NM_003052.5:c.439G>A
Variant summary
Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM1PM2PP3_Moderate
The NM_003052.5(SLC34A1):c.439G>A(p.Val147Met) variant causes a missense change. The variant allele was found at a frequency of 0.0000031 in 1,614,092 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 Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V147L) has been classified as Uncertain significance.
Frequency
Consequence
NM_003052.5 missense
Scores
Clinical Significance
Conservation
Publications
- hypercalcemia, infantile, 2Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, ClinGen
 - dominant hypophosphatemia with nephrolithiasis or osteoporosisInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - primary Fanconi syndromeInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - autosomal recessive infantile hypercalcemiaInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 - hypophosphatemic nephrolithiasis/osteoporosis 1Inheritance: AD Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
 - Fanconi renotubular syndrome 2Inheritance: AR Classification: LIMITED, NO_KNOWN Submitted by: ClinGen, Labcorp Genetics (formerly Invitae)
 
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ACMG classification
Our verdict: Likely_pathogenic. The variant received 6 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| SLC34A1 | ENST00000324417.6  | c.439G>A | p.Val147Met | missense_variant | Exon 5 of 13 | 1 | NM_003052.5 | ENSP00000321424.4 | ||
| SLC34A1 | ENST00000512593.5  | c.439G>A | p.Val147Met | missense_variant | Exon 5 of 9 | 2 | ENSP00000423022.1 | |||
| SLC34A1 | ENST00000507685.5  | n.523G>A | non_coding_transcript_exon_variant | Exon 5 of 10 | 2 | |||||
| SLC34A1 | ENST00000504577.5  | c.*183G>A | downstream_gene_variant | 4 | ENSP00000423733.1 | 
Frequencies
GnomAD3 genomes   AF:  0.00000657  AC: 1AN: 152230Hom.:  0  Cov.: 32 show subpopulations 
GnomAD2 exomes  AF:  0.00000795  AC: 2AN: 251438 AF XY:  0.00   show subpopulations 
GnomAD4 exome  AF:  0.00000274  AC: 4AN: 1461862Hom.:  0  Cov.: 34 AF XY:  0.00000275  AC XY: 2AN XY: 727238 show subpopulations 
Age Distribution
GnomAD4 genome   AF:  0.00000657  AC: 1AN: 152230Hom.:  0  Cov.: 32 AF XY:  0.00  AC XY: 0AN XY: 74358 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
Hypophosphatemic nephrolithiasis/osteoporosis 1    Pathogenic:1 
- -
not provided    Uncertain:1 
In 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. Experimental studies have shown that this missense change affects SLC34A1 function (PMID: 12324554, 14672348). 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: "Deleterious"; PolyPhen-2: "Possibly Damaging"; Align-GVGD: "Class C0"). ClinVar contains an entry for this variant (Variation ID: 12932). This missense change has been observed in individual(s) with demineralization and hypophosphatemia (PMID: 12324554). This variant is present in population databases (rs121918611, gnomAD 0.002%). This sequence change replaces valine, which is neutral and non-polar, with methionine, which is neutral and non-polar, at codon 147 of the SLC34A1 protein (p.Val147Met). -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at