rs1529927

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_001126108.2(SLC12A3):​c.791C>A​(p.Ala264Asp) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000657 in 152,114 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A264G) has been classified as Benign.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 30)

Consequence

SLC12A3
NM_001126108.2 missense

Scores

5
8
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 8.10
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.843

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SLC12A3NM_001126108.2 linkuse as main transcriptc.791C>A p.Ala264Asp missense_variant 6/26 ENST00000563236.6 NP_001119580.2
SLC12A3NM_000339.3 linkuse as main transcriptc.791C>A p.Ala264Asp missense_variant 6/26 NP_000330.3
SLC12A3NM_001126107.2 linkuse as main transcriptc.788C>A p.Ala263Asp missense_variant 6/26 NP_001119579.2
SLC12A3NM_001410896.1 linkuse as main transcriptc.788C>A p.Ala263Asp missense_variant 6/26 NP_001397825.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SLC12A3ENST00000563236.6 linkuse as main transcriptc.791C>A p.Ala264Asp missense_variant 6/261 NM_001126108.2 ENSP00000456149 A1P55017-1
SLC12A3ENST00000438926.6 linkuse as main transcriptc.791C>A p.Ala264Asp missense_variant 6/261 ENSP00000402152 A1P55017-2
SLC12A3ENST00000566786.5 linkuse as main transcriptc.788C>A p.Ala263Asp missense_variant 6/261 ENSP00000457552 P4P55017-3
SLC12A3ENST00000262502.5 linkuse as main transcriptc.788C>A p.Ala263Asp missense_variant 6/265 ENSP00000262502 A1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152114
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
Cov.:
44
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152114
Hom.:
0
Cov.:
30
AF XY:
0.0000135
AC XY:
1
AN XY:
74290
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Familial hypokalemia-hypomagnesemia Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingEuropean Hospital Georges Pompidou Genetics Department, Assistance Publique - Hôpitaux de Paris AP-HPApr 27, 2022ACMG criteria used:PM2 BP4 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.98
BayesDel_addAF
Pathogenic
0.24
D
BayesDel_noAF
Uncertain
0.10
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.78
.;.;D;D
Eigen
Benign
-0.092
Eigen_PC
Benign
-0.028
FATHMM_MKL
Benign
0.69
D
LIST_S2
Uncertain
0.95
D;D;D;D
M_CAP
Uncertain
0.11
D
MetaRNN
Pathogenic
0.84
D;D;D;D
MetaSVM
Benign
-0.65
T
MutationAssessor
Uncertain
2.1
.;M;M;.
MutationTaster
Benign
0.88
N;N;N;N
PrimateAI
Uncertain
0.79
T
PROVEAN
Benign
-0.96
N;N;N;N
REVEL
Uncertain
0.36
Sift
Pathogenic
0.0
D;D;D;D
Sift4G
Pathogenic
0.0010
D;D;D;D
Polyphen
0.37
B;B;B;.
Vest4
0.44
MutPred
0.88
.;Gain of helix (P = 0.132);Gain of helix (P = 0.132);.;
MVP
0.97
MPC
0.15
ClinPred
0.98
D
GERP RS
4.9
Varity_R
0.58
gMVP
0.99

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs1529927; hg19: chr16-56904587; API