NM_005629.4:c.1713C>G

Variant summary

Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_005629.4(SLC6A8):​c.1713C>G​(p.Cys571Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000885 in 113,004 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. 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. C571R) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0000088 ( 0 hom., 0 hem., cov: 25)

Consequence

SLC6A8
NM_005629.4 missense

Scores

6
5
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.148

Publications

0 publications found
Variant links:
Genes affected
SLC6A8 (HGNC:11055): (solute carrier family 6 member 8) The protein encoded by this gene is a plasma membrane protein whose function is to transport creatine into and out of cells. Defects in this gene can result in X-linked creatine deficiency syndrome. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2008]
SLC6A8 Gene-Disease associations (from GenCC):
  • creatine transporter deficiency
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Orphanet, ClinGen, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.969

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SLC6A8NM_005629.4 linkc.1713C>G p.Cys571Trp missense_variant Exon 12 of 13 ENST00000253122.10 NP_005620.1 P48029-1X5D9C4
SLC6A8NM_001142805.2 linkc.1683C>G p.Cys561Trp missense_variant Exon 12 of 13 NP_001136277.1 P48029Q59EV7
SLC6A8NM_001142806.1 linkc.1368C>G p.Cys456Trp missense_variant Exon 12 of 13 NP_001136278.1 P48029-4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SLC6A8ENST00000253122.10 linkc.1713C>G p.Cys571Trp missense_variant Exon 12 of 13 1 NM_005629.4 ENSP00000253122.5 P48029-1
SLC6A8ENST00000430077.6 linkc.1368C>G p.Cys456Trp missense_variant Exon 12 of 13 2 ENSP00000403041.2 P48029-4
SLC6A8ENST00000485324.1 linkn.2020C>G non_coding_transcript_exon_variant Exon 5 of 6 2

Frequencies

GnomAD3 genomes
AF:
0.00000885
AC:
1
AN:
113004
Hom.:
0
Cov.:
25
show subpopulations
Gnomad AFR
AF:
0.0000321
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
Cov.:
37
GnomAD4 genome
AF:
0.00000885
AC:
1
AN:
113004
Hom.:
0
Cov.:
25
AF XY:
0.00
AC XY:
0
AN XY:
35158
show subpopulations
African (AFR)
AF:
0.0000321
AC:
1
AN:
31152
American (AMR)
AF:
0.00
AC:
0
AN:
10795
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2659
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3585
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2816
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6273
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
240
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53277
Other (OTH)
AF:
0.00
AC:
0
AN:
1527
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.625
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
1

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Creatine transporter deficiency Uncertain:1
Nov 22, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

ClinVar contains an entry for this variant (Variation ID: 1478075). This variant has not been reported in the literature in individuals affected with SLC6A8-related conditions. This variant is not present in population databases (gnomAD no frequency). This sequence change replaces cysteine, which is neutral and slightly polar, with tryptophan, which is neutral and slightly polar, at codon 571 of the SLC6A8 protein (p.Cys571Trp). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt SLC6A8 protein function. 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.88
BayesDel_addAF
Pathogenic
0.30
D
BayesDel_noAF
Pathogenic
0.19
CADD
Benign
8.3
DANN
Benign
0.96
DEOGEN2
Uncertain
0.49
T;.
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Uncertain
0.94
D;D
M_CAP
Pathogenic
0.67
D
MetaRNN
Pathogenic
0.97
D;D
MetaSVM
Benign
-0.86
T
MutationAssessor
Benign
1.5
L;.
PhyloP100
-0.15
PrimateAI
Uncertain
0.65
T
PROVEAN
Pathogenic
-6.7
D;D
REVEL
Uncertain
0.48
Sift
Benign
0.055
T;T
Sift4G
Benign
0.22
T;T
Polyphen
0.018
B;.
Vest4
0.85
MutPred
0.83
Loss of helix (P = 0.0558);.;
MVP
0.97
MPC
0.76
ClinPred
0.75
D
GERP RS
-0.081
Varity_R
0.74
gMVP
0.97
Mutation Taster
=44/56
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs782244505; hg19: chrX-152960290; API