chr8-42428829-C-T

Variant summary

Our verdict is Pathogenic. The variant received 16 ACMG points: 16P and 0B. PM1PM2PP3_StrongPP5_Very_Strong

The NM_001257180.2(SLC20A2):​c.1723G>A​(p.Glu575Lys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000138 in 1,448,922 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 13/22 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

SLC20A2
NM_001257180.2 missense

Scores

15
3
1

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:5

Conservation

PhyloP100: 7.91

Publications

9 publications found
Variant links:
Genes affected
SLC20A2 (HGNC:10947): (solute carrier family 20 member 2) This gene encodes a member of the inorganic phosphate transporter family. The encoded protein is a type 3 sodium-dependent phosphate symporter that plays an important role in phosphate homeostasis by mediating cellular phosphate uptake. The encoded protein also confers susceptibility to viral infection as a gamma-retroviral receptor. Mutations in this gene may play a role in familial idiopathic basal ganglia calcification. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Mar 2012]
SLC20A2 Gene-Disease associations (from GenCC):
  • basal ganglia calcification, idiopathic, 1
    Inheritance: AD Classification: STRONG Submitted by: PanelApp Australia, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • bilateral striopallidodentate calcinosis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 16 ACMG points.

PM1
In a mutagenesis_site Abolishes phosphate but not sodium uptake; when associated with Q-55 and Q-91. (size 0) in uniprot entity S20A2_HUMAN
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.952
PP5
Variant 8-42428829-C-T is Pathogenic according to our data. Variant chr8-42428829-C-T is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 29796.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SLC20A2NM_001257180.2 linkc.1723G>A p.Glu575Lys missense_variant Exon 10 of 11 ENST00000520262.6 NP_001244109.1 Q08357A0A384MR38

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SLC20A2ENST00000520262.6 linkc.1723G>A p.Glu575Lys missense_variant Exon 10 of 11 2 NM_001257180.2 ENSP00000429754.1 Q08357

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000138
AC:
2
AN:
1448922
Hom.:
0
Cov.:
30
AF XY:
0.00000139
AC XY:
1
AN XY:
720416
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32720
American (AMR)
AF:
0.00
AC:
0
AN:
43024
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25348
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38690
South Asian (SAS)
AF:
0.0000118
AC:
1
AN:
84510
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52946
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5702
European-Non Finnish (NFE)
AF:
9.04e-7
AC:
1
AN:
1106108
Other (OTH)
AF:
0.00
AC:
0
AN:
59874
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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
Cov.:
33
Alfa
AF:
0.00
Hom.:
0

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Idiopathic basal ganglia calcification 1 Pathogenic:5
Jul 16, 2023
Victorian Clinical Genetics Services, Murdoch Childrens Research Institute
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Based on the classification scheme VCGS_Germline_v1.3.4, this variant is classified as Pathogenic. Following criteria are met: 0103 - Dominant negative and loss of function are known mechanisms of disease in this gene and are associated with basal ganglia calcification, idiopathic, 1 (MIM#213600). Missense variants can have both loss of function and dominant negative effects, while protein truncating variants are only known to have loss of function effects (PMID: 24209445, 23437308, 22327515, 27943094). (I) 0107 - This gene is associated with autosomal dominant disease. (I) 0115 - Variants in this gene are known to have variable expressivity. In two large pedigrees, mutation positive family members are all seen to have basal ganglia calcification but only some were symptomatic (PMID: 22327515). (I) 0200 - Variant is predicted to result in a missense amino acid change from glutamic acid to lysine. (I) 0251 - This variant is heterozygous. (I) 0301 - Variant is absent from gnomAD (both v2 and v3). (SP) 0501 - Missense variant consistently predicted to be damaging by multiple in silico tools or highly conserved with a major amino acid change. (SP) 0600 - Variant is located in the annotated phosphate transporter family domain (DECIPHER). (I) 0705 - No comparable missense variants have previous evidence for pathogenicity. (I) 0801 - This variant has strong previous evidence of pathogenicity in unrelated individuals. This variant has been classified as likely pathogenic by two clinical laboratories in ClinVar and observed in two individuals and one family with basal ganglia calcification in the literature (Schottlaender, 2013; PMID: 22327515, 30609140). (SP) 1002 - This variant has moderate functional evidence supporting abnormal protein function. This variant has been shown to significantly impair the transport of inorganic phosphate (PMID: 22327515). (SP) 1101 - Very strong and specific phenotype match for this individual. (SP) 1208 - Inheritance information for this variant is not currently available in this individual. (I) Legend: (SP) - Supporting pathogenic, (I) - Information, (SB) - Supporting benign -

Feb 12, 2012
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Nov 21, 2017
Molecular Diagnostics Laboratory, M Health Fairview: University of Minnesota
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 13, 2021
Greenwood Genetic Center Diagnostic Laboratories, Greenwood Genetic Center
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PS3, PP2, PS4_Supporting, PM2 -

Jun 01, 2022
Solve-RD Consortium
Significance:Likely pathogenic
Review Status:no assertion criteria provided
Collection Method:provider interpretation

Variant confirmed as disease-causing by referring clinical team -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.48
D
BayesDel_noAF
Pathogenic
0.45
CADD
Pathogenic
32
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.93
D;D;D
Eigen
Pathogenic
0.82
Eigen_PC
Pathogenic
0.77
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Pathogenic
1.0
.;.;D
M_CAP
Pathogenic
0.49
D
MetaRNN
Pathogenic
0.95
D;D;D
MetaSVM
Pathogenic
0.88
D
MutationAssessor
Pathogenic
3.5
M;M;M
PhyloP100
7.9
PrimateAI
Pathogenic
0.88
D
PROVEAN
Uncertain
-3.5
D;D;D
REVEL
Pathogenic
0.86
Sift
Uncertain
0.0020
D;D;D
Sift4G
Uncertain
0.0050
D;D;D
Polyphen
1.0
D;D;D
Vest4
0.99
MutPred
0.78
Gain of ubiquitination at E575 (P = 0.0198);Gain of ubiquitination at E575 (P = 0.0198);Gain of ubiquitination at E575 (P = 0.0198);
MVP
0.85
MPC
1.7
ClinPred
1.0
D
GERP RS
5.5
Varity_R
0.73
gMVP
0.98
Mutation Taster
=0/100
disease causing (ClinVar)

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

Other links and lift over

dbSNP: rs387906653; hg19: chr8-42286347; COSMIC: COSV60601673; API