if max score is > 0.2

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: rs121918234; hg19: chr9-140128693; API