chr9-137236018-C-T

Variant summary

Our verdict is Pathogenic. Variant got 14 ACMG points: 14P and 0B. PM2PP3_StrongPP5_Very_Strong

The NM_001177316.2(SLC34A3):​c.1402C>T​(p.Arg468Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000229 in 1,612,508 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: 𝑓 0.000053 ( 0 hom., cov: 34)
Exomes 𝑓: 0.000020 ( 0 hom. )

Consequence

SLC34A3
NM_001177316.2 missense

Scores

4
10
5

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:5

Conservation

PhyloP100: 0.859
Variant links:
Genes affected
SLC34A3 (HGNC:20305): (solute carrier family 34 member 3) This gene encodes a member of SLC34A transporter family of proteins, and is expressed primarily in the kidney. It is involved in transporting phosphate into cells via sodium cotransport in the renal brush border membrane, and contributes to the maintenance of inorganic phosphate concentration in the kidney. Mutations in this gene are associated with hereditary hypophosphatemic rickets with hypercalciuria. Alternatively spliced transcript variants varying in the 5' UTR have been found for this gene.[provided by RefSeq, Apr 2010]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 14 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.986
PP5
Variant 9-137236018-C-T is Pathogenic according to our data. Variant chr9-137236018-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 1432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SLC34A3NM_001177316.2 linkuse as main transcriptc.1402C>T p.Arg468Trp missense_variant 13/13 ENST00000673835.1 NP_001170787.2 Q8N130

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SLC34A3ENST00000673835.1 linkuse as main transcriptc.1402C>T p.Arg468Trp missense_variant 13/13 NM_001177316.2 ENSP00000501114.1 Q8N130
SLC34A3ENST00000361134.2 linkuse as main transcriptc.1402C>T p.Arg468Trp missense_variant 13/132 ENSP00000355353.2 Q8N130
SLC34A3ENST00000538474.5 linkuse as main transcriptc.1402C>T p.Arg468Trp missense_variant 13/135 ENSP00000442397.1 Q8N130

Frequencies

GnomAD3 genomes
AF:
0.0000525
AC:
8
AN:
152242
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
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:
0.0000882
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000324
AC:
8
AN:
246806
Hom.:
0
AF XY:
0.0000223
AC XY:
3
AN XY:
134482
show subpopulations
Gnomad AFR exome
AF:
0.0000629
Gnomad AMR exome
AF:
0.0000289
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:
0.0000546
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000199
AC:
29
AN:
1460266
Hom.:
0
Cov.:
31
AF XY:
0.0000138
AC XY:
10
AN XY:
726436
show subpopulations
Gnomad4 AFR exome
AF:
0.0000597
Gnomad4 AMR exome
AF:
0.0000671
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:
0.0000189
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
AF:
0.0000525
AC:
8
AN:
152242
Hom.:
0
Cov.:
34
AF XY:
0.0000807
AC XY:
6
AN XY:
74384
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000882
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000264
ExAC
AF:
0.0000330
AC:
4
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

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

Submissions by phenotype

Autosomal recessive hypophosphatemic bone disease Pathogenic:2
Pathogenic, no assertion criteria providedliterature onlyOMIMFeb 01, 2006- -
Pathogenic, criteria provided, single submitterclinical testingInstitute of Human Genetics Munich, Klinikum Rechts Der Isar, TU MünchenNov 19, 2013- -
not provided Pathogenic:2
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJun 18, 2023Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt SLC34A3 protein function. ClinVar contains an entry for this variant (Variation ID: 1432). This missense change has been observed in individual(s) with hypophosphatemic rickets with hypercalciuria (PMID: 16358214, 24246249). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. This variant is present in population databases (rs121918238, gnomAD 0.008%). This sequence change replaces arginine, which is basic and polar, with tryptophan, which is neutral and slightly polar, at codon 468 of the SLC34A3 protein (p.Arg468Trp). Experimental studies have shown that this missense change affects SLC34A3 function (PMID: 22159077, 26399350). For these reasons, this variant has been classified as Pathogenic. -
Pathogenic, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenMar 01, 2019- -
SLC34A3-related disorder Pathogenic:1
Pathogenic, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesApr 18, 2024The SLC34A3 c.1402C>T variant is predicted to result in the amino acid substitution p.Arg468Trp. This variant was reported in the compound heterozygous state in presumably unrelated patients affected by hereditary hypophosphatemic rickets with hypercalciuria (Bergwitz et al. 2006. PubMed ID: 16358214; Chi et al. 2014. PubMed ID: 24246249). A functional study showed that this substitution causes endoplasmic reticulum (ER) retention (Haito-Sugino et al. 2012. PubMed ID: 22159077). This variant is reported in 0.0081% of alleles in individuals of African descent in gnomAD. This variant is interpreted as pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.36
BayesDel_addAF
Uncertain
0.064
T
BayesDel_noAF
Uncertain
0.090
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.65
D;D
Eigen
Benign
0.055
Eigen_PC
Benign
-0.15
FATHMM_MKL
Benign
0.44
N
LIST_S2
Uncertain
0.90
D;.
M_CAP
Uncertain
0.11
D
MetaRNN
Pathogenic
0.99
D;D
MetaSVM
Benign
-0.41
T
MutationAssessor
Pathogenic
4.1
H;H
PrimateAI
Uncertain
0.72
T
PROVEAN
Pathogenic
-6.9
D;D
REVEL
Uncertain
0.47
Sift
Uncertain
0.0010
D;D
Sift4G
Pathogenic
0.0010
D;D
Polyphen
1.0
D;D
Vest4
0.84
MutPred
0.96
Loss of methylation at R468 (P = 0.0704);Loss of methylation at R468 (P = 0.0704);
MVP
0.71
MPC
0.29
ClinPred
0.95
D
GERP RS
1.9
Varity_R
0.57
gMVP
0.74

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: rs121918238; hg19: chr9-140130470; COSMIC: COSV63187553; API