X-153695084-A-G

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_005629.4(SLC6A8):ā€‹c.1778A>Gā€‹(p.His593Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000507 in 1,202,153 control chromosomes in the GnomAD database, including 3 homozygotes. There are 7 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: š‘“ 0.00028 ( 2 hom., 1 hem., cov: 23)
Exomes š‘“: 0.000027 ( 1 hom. 6 hem. )

Consequence

SLC6A8
NM_005629.4 missense

Scores

2
14

Clinical Significance

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

Conservation

PhyloP100: 2.15
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0503363).
BP6
Variant X-153695084-A-G is Benign according to our data. Variant chrX-153695084-A-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 465144.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Benign=1, Uncertain_significance=1}. Variant chrX-153695084-A-G is described in Lovd as [Likely_benign].
BS2
High Homozygotes in GnomAd4 at 2 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SLC6A8NM_005629.4 linkuse as main transcriptc.1778A>G p.His593Arg missense_variant 13/13 ENST00000253122.10 NP_005620.1
SLC6A8NM_001142805.2 linkuse as main transcriptc.1748A>G p.His583Arg missense_variant 13/13 NP_001136277.1
SLC6A8NM_001142806.1 linkuse as main transcriptc.1433A>G p.His478Arg missense_variant 13/13 NP_001136278.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SLC6A8ENST00000253122.10 linkuse as main transcriptc.1778A>G p.His593Arg missense_variant 13/131 NM_005629.4 ENSP00000253122 P1P48029-1
SLC6A8ENST00000430077.6 linkuse as main transcriptc.1433A>G p.His478Arg missense_variant 13/132 ENSP00000403041 P48029-4
SLC6A8ENST00000485324.1 linkuse as main transcriptn.2085A>G non_coding_transcript_exon_variant 6/62

Frequencies

GnomAD3 genomes
AF:
0.000258
AC:
29
AN:
112504
Hom.:
2
Cov.:
23
AF XY:
0.0000288
AC XY:
1
AN XY:
34682
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00186
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000560
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00464
GnomAD3 exomes
AF:
0.0000306
AC:
5
AN:
163260
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
52732
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000156
Gnomad SAS exome
AF:
0.0000597
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000487
GnomAD4 exome
AF:
0.0000266
AC:
29
AN:
1089595
Hom.:
1
Cov.:
31
AF XY:
0.0000168
AC XY:
6
AN XY:
356981
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000134
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000358
Gnomad4 OTH exome
AF:
0.000482
GnomAD4 genome
AF:
0.000284
AC:
32
AN:
112558
Hom.:
2
Cov.:
23
AF XY:
0.0000288
AC XY:
1
AN XY:
34746
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00186
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000562
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00655
Bravo
AF:
0.0000567
ExAC
AF:
0.0000746
AC:
9

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:4
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Creatine transporter deficiency Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityNov 19, 2020- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Inborn genetic diseases Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsSep 26, 2023This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
SLC6A8-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesSep 04, 2024This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingGeneDxJul 16, 2020In silico analysis supports that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.081
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.37
CADD
Benign
18
DANN
Benign
0.94
DEOGEN2
Benign
0.082
T;.
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Benign
0.83
T;T
MetaRNN
Benign
0.050
T;T
MetaSVM
Benign
-0.86
T
MutationAssessor
Benign
0.55
N;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-0.46
N;N
REVEL
Benign
0.13
Sift
Benign
0.37
T;T
Sift4G
Benign
0.36
T;T
Polyphen
0.0010
B;.
Vest4
0.10
MutPred
0.44
Gain of MoRF binding (P = 0.0059);.;
MVP
0.70
MPC
0.18
ClinPred
0.031
T
GERP RS
5.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.21
gMVP
0.78

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs782560726; hg19: chrX-152960539; API