rs118121751

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BS1BS2

The NM_001126108.2(SLC12A3):​c.1392C>A​(p.Ala464=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00142 in 1,613,798 control chromosomes in the GnomAD database, including 29 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0017 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0014 ( 29 hom. )

Consequence

SLC12A3
NM_001126108.2 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 0.960
Variant links:
Genes affected
SLC12A3 (HGNC:10912): (solute carrier family 12 member 3) This gene encodes a renal thiazide-sensitive sodium-chloride cotransporter that is important for electrolyte homeostasis. This cotransporter mediates sodium and chloride reabsorption in the distal convoluted tubule. Mutations in this gene cause Gitelman syndrome, a disease similar to Bartter's syndrome, that is characterized by hypokalemic alkalosis combined with hypomagnesemia, low urinary calcium, and increased renin activity associated with normal blood pressure. This cotransporter is the target for thiazide diuretics that are used for treating high blood pressure. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.4).
BP6
Variant 16-56879598-C-A is Benign according to our data. Variant chr16-56879598-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 255878.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.96 with no splicing effect.
BS1
Variant frequency is greater than expected in population eas. gnomad4_exome allele frequency = 0.00139 (2032/1461554) while in subpopulation EAS AF= 0.0172 (684/39700). AF 95% confidence interval is 0.0162. There are 29 homozygotes in gnomad4_exome. There are 941 alleles in male gnomad4_exome subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 29 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SLC12A3NM_001126108.2 linkuse as main transcriptc.1392C>A p.Ala464= synonymous_variant 11/26 ENST00000563236.6 NP_001119580.2
SLC12A3NM_000339.3 linkuse as main transcriptc.1392C>A p.Ala464= synonymous_variant 11/26 NP_000330.3
SLC12A3NM_001126107.2 linkuse as main transcriptc.1389C>A p.Ala463= synonymous_variant 11/26 NP_001119579.2
SLC12A3NM_001410896.1 linkuse as main transcriptc.1389C>A p.Ala463= synonymous_variant 11/26 NP_001397825.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SLC12A3ENST00000563236.6 linkuse as main transcriptc.1392C>A p.Ala464= synonymous_variant 11/261 NM_001126108.2 ENSP00000456149 A1P55017-1
SLC12A3ENST00000438926.6 linkuse as main transcriptc.1392C>A p.Ala464= synonymous_variant 11/261 ENSP00000402152 A1P55017-2
SLC12A3ENST00000566786.5 linkuse as main transcriptc.1389C>A p.Ala463= synonymous_variant 11/261 ENSP00000457552 P4P55017-3
SLC12A3ENST00000262502.5 linkuse as main transcriptc.1389C>A p.Ala463= synonymous_variant 11/265 ENSP00000262502 A1

Frequencies

GnomAD3 genomes
AF:
0.00174
AC:
264
AN:
152126
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00109
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00740
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0112
Gnomad SAS
AF:
0.00331
Gnomad FIN
AF:
0.00123
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000176
Gnomad OTH
AF:
0.00335
GnomAD3 exomes
AF:
0.00407
AC:
1021
AN:
251110
Hom.:
13
AF XY:
0.00335
AC XY:
455
AN XY:
135814
show subpopulations
Gnomad AFR exome
AF:
0.000801
Gnomad AMR exome
AF:
0.0179
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0108
Gnomad SAS exome
AF:
0.00336
Gnomad FIN exome
AF:
0.00139
Gnomad NFE exome
AF:
0.000299
Gnomad OTH exome
AF:
0.00408
GnomAD4 exome
AF:
0.00139
AC:
2032
AN:
1461554
Hom.:
29
Cov.:
32
AF XY:
0.00129
AC XY:
941
AN XY:
727112
show subpopulations
Gnomad4 AFR exome
AF:
0.000478
Gnomad4 AMR exome
AF:
0.0161
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0172
Gnomad4 SAS exome
AF:
0.00297
Gnomad4 FIN exome
AF:
0.00151
Gnomad4 NFE exome
AF:
0.000164
Gnomad4 OTH exome
AF:
0.00146
GnomAD4 genome
AF:
0.00172
AC:
262
AN:
152244
Hom.:
0
Cov.:
32
AF XY:
0.00199
AC XY:
148
AN XY:
74446
show subpopulations
Gnomad4 AFR
AF:
0.00108
Gnomad4 AMR
AF:
0.00732
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.0112
Gnomad4 SAS
AF:
0.00332
Gnomad4 FIN
AF:
0.00123
Gnomad4 NFE
AF:
0.000176
Gnomad4 OTH
AF:
0.00284
Alfa
AF:
0.00125
Hom.:
6
Bravo
AF:
0.00265
Asia WGS
AF:
0.00664
AC:
23
AN:
3478
EpiCase
AF:
0.000273
EpiControl
AF:
0.00

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Familial hypokalemia-hypomagnesemia Benign:4
Likely benign, no assertion criteria providedclinical testingNatera, Inc.Jan 07, 2020- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 15, 2021- -
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsAug 10, 2021- -
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This 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 likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.40
CADD
Benign
12
DANN
Benign
0.79

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: rs118121751; hg19: chr16-56913510; API