rs11568438

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_003982.4(SLC7A7):​c.272C>T​(p.Ala91Val) variant causes a missense change. The variant allele was found at a frequency of 0.016 in 1,614,104 control chromosomes in the GnomAD database, including 261 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A91E) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.013 ( 19 hom., cov: 31)
Exomes 𝑓: 0.016 ( 242 hom. )

Consequence

SLC7A7
NM_003982.4 missense

Scores

7
8
3

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11O:1

Conservation

PhyloP100: 6.88

Publications

11 publications found
Variant links:
Genes affected
SLC7A7 (HGNC:11065): (solute carrier family 7 member 7) The protein encoded by this gene is the light subunit of a cationic amino acid transporter. This sodium-independent transporter is formed when the light subunit encoded by this gene dimerizes with the heavy subunit transporter protein SLC3A2. This transporter is found in epithelial cell membranes where it transfers cationic and large neutral amino acids from the cell to the extracellular space. Defects in this gene are a cause of lysinuric protein intolerance (LPI). Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2011]
SLC7A7 Gene-Disease associations (from GenCC):
  • lysinuric protein intolerance
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: PanelApp Australia, Orphanet, Labcorp Genetics (formerly Invitae), ClinGen, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.014431596).
BP6
Variant 14-22813127-G-A is Benign according to our data. Variant chr14-22813127-G-A is described in ClinVar as [Benign]. Clinvar id is 380186.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0128 (1949/152212) while in subpopulation NFE AF = 0.0211 (1437/68006). AF 95% confidence interval is 0.0202. There are 19 homozygotes in GnomAd4. There are 901 alleles in the male GnomAd4 subpopulation. Median coverage is 31. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 19 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SLC7A7NM_003982.4 linkc.272C>T p.Ala91Val missense_variant Exon 2 of 10 ENST00000674313.1 NP_003973.3
SLC7A7NM_001126105.3 linkc.272C>T p.Ala91Val missense_variant Exon 3 of 11 NP_001119577.1 Q9UM01A0A0S2Z502
SLC7A7NM_001126106.4 linkc.272C>T p.Ala91Val missense_variant Exon 3 of 11 NP_001119578.1 Q9UM01A0A0S2Z502
SLC7A7XM_011537299.2 linkc.272C>T p.Ala91Val missense_variant Exon 2 of 10 XP_011535601.1 Q9UM01A0A0S2Z502

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SLC7A7ENST00000674313.1 linkc.272C>T p.Ala91Val missense_variant Exon 2 of 10 NM_003982.4 ENSP00000501493.1 Q9UM01

Frequencies

GnomAD3 genomes
AF:
0.0128
AC:
1950
AN:
152096
Hom.:
19
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00302
Gnomad AMI
AF:
0.0208
Gnomad AMR
AF:
0.00734
Gnomad ASJ
AF:
0.00403
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0210
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.0211
Gnomad OTH
AF:
0.00909
GnomAD2 exomes
AF:
0.0125
AC:
3138
AN:
251372
AF XY:
0.0122
show subpopulations
Gnomad AFR exome
AF:
0.00277
Gnomad AMR exome
AF:
0.00512
Gnomad ASJ exome
AF:
0.0101
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0246
Gnomad NFE exome
AF:
0.0193
Gnomad OTH exome
AF:
0.0134
GnomAD4 exome
AF:
0.0163
AC:
23868
AN:
1461892
Hom.:
242
Cov.:
71
AF XY:
0.0160
AC XY:
11618
AN XY:
727246
show subpopulations
African (AFR)
AF:
0.00239
AC:
80
AN:
33480
American (AMR)
AF:
0.00599
AC:
268
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00888
AC:
232
AN:
26136
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39700
South Asian (SAS)
AF:
0.000614
AC:
53
AN:
86258
European-Finnish (FIN)
AF:
0.0247
AC:
1318
AN:
53418
Middle Eastern (MID)
AF:
0.00312
AC:
18
AN:
5768
European-Non Finnish (NFE)
AF:
0.0189
AC:
21009
AN:
1112012
Other (OTH)
AF:
0.0147
AC:
889
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.472
Heterozygous variant carriers
0
1524
3048
4572
6096
7620
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
726
1452
2178
2904
3630
<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:
0.0128
AC:
1949
AN:
152212
Hom.:
19
Cov.:
31
AF XY:
0.0121
AC XY:
901
AN XY:
74432
show subpopulations
African (AFR)
AF:
0.00301
AC:
125
AN:
41528
American (AMR)
AF:
0.00727
AC:
111
AN:
15276
Ashkenazi Jewish (ASJ)
AF:
0.00403
AC:
14
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
European-Finnish (FIN)
AF:
0.0210
AC:
223
AN:
10604
Middle Eastern (MID)
AF:
0.00342
AC:
1
AN:
292
European-Non Finnish (NFE)
AF:
0.0211
AC:
1437
AN:
68006
Other (OTH)
AF:
0.00900
AC:
19
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.489
Heterozygous variant carriers
0
97
193
290
386
483
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
26
52
78
104
130
<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:
0.0176
Hom.:
138
Bravo
AF:
0.0119
TwinsUK
AF:
0.0154
AC:
57
ALSPAC
AF:
0.0182
AC:
70
ESP6500AA
AF:
0.00295
AC:
13
ESP6500EA
AF:
0.0201
AC:
173
ExAC
AF:
0.0123
AC:
1487
Asia WGS
AF:
0.00115
AC:
4
AN:
3478
EpiCase
AF:
0.0184
EpiControl
AF:
0.0161

ClinVar

Significance: Benign
Submissions summary: Benign:11Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4Other:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

May 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

SLC7A7: BS1, BS2 -

-
GenomeConnect, ClinGen
Significance:not provided
Review Status:no classification provided
Collection Method:phenotyping only

Variant interpreted as Benign and reported on 04-27-2020 by Lab or GTR ID 500031. GenomeConnect assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. GenomeConnect staff make no attempt to reinterpret the clinical significance of the variant. This variant was reported in an individual referred for clinical diagnostic genetic testing. -

Lysinuric protein intolerance Benign:4
Nov 27, 2019
Natera, Inc.
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Nov 07, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

not specified Benign:2
Dec 07, 2016
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

May 03, 2021
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: SLC7A7 c.272C>T (p.Ala91Val) results in a non-conservative amino acid change in the encoded protein sequence. Three of three in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.012 in 251372 control chromosomes in the gnomAD database, including 28 homozygotes. The observed variant frequency is approximately 11 fold of the estimated maximal expected allele frequency for a pathogenic variant in SLC7A7 causing Lysinuric Protein Intolerance phenotype (0.0011), strongly suggesting that the variant is benign. To our knowledge, no occurrence of c.272C>T in individuals affected with Lysinuric Protein Intolerance and no experimental evidence demonstrating its impact on protein function have been reported. Three clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. All laboratories classified the variant as benign. Based on the evidence outlined above, the variant was classified as benign. -

Autoinflammatory syndrome Benign:1
Apr 19, 2022
Genome Diagnostics Laboratory, The Hospital for Sick Children
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.78
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Uncertain
0.090
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.87
D;D;D;D;D;D;.;D;.;D;D
Eigen
Pathogenic
0.78
Eigen_PC
Pathogenic
0.74
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.95
.;.;.;.;D;D;D;D;D;D;D
MetaRNN
Benign
0.014
T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Uncertain
0.54
D
MutationAssessor
Uncertain
2.9
M;M;M;M;M;.;.;.;.;.;.
PhyloP100
6.9
PrimateAI
Pathogenic
0.79
T
PROVEAN
Uncertain
-3.8
D;D;D;D;D;D;D;D;D;D;D
REVEL
Pathogenic
0.65
Sift
Uncertain
0.0060
D;D;D;D;D;D;D;D;D;D;D
Sift4G
Uncertain
0.020
D;D;D;D;D;.;.;.;.;.;.
Polyphen
0.99
D;D;D;D;D;.;.;.;.;.;.
Vest4
0.15
MPC
0.65
ClinPred
0.011
T
GERP RS
5.4
Varity_R
0.54
gMVP
0.89
Mutation Taster
=37/63
disease causing

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: rs11568438; hg19: chr14-23282336; COSMIC: COSV53539800; COSMIC: COSV53539800; API