rs16906628

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_004211.5(SLC6A5):​c.2299G>A​(p.Gly767Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0122 in 1,614,068 control chromosomes in the GnomAD database, including 363 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G767E) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.015 ( 64 hom., cov: 32)
Exomes 𝑓: 0.012 ( 299 hom. )

Consequence

SLC6A5
NM_004211.5 missense

Scores

4
5
9

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 9.54

Publications

18 publications found
Variant links:
Genes affected
SLC6A5 (HGNC:11051): (solute carrier family 6 member 5) This gene encodes a sodium- and chloride-dependent glycine neurotransmitter transporter. This integral membrane glycoprotein is responsible for the clearance of extracellular glycine during glycine-mediated neurotransmission. This protein is found in glycinergic axons and maintains a high presynaptic pool of neurotransmitter at glycinergic synapses. Mutations in this gene cause hyperekplexia; a heterogenous neurological disorder characterized by exaggerated startle responses and neonatal apnea. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jan 2016]
SLC6A5 Gene-Disease associations (from GenCC):
  • hyperekplexia 3
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics
  • hereditary hyperekplexia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.00515756).
BP6
Variant 11-20654773-G-A is Benign according to our data. Variant chr11-20654773-G-A is described in ClinVar as Benign. ClinVar VariationId is 304040.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.0654 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SLC6A5NM_004211.5 linkc.2299G>A p.Gly767Arg missense_variant Exon 16 of 16 ENST00000525748.6 NP_004202.4 Q9Y345-1Q4VAM4Q4VAM6
SLC6A5NM_001318369.2 linkc.1597G>A p.Gly533Arg missense_variant Exon 15 of 15 NP_001305298.1 Q9Y345-2Q4VAM4
SLC6A5XM_017018544.3 linkc.1423G>A p.Gly475Arg missense_variant Exon 12 of 12 XP_016874033.1
SLC6A5XR_007062528.1 linkn.1677G>A non_coding_transcript_exon_variant Exon 13 of 14

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SLC6A5ENST00000525748.6 linkc.2299G>A p.Gly767Arg missense_variant Exon 16 of 16 1 NM_004211.5 ENSP00000434364.2 Q9Y345-1
SLC6A5ENST00000298923.11 linkn.*1596G>A non_coding_transcript_exon_variant Exon 15 of 15 1 ENSP00000298923.7 J3KNC4
SLC6A5ENST00000298923.11 linkn.*1596G>A 3_prime_UTR_variant Exon 15 of 15 1 ENSP00000298923.7 J3KNC4
SLC6A5ENST00000528440.1 linkn.830G>A non_coding_transcript_exon_variant Exon 8 of 8 5

Frequencies

GnomAD3 genomes
AF:
0.0147
AC:
2243
AN:
152104
Hom.:
64
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00787
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0691
Gnomad ASJ
AF:
0.00952
Gnomad EAS
AF:
0.0160
Gnomad SAS
AF:
0.0205
Gnomad FIN
AF:
0.00132
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00906
Gnomad OTH
AF:
0.00862
GnomAD2 exomes
AF:
0.0214
AC:
5390
AN:
251484
AF XY:
0.0191
show subpopulations
Gnomad AFR exome
AF:
0.00695
Gnomad AMR exome
AF:
0.0910
Gnomad ASJ exome
AF:
0.0112
Gnomad EAS exome
AF:
0.0178
Gnomad FIN exome
AF:
0.00166
Gnomad NFE exome
AF:
0.00804
Gnomad OTH exome
AF:
0.0114
GnomAD4 exome
AF:
0.0119
AC:
17422
AN:
1461846
Hom.:
299
Cov.:
32
AF XY:
0.0117
AC XY:
8538
AN XY:
727234
show subpopulations
African (AFR)
AF:
0.00714
AC:
239
AN:
33480
American (AMR)
AF:
0.0871
AC:
3896
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.0103
AC:
268
AN:
26136
East Asian (EAS)
AF:
0.0123
AC:
490
AN:
39700
South Asian (SAS)
AF:
0.0218
AC:
1883
AN:
86256
European-Finnish (FIN)
AF:
0.00193
AC:
103
AN:
53420
Middle Eastern (MID)
AF:
0.00693
AC:
40
AN:
5768
European-Non Finnish (NFE)
AF:
0.00884
AC:
9830
AN:
1111972
Other (OTH)
AF:
0.0111
AC:
673
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
1068
2135
3203
4270
5338
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
434
868
1302
1736
2170
<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:
0.0147
AC:
2243
AN:
152222
Hom.:
64
Cov.:
32
AF XY:
0.0163
AC XY:
1215
AN XY:
74436
show subpopulations
African (AFR)
AF:
0.00782
AC:
325
AN:
41546
American (AMR)
AF:
0.0689
AC:
1052
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.00952
AC:
33
AN:
3466
East Asian (EAS)
AF:
0.0162
AC:
84
AN:
5172
South Asian (SAS)
AF:
0.0210
AC:
101
AN:
4818
European-Finnish (FIN)
AF:
0.00132
AC:
14
AN:
10612
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00906
AC:
616
AN:
68014
Other (OTH)
AF:
0.00853
AC:
18
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
108
216
323
431
539
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
22
44
66
88
110
<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:
0.0107
Hom.:
84
Bravo
AF:
0.0179
TwinsUK
AF:
0.0108
AC:
40
ALSPAC
AF:
0.0122
AC:
47
ESP6500AA
AF:
0.00658
AC:
29
ESP6500EA
AF:
0.00895
AC:
77
ExAC
AF:
0.0174
AC:
2109
Asia WGS
AF:
0.0180
AC:
63
AN:
3478
EpiCase
AF:
0.00823
EpiControl
AF:
0.00717

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Hyperekplexia 3 Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Hyperekplexia Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.86
BayesDel_addAF
Benign
-0.080
T
BayesDel_noAF
Pathogenic
0.18
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.032
T
Eigen
Uncertain
0.46
Eigen_PC
Uncertain
0.59
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.96
D
MetaRNN
Benign
0.0052
T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
1.6
L
PhyloP100
9.5
PrimateAI
Pathogenic
0.81
D
PROVEAN
Benign
-1.4
N
REVEL
Uncertain
0.47
Sift
Benign
0.12
T
Sift4G
Benign
0.19
T
Polyphen
0.95
P
Vest4
0.28
MutPred
0.52
Loss of ubiquitination at K771 (P = 0.0328);
MPC
0.39
ClinPred
0.033
T
GERP RS
5.9
Varity_R
0.33
gMVP
0.88
Mutation Taster
=74/26
polymorphism (auto)

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: rs16906628; hg19: chr11-20676319; COSMIC: COSV54230001; API