NM_003098.3:c.40G>A

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_003098.3(SNTA1):​c.40G>A​(p.Glu14Lys) variant causes a missense change. The variant allele was found at a frequency of 0.000121 in 1,282,072 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. E14E) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00013 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00012 ( 0 hom. )

Consequence

SNTA1
NM_003098.3 missense

Scores

3
7
8

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:4B:1

Conservation

PhyloP100: 3.62

Publications

3 publications found
Variant links:
Genes affected
SNTA1 (HGNC:11167): (syntrophin alpha 1) Syntrophins are cytoplasmic peripheral membrane scaffold proteins that are components of the dystrophin-associated protein complex. This gene is a member of the syntrophin gene family and encodes the most common syntrophin isoform found in cardiac tissues. The N-terminal PDZ domain of this syntrophin protein interacts with the C-terminus of the pore-forming alpha subunit (SCN5A) of the cardiac sodium channel Nav1.5. This protein also associates cardiac sodium channels with the nitric oxide synthase-PMCA4b (plasma membrane Ca-ATPase subtype 4b) complex in cardiomyocytes. This gene is a susceptibility locus for Long-QT syndrome (LQT) - an inherited disorder associated with sudden cardiac death from arrhythmia - and sudden infant death syndrome (SIDS). This protein also associates with dystrophin and dystrophin-related proteins at the neuromuscular junction and alters intracellular calcium ion levels in muscle tissue. [provided by RefSeq, Jan 2013]
SNTA1 Gene-Disease associations (from GenCC):
  • long QT syndrome 12
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • long QT syndrome
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.1894252).
BS2
High AC in GnomAd4 at 20 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_003098.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SNTA1
NM_003098.3
MANE Select
c.40G>Ap.Glu14Lys
missense
Exon 1 of 8NP_003089.1Q13424-1
SNTA1
NM_001424413.1
c.40G>Ap.Glu14Lys
missense
Exon 1 of 8NP_001411342.1
SNTA1
NM_001424414.1
c.40G>Ap.Glu14Lys
missense
Exon 1 of 8NP_001411343.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SNTA1
ENST00000217381.3
TSL:1 MANE Select
c.40G>Ap.Glu14Lys
missense
Exon 1 of 8ENSP00000217381.2Q13424-1
SNTA1
ENST00000953204.1
c.40G>Ap.Glu14Lys
missense
Exon 1 of 9ENSP00000623263.1
SNTA1
ENST00000953205.1
c.40G>Ap.Glu14Lys
missense
Exon 1 of 9ENSP00000623264.1

Frequencies

GnomAD3 genomes
AF:
0.000133
AC:
20
AN:
150834
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000528
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:
0.000163
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000198
AC:
8
AN:
40454
AF XY:
0.000203
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000512
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000246
Gnomad OTH exome
AF:
0.000831
GnomAD4 exome
AF:
0.000119
AC:
135
AN:
1131130
Hom.:
0
Cov.:
31
AF XY:
0.000129
AC XY:
71
AN XY:
551194
show subpopulations
African (AFR)
AF:
0.0000447
AC:
1
AN:
22394
American (AMR)
AF:
0.000296
AC:
4
AN:
13536
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
16062
East Asian (EAS)
AF:
0.00
AC:
0
AN:
22236
South Asian (SAS)
AF:
0.00
AC:
0
AN:
41682
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
23458
Middle Eastern (MID)
AF:
0.000661
AC:
2
AN:
3028
European-Non Finnish (NFE)
AF:
0.000129
AC:
122
AN:
944776
Other (OTH)
AF:
0.000136
AC:
6
AN:
43958
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
8
16
23
31
39
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<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:
0.000133
AC:
20
AN:
150942
Hom.:
0
Cov.:
31
AF XY:
0.000136
AC XY:
10
AN XY:
73740
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41432
American (AMR)
AF:
0.000528
AC:
8
AN:
15164
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3446
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5160
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10086
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.000163
AC:
11
AN:
67532
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.523
Heterozygous variant carriers
0
2
4
6
8
10
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000712
Hom.:
0
Bravo
AF:
0.000136

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
Cardiovascular phenotype (1)
-
1
-
Long QT syndrome (1)
-
1
-
Long QT syndrome 12 (1)
-
1
-
not provided (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.98
BayesDel_addAF
Benign
-0.36
T
BayesDel_noAF
Benign
-0.41
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.70
D
Eigen
Benign
-0.40
Eigen_PC
Benign
-0.34
FATHMM_MKL
Benign
0.72
D
LIST_S2
Uncertain
0.90
D
M_CAP
Pathogenic
0.68
D
MetaRNN
Benign
0.19
T
MetaSVM
Benign
-0.94
T
MutationAssessor
Uncertain
2.4
M
PhyloP100
3.6
PrimateAI
Pathogenic
0.96
D
PROVEAN
Uncertain
-2.4
N
REVEL
Benign
0.072
Sift
Uncertain
0.0030
D
Sift4G
Uncertain
0.0080
D
Polyphen
0.038
B
Vest4
0.17
MutPred
0.29
Gain of MoRF binding (P = 0.0312)
MVP
0.44
MPC
1.0
ClinPred
0.31
T
GERP RS
2.6
PromoterAI
-0.0079
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.47
gMVP
0.79
Mutation Taster
=77/23
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: rs786205846; hg19: chr20-32031387; API