rs1805066

Variant summary

Our verdict is Benign. Variant got -15 ACMG points: 1P and 16B. PP2BP4_StrongBP6_Very_StrongBS2

The NM_001172501.3(SLC6A2):​c.733G>A​(p.Val245Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00879 in 1,614,014 control chromosomes in the GnomAD database, including 77 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 Benign (★★). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

Genomes: 𝑓 0.0060 ( 4 hom., cov: 33)
Exomes 𝑓: 0.0091 ( 73 hom. )

Consequence

SLC6A2
NM_001172501.3 missense

Scores

19

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 2.26
Variant links:
Genes affected
SLC6A2 (HGNC:11048): (solute carrier family 6 member 2) This gene encodes a member of the sodium:neurotransmitter symporter family. This member is a multi-pass membrane protein, which is responsible for reuptake of norepinephrine into presynaptic nerve terminals and is a regulator of norepinephrine homeostasis. Mutations in this gene cause orthostatic intolerance, a syndrome characterized by lightheadedness, fatigue, altered mentation and syncope. Alternatively spliced transcript variants encoding different isoforms have been identified in this gene.[provided by RefSeq, Feb 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -15 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), SLC6A2. . Gene score misZ 2.0193 (greater than the threshold 3.09). Trascript score misZ 3.3305 (greater than threshold 3.09). GenCC has associacion of gene with postural orthostatic tachycardia syndrome.
BP4
Computational evidence support a benign effect (MetaRNN=0.0048825443).
BP6
Variant 16-55685231-G-A is Benign according to our data. Variant chr16-55685231-G-A is described in ClinVar as [Benign]. Clinvar id is 769421.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 920 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SLC6A2NM_001172501.3 linkuse as main transcriptc.733G>A p.Val245Ile missense_variant 5/15 ENST00000568943.6 NP_001165972.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SLC6A2ENST00000568943.6 linkuse as main transcriptc.733G>A p.Val245Ile missense_variant 5/151 NM_001172501.3 ENSP00000457473 P1P23975-1

Frequencies

GnomAD3 genomes
AF:
0.00605
AC:
921
AN:
152196
Hom.:
4
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00171
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.00275
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00166
Gnomad FIN
AF:
0.00819
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0104
Gnomad OTH
AF:
0.00287
GnomAD3 exomes
AF:
0.00607
AC:
1525
AN:
251440
Hom.:
3
AF XY:
0.00603
AC XY:
819
AN XY:
135886
show subpopulations
Gnomad AFR exome
AF:
0.00185
Gnomad AMR exome
AF:
0.00165
Gnomad ASJ exome
AF:
0.000496
Gnomad EAS exome
AF:
0.000652
Gnomad SAS exome
AF:
0.00127
Gnomad FIN exome
AF:
0.00905
Gnomad NFE exome
AF:
0.0100
Gnomad OTH exome
AF:
0.00799
GnomAD4 exome
AF:
0.00908
AC:
13273
AN:
1461700
Hom.:
73
Cov.:
32
AF XY:
0.00880
AC XY:
6400
AN XY:
727154
show subpopulations
Gnomad4 AFR exome
AF:
0.00149
Gnomad4 AMR exome
AF:
0.00177
Gnomad4 ASJ exome
AF:
0.000383
Gnomad4 EAS exome
AF:
0.000227
Gnomad4 SAS exome
AF:
0.00161
Gnomad4 FIN exome
AF:
0.0107
Gnomad4 NFE exome
AF:
0.0108
Gnomad4 OTH exome
AF:
0.00757
GnomAD4 genome
AF:
0.00604
AC:
920
AN:
152314
Hom.:
4
Cov.:
33
AF XY:
0.00564
AC XY:
420
AN XY:
74476
show subpopulations
Gnomad4 AFR
AF:
0.00171
Gnomad4 AMR
AF:
0.00274
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00166
Gnomad4 FIN
AF:
0.00819
Gnomad4 NFE
AF:
0.0104
Gnomad4 OTH
AF:
0.00284
Alfa
AF:
0.00840
Hom.:
7
Bravo
AF:
0.00534
TwinsUK
AF:
0.0105
AC:
39
ALSPAC
AF:
0.0127
AC:
49
ESP6500AA
AF:
0.00159
AC:
7
ESP6500EA
AF:
0.00907
AC:
78
ExAC
AF:
0.00609
AC:
739
Asia WGS
AF:
0.00115
AC:
4
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 31, 2019- -
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenDec 01, 2022SLC6A2: BP4, BS1, BS2 -
SLC6A2-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesMay 07, 2019This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.080
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
16
DANN
Benign
0.93
DEOGEN2
Benign
0.090
T;.;T;T;T;.;T;.
Eigen
Benign
-0.85
Eigen_PC
Benign
-0.70
FATHMM_MKL
Benign
0.74
D
LIST_S2
Benign
0.75
.;T;T;T;T;T;T;T
M_CAP
Benign
0.016
T
MetaRNN
Benign
0.0049
T;T;T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.72
N;.;.;N;.;N;.;.
MutationTaster
Benign
1.0
N;N;N;N;N;N;N
PrimateAI
Benign
0.32
T
PROVEAN
Benign
0.47
N;N;N;N;N;N;N;N
REVEL
Benign
0.14
Sift
Benign
0.42
T;T;T;T;T;T;T;T
Sift4G
Benign
0.47
T;T;T;T;T;T;T;T
Polyphen
0.0
B;.;.;B;.;.;.;.
Vest4
0.21
MVP
0.64
MPC
0.59
ClinPred
0.0021
T
GERP RS
3.3
Varity_R
0.037
gMVP
0.45

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs1805066; hg19: chr16-55719143; COSMIC: COSV54924729; API