X-38054313-A-T

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_138780.3(SYTL5):​c.220A>T​(p.Ile74Phe) variant causes a missense change. The variant allele was found at a frequency of 0.0000885 in 1,209,361 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 27 hemizygotes in GnomAD. In-silico tool predicts a benign 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. I74M) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00043 ( 0 hom., 14 hem., cov: 22)
Exomes 𝑓: 0.000054 ( 0 hom. 13 hem. )

Consequence

SYTL5
NM_138780.3 missense

Scores

11
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1B:1

Conservation

PhyloP100: 5.25
Variant links:
Genes affected
SYTL5 (HGNC:15589): (synaptotagmin like 5) The protein encoded by this gene belongs to the synaptotagmin-like (Slp) protein family, which contains a unique homology domain at the N-terminus, referred to as the Slp homology domain (SHD). The SHD functions as a binding site for Rab27A, which plays a role in protein transport. Expression of this gene is restricted to placenta and liver, suggesting that it might be involved in Rab27A-dependent membrane trafficking in specific tissues. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Sep 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.2168144).
BS2
High Hemizygotes in GnomAd4 at 14 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SYTL5NM_138780.3 linkuse as main transcriptc.220A>T p.Ile74Phe missense_variant 3/17 ENST00000297875.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SYTL5ENST00000297875.7 linkuse as main transcriptc.220A>T p.Ile74Phe missense_variant 3/175 NM_138780.3 P4Q8TDW5-1
SYTL5ENST00000456733.2 linkuse as main transcriptc.220A>T p.Ile74Phe missense_variant 2/171 A1Q8TDW5-2

Frequencies

GnomAD3 genomes
AF:
0.000422
AC:
47
AN:
111287
Hom.:
0
Cov.:
22
AF XY:
0.000418
AC XY:
14
AN XY:
33453
show subpopulations
Gnomad AFR
AF:
0.00141
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000288
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:
0.000673
GnomAD3 exomes
AF:
0.000164
AC:
30
AN:
183234
Hom.:
1
AF XY:
0.000192
AC XY:
13
AN XY:
67728
show subpopulations
Gnomad AFR exome
AF:
0.00182
Gnomad AMR exome
AF:
0.000183
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:
0.00
Gnomad OTH exome
AF:
0.000221
GnomAD4 exome
AF:
0.0000537
AC:
59
AN:
1098022
Hom.:
0
Cov.:
31
AF XY:
0.0000358
AC XY:
13
AN XY:
363394
show subpopulations
Gnomad4 AFR exome
AF:
0.00167
Gnomad4 AMR exome
AF:
0.000171
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:
0.00000119
Gnomad4 OTH exome
AF:
0.000174
GnomAD4 genome
AF:
0.000431
AC:
48
AN:
111339
Hom.:
0
Cov.:
22
AF XY:
0.000418
AC XY:
14
AN XY:
33515
show subpopulations
Gnomad4 AFR
AF:
0.00144
Gnomad4 AMR
AF:
0.000288
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000665
Alfa
AF:
0.0000126
Hom.:
0
Bravo
AF:
0.000654
ESP6500AA
AF:
0.00157
AC:
6
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000124
AC:
15

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJul 20, 2021The c.220A>T (p.I74F) alteration is located in exon 3 (coding exon 2) of the SYTL5 gene. This alteration results from a A to T substitution at nucleotide position 220, causing the isoleucine (I) at amino acid position 74 to be replaced by a phenylalanine (F). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
SYTL5-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJul 09, 2021This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.45
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Uncertain
0.060
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Benign
0.18
T;.
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.93
D;D
M_CAP
Benign
0.042
D
MetaRNN
Benign
0.22
T;T
MetaSVM
Uncertain
-0.20
T
MutationAssessor
Benign
1.7
L;L
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.69
T
PROVEAN
Uncertain
-2.9
D;D
REVEL
Uncertain
0.59
Sift
Uncertain
0.0050
D;D
Sift4G
Uncertain
0.0070
D;D
Polyphen
0.57
P;.
Vest4
0.82
MVP
0.71
MPC
0.21
ClinPred
0.12
T
GERP RS
4.6
Varity_R
0.75
gMVP
0.74

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: rs147486310; hg19: chrX-37913566; API