rs117500243

Variant summary

Our verdict is Benign. The variant received -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBS1BS2

The NM_001363118.2(SLC52A2):​c.353C>A​(p.Ala118Asp) variant causes a missense change. The variant allele was found at a frequency of 0.00397 in 1,613,714 control chromosomes in the GnomAD database, including 22 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A118P) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0028 ( 2 hom., cov: 33)
Exomes 𝑓: 0.0041 ( 20 hom. )

Consequence

SLC52A2
NM_001363118.2 missense

Scores

2
8
8

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts U:1B:11

Conservation

PhyloP100: 3.85

Publications

13 publications found
Variant links:
Genes affected
SLC52A2 (HGNC:30224): (solute carrier family 52 member 2) This gene encodes a membrane protein which belongs to the riboflavin transporter family. In humans, riboflavin must be obtained by intestinal absorption because it cannot be synthesized by the body. The water-soluble vitamin riboflavin is processed to the coenzymes flavin mononucleotide (FMN) and flavin adenine dinucleotide (FAD) which then act as intermediaries in many cellular metabolic reactions. Paralogous members of the riboflavin transporter gene family are located on chromosomes 17 and 20. Unlike other members of this family, this gene has higher expression in brain tissue than small intestine. Alternative splicing of this gene results in multiple transcript variants encoding the same protein. Mutations in this gene have been associated with Brown-Vialetto-Van Laere syndrome 2 - an autosomal recessive progressive neurologic disorder characterized by deafness, bulbar dysfunction, and axial and limb hypotonia. [provided by RefSeq, Jul 2012]
SLC52A2 Gene-Disease associations (from GenCC):
  • Brown-Vialetto-van Laere syndrome 2
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Genomics England PanelApp, PanelApp Australia, Labcorp Genetics (formerly Invitae), G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -18 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 2 benign, 7 uncertain in NM_001363118.2
BP4
Computational evidence support a benign effect (MetaRNN=0.012701243).
BP6
Variant 8-144359845-C-A is Benign according to our data. Variant chr8-144359845-C-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 372996.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 = 0.00282 (429/152322) while in subpopulation NFE AF = 0.00462 (314/68024). AF 95% confidence interval is 0.0042. There are 2 homozygotes in GnomAd4. There are 190 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SLC52A2NM_001363118.2 linkc.353C>A p.Ala118Asp missense_variant Exon 3 of 5 ENST00000643944.2 NP_001350047.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SLC52A2ENST00000643944.2 linkc.353C>A p.Ala118Asp missense_variant Exon 3 of 5 NM_001363118.2 ENSP00000496184.2 Q9HAB3

Frequencies

GnomAD3 genomes
AF:
0.00282
AC:
429
AN:
152204
Hom.:
2
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000700
Gnomad AMI
AF:
0.0307
Gnomad AMR
AF:
0.000720
Gnomad ASJ
AF:
0.0107
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000620
Gnomad FIN
AF:
0.000377
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00462
Gnomad OTH
AF:
0.00144
GnomAD2 exomes
AF:
0.00274
AC:
689
AN:
251100
AF XY:
0.00278
show subpopulations
Gnomad AFR exome
AF:
0.000555
Gnomad AMR exome
AF:
0.00104
Gnomad ASJ exome
AF:
0.00914
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000185
Gnomad NFE exome
AF:
0.00440
Gnomad OTH exome
AF:
0.00310
GnomAD4 exome
AF:
0.00409
AC:
5979
AN:
1461392
Hom.:
20
Cov.:
31
AF XY:
0.00394
AC XY:
2863
AN XY:
726992
show subpopulations
African (AFR)
AF:
0.000926
AC:
31
AN:
33480
American (AMR)
AF:
0.00143
AC:
64
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00953
AC:
249
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.000835
AC:
72
AN:
86258
European-Finnish (FIN)
AF:
0.000359
AC:
19
AN:
52944
Middle Eastern (MID)
AF:
0.00728
AC:
42
AN:
5768
European-Non Finnish (NFE)
AF:
0.00474
AC:
5272
AN:
1111998
Other (OTH)
AF:
0.00381
AC:
230
AN:
60386
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
408
816
1225
1633
2041
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
200
400
600
800
1000
<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:
0.00282
AC:
429
AN:
152322
Hom.:
2
Cov.:
33
AF XY:
0.00255
AC XY:
190
AN XY:
74464
show subpopulations
African (AFR)
AF:
0.000698
AC:
29
AN:
41568
American (AMR)
AF:
0.000719
AC:
11
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.0107
AC:
37
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.000621
AC:
3
AN:
4832
European-Finnish (FIN)
AF:
0.000377
AC:
4
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00462
AC:
314
AN:
68024
Other (OTH)
AF:
0.00142
AC:
3
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
25
50
75
100
125
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
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:
0.00386
Hom.:
2
Bravo
AF:
0.00280
TwinsUK
AF:
0.00620
AC:
23
ALSPAC
AF:
0.00675
AC:
26
ESP6500AA
AF:
0.00113
AC:
5
ESP6500EA
AF:
0.00407
AC:
35
ExAC
AF:
0.00285
AC:
346
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00458
EpiControl
AF:
0.00474

ClinVar

Significance: Benign/Likely benign
Submissions summary: Uncertain:1Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:5
Jun 22, 2022
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

See Variant Classification Assertion Criteria. -

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

SLC52A2: BP4, BS2 -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
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

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Brown-Vialetto-van Laere syndrome 2 Benign:3
May 28, 2019
Mendelics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 03, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Uncertain:1Benign:1
Aug 23, 2017
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

p.Ala118Asp in exon 3 of SLC52A2: This variant is not expected to have clinical significance because it has been identified in 0.46% (303/66400) of European chr omosomes by the Exome Aggregation Consortium (ExAC, http://exac.broadinstitute.o rg; dbSNP rs117500243). -

Jul 25, 2016
GeneDx
Significance:Uncertain significance
Review Status:flagged submission
Collection Method:clinical testing

A variant of uncertain significance has been identified in the SLC52A2 gene. The A118D variant has been reported previously as a benign variant; however, additional information was not provided (Yonezawa et al., 2013). The A118D variant is observed in 303/66400 (0.5%) alleles from individuals of European background (Lek et al., 2016; 1000 Genomes Consortium et al., 2015; Exome Variant Server). The A118D variant is a non-conservative amino acid substitution, which is likely to impact secondary protein structure as these residues differ in polarity, charge, size and/or other properties. However, this substitution occurs at a position that is not conserved. In silico analysis is inconsistent in its predictions as to whether or not the variant is damaging to the protein structure/function. Therefore, based on the currently available information, it is unclear whether this variant is a pathogenic variant or a rare benign variant. -

SLC52A2-related disorder Benign:1
Aug 24, 2021
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Inborn genetic diseases Benign:1
Jul 23, 2019
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.61
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Uncertain
-0.070
CADD
Benign
21
DANN
Benign
0.94
DEOGEN2
Uncertain
0.45
T;T;T;T;T;T;T
Eigen
Benign
-0.081
Eigen_PC
Benign
-0.18
FATHMM_MKL
Uncertain
0.89
D
M_CAP
Pathogenic
0.57
D
MetaRNN
Benign
0.013
T;T;T;T;T;T;T
MetaSVM
Uncertain
0.099
D
MutationAssessor
Uncertain
2.5
M;M;M;.;M;M;M
PhyloP100
3.9
PrimateAI
Benign
0.48
T
PROVEAN
Benign
-2.0
N;N;N;N;N;N;.
REVEL
Uncertain
0.49
Sift
Uncertain
0.0060
D;D;D;D;D;D;.
Sift4G
Uncertain
0.020
D;D;D;T;D;D;.
Polyphen
0.81
P;P;P;.;P;P;P
Vest4
0.60
MVP
0.62
MPC
0.30
ClinPred
0.028
T
GERP RS
3.5
Varity_R
0.30
gMVP
0.87
Mutation Taster
=98/2
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs117500243; hg19: chr8-145583505; COSMIC: COSV57351405; COSMIC: COSV57351405; API