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rs193920818

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PP3_Moderate

The NM_003041.4(SLC5A2):c.395G>A(p.Arg132His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000992 in 1,613,116 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 12/20 in silico tools predict a damaging 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. R132S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000089 ( 0 hom. )

Consequence

SLC5A2
NM_003041.4 missense

Scores

12
3
2

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 9.99
Variant links:
Genes affected
SLC5A2 (HGNC:11037): (solute carrier family 5 member 2) This gene encodes a member of the sodium glucose cotransporter family which are sodium-dependent glucose transport proteins. The encoded protein is the major cotransporter involved in glucose reabsorption in the kidney. Mutations in this gene are associated with renal glucosuria. Two transcript variants, one protein-coding and one not, have been found for this gene. [provided by RefSeq, Feb 2015]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.926

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SLC5A2NM_003041.4 linkuse as main transcriptc.395G>A p.Arg132His missense_variant 4/14 ENST00000330498.4
SLC5A2XM_006721072.5 linkuse as main transcriptc.395G>A p.Arg132His missense_variant 4/13
SLC5A2XM_024450402.2 linkuse as main transcriptc.395G>A p.Arg132His missense_variant 4/11
SLC5A2NR_130783.2 linkuse as main transcriptn.409G>A non_coding_transcript_exon_variant 4/12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SLC5A2ENST00000330498.4 linkuse as main transcriptc.395G>A p.Arg132His missense_variant 4/141 NM_003041.4 P1P31639-1
SLC5A2ENST00000419665.6 linkuse as main transcriptc.395G>A p.Arg132His missense_variant, NMD_transcript_variant 4/121 P31639-2
SLC5A2ENST00000569576.5 linkuse as main transcriptc.266G>A p.Arg89His missense_variant 4/54
SLC5A2ENST00000565446.1 linkuse as main transcriptn.269G>A non_coding_transcript_exon_variant 2/35

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152232
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
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
GnomAD3 exomes
AF:
0.0000200
AC:
5
AN:
250212
Hom.:
0
AF XY:
0.0000221
AC XY:
3
AN XY:
135440
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000116
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000890
AC:
13
AN:
1460884
Hom.:
0
Cov.:
31
AF XY:
0.0000138
AC XY:
10
AN XY:
726806
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.0000671
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000348
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000450
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000197
AC:
3
AN:
152232
Hom.:
0
Cov.:
32
AF XY:
0.0000269
AC XY:
2
AN XY:
74368
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000196
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
Alfa
AF:
0.0000324
Hom.:
0
Bravo
AF:
0.0000113
ExAC
AF:
0.0000165
AC:
2

ClinVar

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

Submissions by phenotype

Familial renal glucosuria Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityAug 01, 2019- -
SLC5A2-related condition Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesOct 11, 2023The SLC5A2 c.395G>A variant is predicted to result in the amino acid substitution p.Arg132His. This variant was reported with a second SLC5A2 variant in an individual with glucosuria and inherited from an apparently unaffected mother (Calado et al 2006. PubMed ID: 16518345). This variant was also reported in an adult male with incidental glucosuria that was otherwise healthy (Kim KM et al 2016. PubMed ID: 28275387). The c.395G>A variant was also reported in a child and father with glucosuria, suggesting possible autosomal dominant inheritance (Yu L. et al. 2020. PubMed ID: 32111189). A different amino acid substitution at this position (p.Arg132Cys) has also been reported with a second SLC5A2 variant in at least two individuals with glucosuria (Wang et al. 2018. PubMed ID: 30593819; Hureaux et al. 2019. PubMed ID: 31672324). This variant is reported in 0.017% of alleles in individuals of Latino descent in gnomAD (http://gnomad.broadinstitute.org/variant/16-31497141-G-A). Although we suspect this variant could be pathogenic, at this time, the clinical significance and mode of inheritance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
Malignant tumor of prostate Uncertain:1
Uncertain significance, no assertion criteria providedliterature onlyScience for Life laboratory, Karolinska Institutet-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.94
BayesDel_addAF
Pathogenic
0.40
D
BayesDel_noAF
Pathogenic
0.56
Cadd
Pathogenic
33
Dann
Pathogenic
1.0
DEOGEN2
Benign
0.27
T;D
Eigen
Pathogenic
0.92
Eigen_PC
Pathogenic
0.81
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Uncertain
0.97
D;D
M_CAP
Pathogenic
0.61
D
MetaRNN
Pathogenic
0.93
D;D
MetaSVM
Pathogenic
1.1
D
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.68
T
PROVEAN
Pathogenic
-5.0
D;D
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
1.0
.;D
Vest4
0.97
MVP
1.0
MPC
0.94
ClinPred
1.0
D
GERP RS
4.8
Varity_R
0.88
gMVP
0.94

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs193920818; hg19: chr16-31497141; COSMIC: COSV57894915; COSMIC: COSV57894915; API