rs104893724

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PVS1_ModeratePS1_ModeratePM2PP5

The NM_006580.4(CLDN16):​c.2T>C​(p.Met1?) variant causes a start lost change. The variant allele was found at a frequency of 0.000000684 in 1,461,854 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

CLDN16
NM_006580.4 start_lost

Scores

4
11
4

Clinical Significance

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

Conservation

PhyloP100: 5.50
Variant links:
Genes affected
CLDN16 (HGNC:2037): (claudin 16) Tight junctions represent one mode of cell-to-cell adhesion in epithelial or endothelial cell sheets, forming continuous seals around cells and serving as a physical barrier to prevent solutes and water from passing freely through the paracellular space. These junctions are comprised of sets of continuous networking strands in the outwardly facing cytoplasmic leaflet, with complementary grooves in the inwardly facing extracytoplasmic leaflet. The protein encoded by this gene, a member of the claudin family, is an integral membrane protein and a component of tight junction strands. It is found primarily in the kidneys, specifically in the thick ascending limb of Henle, where it acts as either an intercellular pore or ion concentration sensor to regulate the paracellular resorption of magnesium ions. Defects in this gene are a cause of primary hypomagnesemia, which is characterized by massive renal magnesium wasting with hypomagnesemia and hypercalciuria, resulting in nephrocalcinosis and renal failure. This gene and the CLDN1 gene are clustered on chromosome 3q28. [provided by RefSeq, Jun 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PVS1
Start lost variant, next in-frame start position is after 1 pathogenic variants. Next in-frame start position is after 30 codons. Genomic position: 190388417. Lost 0.124 part of the original CDS.
PS1
Another start lost variant in NM_006580.4 (CLDN16) was described as [Pathogenic] in Lovd
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 3-190388331-T-C is Pathogenic according to our data. Variant chr3-190388331-T-C is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 1028522.We mark this variant Likely_pathogenic, oryginal submissions are: {Uncertain_significance=1, Pathogenic=1}.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CLDN16NM_006580.4 linkc.2T>C p.Met1? start_lost Exon 1 of 5 ENST00000264734.3 NP_006571.2 Q9Y5I7
CLDN16NM_001378492.1 linkc.2T>C p.Met1? start_lost Exon 5 of 9 NP_001365421.1
CLDN16NM_001378493.1 linkc.2T>C p.Met1? start_lost Exon 4 of 8 NP_001365422.1
CLDN16XM_047447333.1 linkc.2T>C p.Met1? start_lost Exon 3 of 7 XP_047303289.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CLDN16ENST00000264734.3 linkc.2T>C p.Met1? start_lost Exon 1 of 5 1 NM_006580.4 ENSP00000264734.3 Q9Y5I7
CLDN16ENST00000456423.2 linkc.2T>C p.Met1? start_lost Exon 1 of 2 1 ENSP00000414136.2 F6SGM4
CLDN16ENST00000468220.1 linkn.306+13728T>C intron_variant Intron 3 of 4 4

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251028
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135666
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461854
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
727222
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
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:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

Primary hypomagnesemia Pathogenic:1Uncertain:1
Apr 04, 2024
Genomic Medicine Center of Excellence, King Faisal Specialist Hospital and Research Centre
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jun 09, 2020
Baylor Genetics
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was determined to be pathogenic according to ACMG Guidelines, 2015 [PMID:25741868]. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Pathogenic
0.34
D
BayesDel_noAF
Pathogenic
0.34
CADD
Benign
20
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.47
T;T
Eigen
Uncertain
0.25
Eigen_PC
Uncertain
0.33
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.40
T;T
M_CAP
Uncertain
0.14
D
MetaRNN
Pathogenic
0.97
D;D
MetaSVM
Uncertain
0.55
D
MutationAssessor
Benign
0.55
N;.
PrimateAI
Uncertain
0.55
T
PROVEAN
Uncertain
-2.7
D;D
REVEL
Pathogenic
0.74
Sift
Uncertain
0.0050
D;D
Sift4G
Uncertain
0.0050
D;D
Polyphen
0.65
P;D
Vest4
0.73
MutPred
0.90
Gain of catalytic residue at M71 (P = 0.0193);Gain of catalytic residue at M71 (P = 0.0193);
MVP
0.90
MPC
0.24
ClinPred
0.64
D
GERP RS
5.9
Varity_R
0.53
gMVP
0.73

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: rs104893724; hg19: chr3-190106120; API