rs150814749

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The ENST00000395105.9(STRA6):​c.1223G>A​(p.Arg408Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00536 in 1,613,842 control chromosomes in the GnomAD database, including 34 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict 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. R408G) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0038 ( 4 hom., cov: 33)
Exomes 𝑓: 0.0055 ( 30 hom. )

Consequence

STRA6
ENST00000395105.9 missense

Scores

19

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: -0.286
Variant links:
Genes affected
STRA6 (HGNC:30650): (signaling receptor and transporter of retinol STRA6) The protein encoded by this gene is a membrane protein involved in the metabolism of retinol. The encoded protein acts as a receptor for retinol/retinol binding protein complexes. This protein removes the retinol from the complex and transports it across the cell membrane. Defects in this gene are a cause of syndromic microphthalmia type 9 (MCOPS9). Several transcript variants encoding a few different isoforms have been found for this gene. [provided by RefSeq, Dec 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0045599937).
BP6
Variant 15-74183933-C-T is Benign according to our data. Variant chr15-74183933-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 194429.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr15-74183933-C-T is described in Lovd as [Likely_benign]. Variant chr15-74183933-C-T is described in Lovd as [Likely_pathogenic].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0038 (578/152256) while in subpopulation NFE AF= 0.00678 (461/68022). AF 95% confidence interval is 0.00627. There are 4 homozygotes in gnomad4. There are 282 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 4 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
STRA6NM_022369.4 linkuse as main transcriptc.1223G>A p.Arg408Gln missense_variant 14/19 ENST00000395105.9 NP_071764.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
STRA6ENST00000395105.9 linkuse as main transcriptc.1223G>A p.Arg408Gln missense_variant 14/191 NM_022369.4 ENSP00000378537 P1Q9BX79-1

Frequencies

GnomAD3 genomes
AF:
0.00380
AC:
578
AN:
152138
Hom.:
4
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000942
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.000524
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.000830
Gnomad FIN
AF:
0.00575
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00678
Gnomad OTH
AF:
0.000955
GnomAD3 exomes
AF:
0.00394
AC:
990
AN:
251056
Hom.:
8
AF XY:
0.00407
AC XY:
552
AN XY:
135704
show subpopulations
Gnomad AFR exome
AF:
0.00117
Gnomad AMR exome
AF:
0.00104
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000555
Gnomad FIN exome
AF:
0.00756
Gnomad NFE exome
AF:
0.00647
Gnomad OTH exome
AF:
0.00342
GnomAD4 exome
AF:
0.00553
AC:
8076
AN:
1461586
Hom.:
30
Cov.:
30
AF XY:
0.00547
AC XY:
3978
AN XY:
727086
show subpopulations
Gnomad4 AFR exome
AF:
0.000926
Gnomad4 AMR exome
AF:
0.00103
Gnomad4 ASJ exome
AF:
0.0000383
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000417
Gnomad4 FIN exome
AF:
0.00729
Gnomad4 NFE exome
AF:
0.00655
Gnomad4 OTH exome
AF:
0.00488
GnomAD4 genome
AF:
0.00380
AC:
578
AN:
152256
Hom.:
4
Cov.:
33
AF XY:
0.00379
AC XY:
282
AN XY:
74452
show subpopulations
Gnomad4 AFR
AF:
0.000939
Gnomad4 AMR
AF:
0.000523
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.000830
Gnomad4 FIN
AF:
0.00575
Gnomad4 NFE
AF:
0.00678
Gnomad4 OTH
AF:
0.000945
Alfa
AF:
0.00551
Hom.:
7
Bravo
AF:
0.00304
TwinsUK
AF:
0.00647
AC:
24
ALSPAC
AF:
0.00519
AC:
20
ESP6500AA
AF:
0.00159
AC:
7
ESP6500EA
AF:
0.00791
AC:
68
ExAC
AF:
0.00366
AC:
445
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00436
EpiControl
AF:
0.00528

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Likely benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenDec 01, 2023STRA6: BP4, BS2 -
Matthew-Wood syndrome Benign:3
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 22, 2024- -
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 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. -
Benign, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Oct 22, 2014- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.066
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
1.9
DANN
Benign
0.57
DEOGEN2
Benign
0.11
T;.;T;T;.;T;.;.;.
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.0054
N
LIST_S2
Benign
0.80
.;T;.;.;T;T;T;T;T
M_CAP
Benign
0.025
D
MetaRNN
Benign
0.0046
T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.89
T
MutationAssessor
Benign
-0.40
N;.;N;N;.;N;.;.;.
MutationTaster
Benign
1.0
N;N;N;N;N;N;N;N
PrimateAI
Benign
0.22
T
PROVEAN
Benign
0.32
N;N;N;.;.;.;N;.;.
REVEL
Benign
0.16
Sift
Benign
0.62
T;T;T;.;.;.;T;.;.
Sift4G
Benign
1.0
T;T;T;T;T;T;T;T;T
Polyphen
0.0
B;B;B;B;.;B;.;B;.
Vest4
0.65
MVP
0.35
MPC
0.11
ClinPred
0.00061
T
GERP RS
-4.7
Varity_R
0.011
gMVP
0.14

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: rs150814749; hg19: chr15-74476274; COSMIC: COSV105906074; COSMIC: COSV105906074; API