rs146547322

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS1

The NM_004174.4(SLC9A3):​c.1814G>A​(p.Arg605Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000212 in 1,609,586 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R605G) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00020 ( 0 hom., cov: 34)
Exomes 𝑓: 0.00021 ( 0 hom. )

Consequence

SLC9A3
NM_004174.4 missense

Scores

3
15

Clinical Significance

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

Conservation

PhyloP100: 2.52

Publications

4 publications found
Variant links:
Genes affected
SLC9A3 (HGNC:11073): (solute carrier family 9 member A3) The protein encoded by this gene is an epithelial brush border Na/H exchanger that uses an inward sodium ion gradient to expel acids from the cell. Defects in this gene are a cause of congenital secretory sodium diarrhea. Pseudogenes of this gene exist on chromosomes 10 and 22. [provided by RefSeq, Mar 2016]
SLC9A3-AS1 (HGNC:40550): (SLC9A3 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008811086).
BP6
Variant 5-476619-C-T is Benign according to our data. Variant chr5-476619-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 547876.
BS1
Variant frequency is greater than expected in population eas. GnomAd4 allele frequency = 0.000197 (30/152342) while in subpopulation EAS AF = 0.00193 (10/5182). AF 95% confidence interval is 0.00105. There are 0 homozygotes in GnomAd4. There are 13 alleles in the male GnomAd4 subpopulation. Median coverage is 34. This position passed quality control check.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004174.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SLC9A3
NM_004174.4
MANE Select
c.1814G>Ap.Arg605Gln
missense
Exon 12 of 17NP_004165.2P48764-1
SLC9A3
NM_001284351.3
c.1787G>Ap.Arg596Gln
missense
Exon 12 of 17NP_001271280.1P48764-2
SLC9A3-AS1
NR_125375.1
n.679+56C>T
intron
N/A

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SLC9A3
ENST00000264938.8
TSL:1 MANE Select
c.1814G>Ap.Arg605Gln
missense
Exon 12 of 17ENSP00000264938.3P48764-1
SLC9A3
ENST00000514375.1
TSL:1
c.1787G>Ap.Arg596Gln
missense
Exon 12 of 17ENSP00000422983.1P48764-2
SLC9A3
ENST00000644203.1
c.1814G>Ap.Arg605Gln
missense
Exon 12 of 16ENSP00000495903.1A0A2R8Y780

Frequencies

GnomAD3 genomes
AF:
0.000197
AC:
30
AN:
152224
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00193
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000265
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000267
AC:
66
AN:
246780
AF XY:
0.000261
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000290
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00213
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000196
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000214
AC:
312
AN:
1457244
Hom.:
0
Cov.:
35
AF XY:
0.000214
AC XY:
155
AN XY:
725164
show subpopulations
African (AFR)
AF:
0.0000299
AC:
1
AN:
33472
American (AMR)
AF:
0.0000447
AC:
2
AN:
44716
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26124
East Asian (EAS)
AF:
0.00136
AC:
54
AN:
39688
South Asian (SAS)
AF:
0.000174
AC:
15
AN:
86254
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49072
Middle Eastern (MID)
AF:
0.000871
AC:
5
AN:
5740
European-Non Finnish (NFE)
AF:
0.000192
AC:
214
AN:
1111846
Other (OTH)
AF:
0.000348
AC:
21
AN:
60332
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
19
38
57
76
95
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.000197
AC:
30
AN:
152342
Hom.:
0
Cov.:
34
AF XY:
0.000175
AC XY:
13
AN XY:
74490
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41574
American (AMR)
AF:
0.00
AC:
0
AN:
15314
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00193
AC:
10
AN:
5182
South Asian (SAS)
AF:
0.000415
AC:
2
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10628
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000265
AC:
18
AN:
68026
Other (OTH)
AF:
0.00
AC:
0
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
3
6
8
11
14
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000242
Hom.:
0
Bravo
AF:
0.000215
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.000264
AC:
32
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.000356

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Congenital secretory sodium diarrhea 8 (1)
-
-
1
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.27
CADD
Uncertain
24
DANN
Uncertain
0.98
DEOGEN2
Benign
0.058
T
Eigen
Benign
0.042
Eigen_PC
Benign
-0.059
FATHMM_MKL
Benign
0.44
N
LIST_S2
Uncertain
0.92
D
M_CAP
Benign
0.060
D
MetaRNN
Benign
0.0088
T
MetaSVM
Benign
-0.49
T
MutationAssessor
Benign
1.6
L
PhyloP100
2.5
PrimateAI
Uncertain
0.52
T
PROVEAN
Benign
0.10
N
REVEL
Benign
0.20
Sift
Benign
0.61
T
Sift4G
Benign
0.50
T
Polyphen
1.0
D
Vest4
0.50
MVP
0.81
MPC
0.78
ClinPred
0.052
T
GERP RS
4.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.2
Varity_R
0.12
gMVP
0.29
Mutation Taster
=88/12
polymorphism

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: rs146547322; hg19: chr5-476734; COSMIC: COSV99376413; COSMIC: COSV99376413; API
For research and educational, non-commercial use only. Not for clinical or diagnostic use. GeneBe does not provide medical advice. Data use for AI modeling is prohibited: if used, the cost is $0.001 per byte of downloaded uncompressed data.