rs147648476

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BS1_SupportingBS2

The NM_138773.4(SLC25A46):​c.148C>A​(p.Pro50Thr) variant causes a missense change. The variant allele was found at a frequency of 0.000548 in 1,580,704 control chromosomes in the GnomAD database, including 3 homozygotes. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00053 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00055 ( 3 hom. )

Consequence

SLC25A46
NM_138773.4 missense

Scores

8
8
3

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:7

Conservation

PhyloP100: 6.52
Variant links:
Genes affected
SLC25A46 (HGNC:25198): (solute carrier family 25 member 46) This gene encodes a mitochondrial solute carrier protein family member. It functions in promoting mitochondrial fission, and prevents the formation of hyperfilamentous mitochondria. Mutation of this gene results in neuropathy and optic atrophy. [provided by RefSeq, Aug 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.000525 (80/152350) while in subpopulation AMR AF= 0.00157 (24/15310). AF 95% confidence interval is 0.00108. There are 0 homozygotes in gnomad4. There are 37 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAdExome4 at 3 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SLC25A46NM_138773.4 linkc.148C>A p.Pro50Thr missense_variant Exon 1 of 8 ENST00000355943.8 NP_620128.1 Q96AG3-1
SLC25A46NM_001303249.3 linkc.148C>A p.Pro50Thr missense_variant Exon 1 of 8 NP_001290178.1 Q96AG3-3
SLC25A46NM_001303250.3 linkc.10+1020C>A intron_variant Intron 1 of 7 NP_001290179.1 Q96AG3B4DY98
SLC25A46NR_138151.2 linkn.261C>A non_coding_transcript_exon_variant Exon 1 of 9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SLC25A46ENST00000355943.8 linkc.148C>A p.Pro50Thr missense_variant Exon 1 of 8 1 NM_138773.4 ENSP00000348211.3 Q96AG3-1
SLC25A46ENST00000447245.6 linkc.148C>A p.Pro50Thr missense_variant Exon 1 of 8 2 ENSP00000399717.2 Q96AG3-3
SLC25A46ENST00000513807.5 linkc.-204+1020C>A intron_variant Intron 1 of 7 2 ENSP00000421134.1 E7EVY2
SLC25A46ENST00000508781.5 linkn.112+1020C>A intron_variant Intron 1 of 7 4

Frequencies

GnomAD3 genomes
AF:
0.000526
AC:
80
AN:
152232
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00157
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000735
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000256
AC:
49
AN:
191398
Hom.:
0
AF XY:
0.000242
AC XY:
25
AN XY:
103186
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000283
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000678
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000457
Gnomad OTH exome
AF:
0.000604
GnomAD4 exome
AF:
0.000551
AC:
787
AN:
1428354
Hom.:
3
Cov.:
31
AF XY:
0.000506
AC XY:
358
AN XY:
707296
show subpopulations
Gnomad4 AFR exome
AF:
0.0000606
Gnomad4 AMR exome
AF:
0.000432
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000122
Gnomad4 FIN exome
AF:
0.0000401
Gnomad4 NFE exome
AF:
0.000656
Gnomad4 OTH exome
AF:
0.000778
GnomAD4 genome
AF:
0.000525
AC:
80
AN:
152350
Hom.:
0
Cov.:
33
AF XY:
0.000497
AC XY:
37
AN XY:
74504
show subpopulations
Gnomad4 AFR
AF:
0.000144
Gnomad4 AMR
AF:
0.00157
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000735
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000515
Hom.:
0
Bravo
AF:
0.000737
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000234
AC:
2
ExAC
AF:
0.000117
AC:
14

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:4
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Apr 14, 2025
GeneDx
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

In silico analysis indicates that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -

Jan 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Dec 13, 2023
Mayo Clinic Laboratories, Mayo Clinic
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not specified Uncertain:1
Nov 29, 2024
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant summary: SLC25A46 c.148C>A (p.Pro50Thr) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.00026 in 191398 control chromosomes. This frequency is not significantly higher than estimated for a pathogenic variant in SLC25A46 causing Neuropathy, hereditary motor and sensory, type 6B (0.00026 vs 0.0011), allowing no conclusion about variant significance. To our knowledge, no occurrence of c.148C>A in individuals affected with Neuropathy, hereditary motor and sensory, type 6B and no experimental evidence demonstrating its impact on protein function have been reported. ClinVar contains an entry for this variant (Variation ID: 542451). Based on the evidence outlined above, the variant was classified as uncertain significance. -

Neuropathy, hereditary motor and sensory, type 6B Uncertain:1
Oct 22, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This sequence change replaces proline, which is neutral and non-polar, with threonine, which is neutral and polar, at codon 50 of the SLC25A46 protein (p.Pro50Thr). This variant is present in population databases (rs147648476, gnomAD 0.05%). This variant has not been reported in the literature in individuals affected with SLC25A46-related conditions. ClinVar contains an entry for this variant (Variation ID: 542451). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Probably Damaging"; Align-GVGD: "Class C0"). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Inborn genetic diseases Uncertain:1
Nov 15, 2023
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.148C>A (p.P50T) alteration is located in exon 1 (coding exon 1) of the SLC25A46 gene. This alteration results from a C to A substitution at nucleotide position 148, causing the proline (P) at amino acid position 50 to be replaced by a threonine (T). The alteration has been observed in population databases: _x000D_ _x000D_ Based on data from the Genome Aggregation Database (gnomAD), the c.148C>A alteration was observed in 0.03% (59/222,796) of total alleles studied, with a frequency of 0.05% (45/96,316) in the European (non-Finnish) subpopulation. This amino acid position is highly conserved in available vertebrate species. The in silico prediction for the p.P50T alteration is inconclusive. Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.89
BayesDel_addAF
Uncertain
0.084
D
BayesDel_noAF
Pathogenic
0.23
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.030
T;.
Eigen
Pathogenic
0.71
Eigen_PC
Pathogenic
0.71
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Uncertain
0.91
D;D
M_CAP
Pathogenic
0.69
D
MetaRNN
Uncertain
0.46
T;T
MetaSVM
Uncertain
0.78
D
MutationAssessor
Uncertain
2.4
M;M
PrimateAI
Pathogenic
0.86
D
PROVEAN
Benign
-1.4
N;N
REVEL
Pathogenic
0.66
Sift
Pathogenic
0.0
D;D
Sift4G
Uncertain
0.021
D;D
Polyphen
0.99
D;.
Vest4
0.66
MVP
0.82
MPC
0.38
ClinPred
0.72
D
GERP RS
5.1
Varity_R
0.67
gMVP
0.68

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: rs147648476; hg19: chr5-110074968; COSMIC: COSV63507328; COSMIC: COSV63507328; API