chr5-177386432-C-T

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_003052.5(SLC34A1):​c.398C>T​(p.Ala133Val) variant causes a missense change. The variant allele was found at a frequency of 0.00403 in 1,614,190 control chromosomes in the GnomAD database, including 23 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A133T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0030 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0041 ( 21 hom. )

Consequence

SLC34A1
NM_003052.5 missense

Scores

7
8
4

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:1B:8

Conservation

PhyloP100: 6.15

Publications

10 publications found
Variant links:
Genes affected
SLC34A1 (HGNC:11019): (solute carrier family 34 member 1) Enables sodium:phosphate symporter activity. Involved in several processes, including phosphate ion homeostasis; phosphate ion transport; and response to lead ion. Located in several cellular components, including apical plasma membrane; mitotic spindle; and nuclear speck. Implicated in several diseases, including Fanconi syndrome (multiple); chronic kidney disease; hereditary hypophosphatemic rickets with hypercalciuria; hypophosphatemic nephrolithiasis/osteoporosis 1; and nephrolithiasis. [provided by Alliance of Genome Resources, Apr 2022]
SLC34A1 Gene-Disease associations (from GenCC):
  • hypercalcemia, infantile, 2
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, ClinGen
  • dominant hypophosphatemia with nephrolithiasis or osteoporosis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • primary Fanconi syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • autosomal recessive infantile hypercalcemia
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • hypophosphatemic nephrolithiasis/osteoporosis 1
    Inheritance: AD Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • Fanconi renotubular syndrome 2
    Inheritance: AR Classification: LIMITED, NO_KNOWN Submitted by: ClinGen, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.015867203).
BP6
Variant 5-177386432-C-T is Benign according to our data. Variant chr5-177386432-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 352960.
BS2
High Homozygotes in GnomAd4 at 2 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SLC34A1NM_003052.5 linkc.398C>T p.Ala133Val missense_variant Exon 5 of 13 ENST00000324417.6 NP_003043.3 Q06495-1A0A024R7R9Q86VN6Q7Z725
SLC34A1NM_001167579.2 linkc.398C>T p.Ala133Val missense_variant Exon 5 of 9 NP_001161051.1 Q06495-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SLC34A1ENST00000324417.6 linkc.398C>T p.Ala133Val missense_variant Exon 5 of 13 1 NM_003052.5 ENSP00000321424.4 Q06495-1
SLC34A1ENST00000512593.5 linkc.398C>T p.Ala133Val missense_variant Exon 5 of 9 2 ENSP00000423022.1 Q06495-2
SLC34A1ENST00000507685.5 linkn.482C>T non_coding_transcript_exon_variant Exon 5 of 10 2
SLC34A1ENST00000504577.5 linkc.*142C>T downstream_gene_variant 4 ENSP00000423733.1 D6RCE5

Frequencies

GnomAD3 genomes
AF:
0.00300
AC:
456
AN:
152202
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000627
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00242
Gnomad ASJ
AF:
0.0101
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00352
Gnomad FIN
AF:
0.00631
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00393
Gnomad OTH
AF:
0.00287
GnomAD2 exomes
AF:
0.00372
AC:
936
AN:
251438
AF XY:
0.00389
show subpopulations
Gnomad AFR exome
AF:
0.000738
Gnomad AMR exome
AF:
0.00199
Gnomad ASJ exome
AF:
0.00774
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00767
Gnomad NFE exome
AF:
0.00389
Gnomad OTH exome
AF:
0.00473
GnomAD4 exome
AF:
0.00414
AC:
6046
AN:
1461870
Hom.:
21
Cov.:
34
AF XY:
0.00426
AC XY:
3095
AN XY:
727240
show subpopulations
African (AFR)
AF:
0.000747
AC:
25
AN:
33480
American (AMR)
AF:
0.00181
AC:
81
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00781
AC:
204
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.00511
AC:
441
AN:
86256
European-Finnish (FIN)
AF:
0.00831
AC:
444
AN:
53410
Middle Eastern (MID)
AF:
0.00104
AC:
6
AN:
5766
European-Non Finnish (NFE)
AF:
0.00417
AC:
4641
AN:
1112002
Other (OTH)
AF:
0.00338
AC:
204
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.481
Heterozygous variant carriers
0
457
913
1370
1826
2283
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
184
368
552
736
920
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00299
AC:
455
AN:
152320
Hom.:
2
Cov.:
32
AF XY:
0.00306
AC XY:
228
AN XY:
74482
show subpopulations
African (AFR)
AF:
0.000625
AC:
26
AN:
41578
American (AMR)
AF:
0.00242
AC:
37
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.0101
AC:
35
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.00352
AC:
17
AN:
4828
European-Finnish (FIN)
AF:
0.00631
AC:
67
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00393
AC:
267
AN:
68016
Other (OTH)
AF:
0.00284
AC:
6
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
23
45
68
90
113
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00376
Hom.:
6
Bravo
AF:
0.00244
TwinsUK
AF:
0.00566
AC:
21
ALSPAC
AF:
0.00311
AC:
12
ESP6500AA
AF:
0.00113
AC:
5
ESP6500EA
AF:
0.00314
AC:
27
ExAC
AF:
0.00348
AC:
423
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.00284
EpiControl
AF:
0.00415

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:1Uncertain:1Benign:8
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Benign:4
Jan 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

SLC34A1: BS2 -

Jan 30, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Mar 22, 2021
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; This variant is associated with the following publications: (PMID: 16688119, 30778725, 31188746, 28893421, 26787776) -

Hypophosphatemic nephrolithiasis/osteoporosis 1;C3150652:Fanconi renotubular syndrome 2;C4310473:Hypercalcemia, infantile, 2 Uncertain:1Benign:2
Apr 15, 2022
Fulgent Genetics, Fulgent Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 30, 2021
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:research

- -

May 01, 2025
Rare Kidney Stone Consortium and the Mayo Clinic Hyperoxaluria Center, Mayo Clinic
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:research

ACMG: PS1, BS1 -

Nephrocalcinosis Pathogenic:1
Sep 08, 2017
Yale Center for Mendelian Genomics, Yale University
Significance:Likely pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Hypophosphatemic nephrolithiasis/osteoporosis 1 Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

SLC34A1-related disorder Benign:1
Oct 13, 2020
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This 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
Benign
0.19
BayesDel_addAF
Benign
-0.061
T
BayesDel_noAF
Pathogenic
0.14
CADD
Pathogenic
29
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.88
.;D
Eigen
Pathogenic
0.81
Eigen_PC
Pathogenic
0.78
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.95
D;D
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.016
T;T
MetaSVM
Uncertain
0.52
D
MutationAssessor
Uncertain
2.1
M;M
PhyloP100
6.2
PrimateAI
Uncertain
0.73
T
PROVEAN
Uncertain
-3.4
D;D
REVEL
Pathogenic
0.80
Sift
Uncertain
0.0010
D;D
Sift4G
Uncertain
0.0050
D;D
Polyphen
1.0
.;D
Vest4
0.61
MVP
0.81
MPC
0.40
ClinPred
0.013
T
GERP RS
5.6
Varity_R
0.66
gMVP
0.76
Mutation Taster
=43/57
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs148976897; hg19: chr5-176813433; API