chr13-28710761-T-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_181785.4(SLC46A3):​c.1143A>T​(p.Gln381His) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000745 in 1,610,566 control chromosomes in the GnomAD database, with no homozygous occurrence. 2/3 splice prediction tools predict no significant impact on normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000055 ( 0 hom. )

Consequence

SLC46A3
NM_181785.4 missense, splice_region

Scores

3
12
4
Splicing: ADA: 0.9789
1
1

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.41
Variant links:
Genes affected
SLC46A3 (HGNC:27501): (solute carrier family 46 member 3) The protein encoded by this gene is a member of a transmembrane protein family that transports small molecules across membranes. The encoded protein has been found in lysosomal membranes, where it can transport catabolites from the lysosomes to the cytoplasm. This protein has been shown to be an effective transporter of the cytotoxic drug maytansine, which is used in antibody-based targeting of cancer cells. [provided by RefSeq, Dec 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SLC46A3NM_181785.4 linkuse as main transcriptc.1143A>T p.Gln381His missense_variant, splice_region_variant 4/6 ENST00000266943.11 NP_861450.1 Q7Z3Q1-1A0A024RDN9
SLC46A3NM_001135919.2 linkuse as main transcriptc.1143A>T p.Gln381His missense_variant, splice_region_variant 4/7 NP_001129391.1 Q7Z3Q1-2
SLC46A3NM_001347960.2 linkuse as main transcriptc.1143A>T p.Gln381His missense_variant, splice_region_variant 4/6 NP_001334889.1 Q7Z3Q1-1A0A024RDN9
SLC46A3XM_005266361.3 linkuse as main transcriptc.1143A>T p.Gln381His missense_variant, splice_region_variant 4/7 XP_005266418.1 Q7Z3Q1-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SLC46A3ENST00000266943.11 linkuse as main transcriptc.1143A>T p.Gln381His missense_variant, splice_region_variant 4/61 NM_181785.4 ENSP00000266943.7 Q7Z3Q1-1
SLC46A3ENST00000380814.4 linkuse as main transcriptc.1143A>T p.Gln381His missense_variant, splice_region_variant 4/71 ENSP00000370192.4 Q7Z3Q1-2

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152238
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000965
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
GnomAD3 exomes
AF:
0.00000399
AC:
1
AN:
250752
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135526
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.00
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:
0.00
GnomAD4 exome
AF:
0.00000549
AC:
8
AN:
1458328
Hom.:
0
Cov.:
30
AF XY:
0.00000689
AC XY:
5
AN XY:
725714
show subpopulations
Gnomad4 AFR exome
AF:
0.000210
Gnomad4 AMR exome
AF:
0.00
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:
0.00
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152238
Hom.:
0
Cov.:
32
AF XY:
0.0000269
AC XY:
2
AN XY:
74378
show subpopulations
Gnomad4 AFR
AF:
0.0000965
Gnomad4 AMR
AF:
0.00
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:
0.00
Bravo
AF:
0.0000302

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 04, 2024The c.1143A>T (p.Q381H) alteration is located in exon 4 (coding exon 3) of the SLC46A3 gene. This alteration results from a A to T substitution at nucleotide position 1143, causing the glutamine (Q) at amino acid position 381 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.79
BayesDel_addAF
Uncertain
0.099
D
BayesDel_noAF
Uncertain
0.090
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.62
D;.
Eigen
Uncertain
0.66
Eigen_PC
Uncertain
0.63
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.75
T;T
M_CAP
Benign
0.062
D
MetaRNN
Uncertain
0.64
D;D
MetaSVM
Uncertain
0.28
D
MutationAssessor
Uncertain
2.4
M;M
PrimateAI
Benign
0.39
T
PROVEAN
Uncertain
-4.0
D;D
REVEL
Uncertain
0.63
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
1.0
D;D
Vest4
0.36
MutPred
0.77
Gain of catalytic residue at G382 (P = 0);Gain of catalytic residue at G382 (P = 0);
MVP
0.57
MPC
0.69
ClinPred
0.99
D
GERP RS
5.9
Varity_R
0.77
gMVP
0.95

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.98
dbscSNV1_RF
Benign
0.59
SpliceAI score (max)
0.060
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: rs201328991; hg19: chr13-29284898; API