chr16-56865236-A-G

Variant summary

Our verdict is Pathogenic. Variant got 14 ACMG points: 14P and 0B. PVS1PS1_ModeratePM2PP5_Moderate

The NM_001126108.2(SLC12A3):​c.1A>G​(p.Met1?) variant causes a start lost change. The variant allele was found at a frequency of 0.000000684 in 1,461,224 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

SLC12A3
NM_001126108.2 start_lost

Scores

6
6
4

Clinical Significance

Pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 6.36
Variant links:
Genes affected
SLC12A3 (HGNC:10912): (solute carrier family 12 member 3) This gene encodes a renal thiazide-sensitive sodium-chloride cotransporter that is important for electrolyte homeostasis. This cotransporter mediates sodium and chloride reabsorption in the distal convoluted tubule. Mutations in this gene cause Gitelman syndrome, a disease similar to Bartter's syndrome, that is characterized by hypokalemic alkalosis combined with hypomagnesemia, low urinary calcium, and increased renin activity associated with normal blood pressure. This cotransporter is the target for thiazide diuretics that are used for treating high blood pressure. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 14 ACMG points.

PVS1
Start lost variant, no new inframe start found.
PS1
Another start lost variant in NM_001126108.2 (SLC12A3) was described as [Pathogenic] in ClinVar as 945564
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 16-56865236-A-G is Pathogenic according to our data. Variant chr16-56865236-A-G is described in ClinVar as [Pathogenic]. Clinvar id is 1684155.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SLC12A3NM_001126108.2 linkuse as main transcriptc.1A>G p.Met1? start_lost 1/26 ENST00000563236.6
SLC12A3NM_000339.3 linkuse as main transcriptc.1A>G p.Met1? start_lost 1/26
SLC12A3NM_001126107.2 linkuse as main transcriptc.1A>G p.Met1? start_lost 1/26
SLC12A3NM_001410896.1 linkuse as main transcriptc.1A>G p.Met1? start_lost 1/26

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SLC12A3ENST00000563236.6 linkuse as main transcriptc.1A>G p.Met1? start_lost 1/261 NM_001126108.2 A1P55017-1
SLC12A3ENST00000438926.6 linkuse as main transcriptc.1A>G p.Met1? start_lost 1/261 A1P55017-2
SLC12A3ENST00000566786.5 linkuse as main transcriptc.1A>G p.Met1? start_lost 1/261 P4P55017-3
SLC12A3ENST00000262502.5 linkuse as main transcriptc.1A>G p.Met1? start_lost 1/265 A1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000402
AC:
1
AN:
248774
Hom.:
0
AF XY:
0.00000741
AC XY:
1
AN XY:
134894
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461224
Hom.:
0
Cov.:
32
AF XY:
0.00000138
AC XY:
1
AN XY:
726932
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

ClinVar

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

Submissions by phenotype

Familial hypokalemia-hypomagnesemia Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingEuropean Hospital Georges Pompidou Genetics Department, Assistance Publique - Hôpitaux de Paris AP-HPApr 27, 2022ACMG criteria used: PVS1, PS1, PM1, PM2, PM5 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.38
D
BayesDel_noAF
Pathogenic
0.41
CADD
Uncertain
23
DANN
Uncertain
0.99
DEOGEN2
Benign
0.19
.;.;T;T
Eigen
Uncertain
0.53
Eigen_PC
Uncertain
0.49
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Uncertain
0.90
D;D;D;D
M_CAP
Pathogenic
0.77
D
MetaRNN
Pathogenic
0.99
D;D;D;D
MetaSVM
Uncertain
0.66
D
MutationTaster
Benign
1.0
D;D;D;D
PROVEAN
Benign
-0.66
N;N;N;N
REVEL
Pathogenic
0.69
Sift
Pathogenic
0.0
D;D;D;D
Sift4G
Benign
0.076
T;T;T;T
Polyphen
0.99
D;D;P;.
Vest4
0.97
MutPred
0.96
Loss of solvent accessibility (P = 0.1301);Loss of solvent accessibility (P = 0.1301);Loss of solvent accessibility (P = 0.1301);Loss of solvent accessibility (P = 0.1301);
MVP
0.95
ClinPred
1.0
D
GERP RS
5.3
Varity_R
0.94
gMVP
0.76

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs1319085522; hg19: chr16-56899148; API