rs147826749

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_032444.4(SLX4):​c.590T>C​(p.Val197Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00193 in 1,614,206 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/22 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. V197M) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0020 ( 4 hom. )

Consequence

SLX4
NM_032444.4 missense

Scores

18

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:9

Conservation

PhyloP100: -0.338

Publications

10 publications found
Variant links:
Genes affected
SLX4 (HGNC:23845): (SLX4 structure-specific endonuclease subunit) This gene encodes a protein that functions as an assembly component of multiple structure-specific endonucleases. These endonuclease complexes are required for repair of specific types of DNA lesions and critical for cellular responses to replication fork failure. Mutations in this gene were found in patients with Fanconi anemia. [provided by RefSeq, Sep 2016]
SLX4 Gene-Disease associations (from GenCC):
  • Fanconi anemia complementation group P
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: ClinGen, G2P, PanelApp Australia, Labcorp Genetics (formerly Invitae)
  • Fanconi anemia
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • hereditary breast carcinoma
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
  • familial ovarian cancer
    Inheritance: Unknown Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0056229234).
BP6
Variant 16-3606644-A-G is Benign according to our data. Variant chr16-3606644-A-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 241698.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00135 (205/152318) while in subpopulation NFE AF = 0.00229 (156/68038). AF 95% confidence interval is 0.002. There are 0 homozygotes in GnomAd4. There are 99 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 4 AR,AD gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_032444.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SLX4
NM_032444.4
MANE Select
c.590T>Cp.Val197Ala
missense
Exon 3 of 15NP_115820.2Q8IY92-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SLX4
ENST00000294008.4
TSL:5 MANE Select
c.590T>Cp.Val197Ala
missense
Exon 3 of 15ENSP00000294008.3Q8IY92-1
SLX4
ENST00000466154.5
TSL:1
n.885T>C
non_coding_transcript_exon
Exon 2 of 7
SLX4
ENST00000486524.1
TSL:2
n.1218T>C
non_coding_transcript_exon
Exon 3 of 4

Frequencies

GnomAD3 genomes
AF:
0.00135
AC:
206
AN:
152200
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000265
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00157
Gnomad ASJ
AF:
0.00346
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00229
Gnomad OTH
AF:
0.00144
GnomAD2 exomes
AF:
0.00139
AC:
349
AN:
251466
AF XY:
0.00149
show subpopulations
Gnomad AFR exome
AF:
0.000185
Gnomad AMR exome
AF:
0.000954
Gnomad ASJ exome
AF:
0.00198
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000277
Gnomad NFE exome
AF:
0.00235
Gnomad OTH exome
AF:
0.00277
GnomAD4 exome
AF:
0.00199
AC:
2916
AN:
1461888
Hom.:
4
Cov.:
33
AF XY:
0.00196
AC XY:
1424
AN XY:
727244
show subpopulations
African (AFR)
AF:
0.000388
AC:
13
AN:
33480
American (AMR)
AF:
0.000984
AC:
44
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00237
AC:
62
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.000116
AC:
10
AN:
86258
European-Finnish (FIN)
AF:
0.000374
AC:
20
AN:
53414
Middle Eastern (MID)
AF:
0.000693
AC:
4
AN:
5768
European-Non Finnish (NFE)
AF:
0.00238
AC:
2648
AN:
1112012
Other (OTH)
AF:
0.00190
AC:
115
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
200
400
600
800
1000
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
94
188
282
376
470
<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:
0.00135
AC:
205
AN:
152318
Hom.:
0
Cov.:
32
AF XY:
0.00133
AC XY:
99
AN XY:
74488
show subpopulations
African (AFR)
AF:
0.000265
AC:
11
AN:
41580
American (AMR)
AF:
0.00151
AC:
23
AN:
15274
Ashkenazi Jewish (ASJ)
AF:
0.00346
AC:
12
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5190
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00229
AC:
156
AN:
68038
Other (OTH)
AF:
0.00142
AC:
3
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
10
20
30
40
50
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.00171
Hom.:
1
Bravo
AF:
0.00131
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.00389
AC:
15
ESP6500AA
AF:
0.000228
AC:
1
ESP6500EA
AF:
0.00302
AC:
26
ExAC
AF:
0.00147
AC:
179
EpiCase
AF:
0.00251
EpiControl
AF:
0.00273

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
2
Fanconi anemia complementation group P (3)
-
-
2
Fanconi anemia (2)
-
-
2
not provided (2)
-
-
2
not specified (2)
-
-
1
SLX4-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.70
T
BayesDel_noAF
Benign
-0.78
CADD
Benign
1.1
DANN
Benign
0.68
DEOGEN2
Benign
0.022
T
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.036
N
LIST_S2
Benign
0.37
T
M_CAP
Benign
0.0051
T
MetaRNN
Benign
0.0056
T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
0.55
N
PhyloP100
-0.34
PrimateAI
Benign
0.37
T
PROVEAN
Benign
-0.57
N
REVEL
Benign
0.010
Sift
Benign
0.59
T
Sift4G
Benign
0.55
T
Polyphen
0.0040
B
Vest4
0.082
MVP
0.014
MPC
0.067
ClinPred
0.00071
T
GERP RS
-3.5
Varity_R
0.050
gMVP
0.11
Mutation Taster
=95/5
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: rs147826749; hg19: chr16-3656645; COSMIC: COSV106094649; API