rs2304479

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_001126108.2(SLC12A3):​c.366A>G​(p.Ala122Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0663 in 1,613,832 control chromosomes in the GnomAD database, including 5,515 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.062 ( 576 hom., cov: 33)
Exomes 𝑓: 0.067 ( 4939 hom. )

Consequence

SLC12A3
NM_001126108.2 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: -1.83

Publications

14 publications found
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]
SLC12A3 Gene-Disease associations (from GenCC):
  • Gitelman syndrome
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.85).
BP6
Variant 16-56867153-A-G is Benign according to our data. Variant chr16-56867153-A-G is described in ClinVar as Benign. ClinVar VariationId is 255892.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-1.83 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.285 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SLC12A3NM_001126108.2 linkc.366A>G p.Ala122Ala synonymous_variant Exon 2 of 26 ENST00000563236.6 NP_001119580.2 P55017-1
SLC12A3NM_000339.3 linkc.366A>G p.Ala122Ala synonymous_variant Exon 2 of 26 NP_000330.3 P55017-2
SLC12A3NM_001126107.2 linkc.363A>G p.Ala121Ala synonymous_variant Exon 2 of 26 NP_001119579.2 P55017-3
SLC12A3NM_001410896.1 linkc.363A>G p.Ala121Ala synonymous_variant Exon 2 of 26 NP_001397825.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SLC12A3ENST00000563236.6 linkc.366A>G p.Ala122Ala synonymous_variant Exon 2 of 26 1 NM_001126108.2 ENSP00000456149.2 P55017-1
SLC12A3ENST00000438926.6 linkc.366A>G p.Ala122Ala synonymous_variant Exon 2 of 26 1 ENSP00000402152.2 P55017-2
SLC12A3ENST00000566786.5 linkc.363A>G p.Ala121Ala synonymous_variant Exon 2 of 26 1 ENSP00000457552.1 P55017-3
SLC12A3ENST00000262502.5 linkc.363A>G p.Ala121Ala synonymous_variant Exon 2 of 26 5 ENSP00000262502.5 J3QSS1

Frequencies

GnomAD3 genomes
AF:
0.0618
AC:
9394
AN:
152118
Hom.:
578
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0200
Gnomad AMI
AF:
0.0560
Gnomad AMR
AF:
0.137
Gnomad ASJ
AF:
0.0351
Gnomad EAS
AF:
0.297
Gnomad SAS
AF:
0.123
Gnomad FIN
AF:
0.0441
Gnomad MID
AF:
0.0285
Gnomad NFE
AF:
0.0521
Gnomad OTH
AF:
0.0742
GnomAD2 exomes
AF:
0.0963
AC:
24050
AN:
249630
AF XY:
0.0935
show subpopulations
Gnomad AFR exome
AF:
0.0176
Gnomad AMR exome
AF:
0.207
Gnomad ASJ exome
AF:
0.0353
Gnomad EAS exome
AF:
0.304
Gnomad FIN exome
AF:
0.0463
Gnomad NFE exome
AF:
0.0485
Gnomad OTH exome
AF:
0.0696
GnomAD4 exome
AF:
0.0668
AC:
97585
AN:
1461596
Hom.:
4939
Cov.:
33
AF XY:
0.0684
AC XY:
49702
AN XY:
727092
show subpopulations
African (AFR)
AF:
0.0193
AC:
646
AN:
33480
American (AMR)
AF:
0.195
AC:
8704
AN:
44640
Ashkenazi Jewish (ASJ)
AF:
0.0328
AC:
857
AN:
26122
East Asian (EAS)
AF:
0.239
AC:
9490
AN:
39686
South Asian (SAS)
AF:
0.124
AC:
10716
AN:
86238
European-Finnish (FIN)
AF:
0.0456
AC:
2432
AN:
53348
Middle Eastern (MID)
AF:
0.0493
AC:
284
AN:
5766
European-Non Finnish (NFE)
AF:
0.0540
AC:
60064
AN:
1111932
Other (OTH)
AF:
0.0727
AC:
4392
AN:
60384
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.479
Heterozygous variant carriers
0
5312
10624
15935
21247
26559
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2544
5088
7632
10176
12720
<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:
0.0617
AC:
9397
AN:
152236
Hom.:
576
Cov.:
33
AF XY:
0.0662
AC XY:
4927
AN XY:
74438
show subpopulations
African (AFR)
AF:
0.0199
AC:
828
AN:
41550
American (AMR)
AF:
0.136
AC:
2087
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.0351
AC:
122
AN:
3472
East Asian (EAS)
AF:
0.297
AC:
1531
AN:
5156
South Asian (SAS)
AF:
0.124
AC:
600
AN:
4832
European-Finnish (FIN)
AF:
0.0441
AC:
468
AN:
10608
Middle Eastern (MID)
AF:
0.0306
AC:
9
AN:
294
European-Non Finnish (NFE)
AF:
0.0521
AC:
3542
AN:
68010
Other (OTH)
AF:
0.0753
AC:
159
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
448
896
1344
1792
2240
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
110
220
330
440
550
<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:
0.0553
Hom.:
431
Bravo
AF:
0.0677
Asia WGS
AF:
0.196
AC:
680
AN:
3478
EpiCase
AF:
0.0517
EpiControl
AF:
0.0504

ClinVar

Significance: Benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Familial hypokalemia-hypomagnesemia Benign:4
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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 benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Jul 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 29, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not specified Benign:3
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Aug 06, 2019
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.85
CADD
Benign
2.1
DANN
Benign
0.47
PhyloP100
-1.8
Mutation Taster
=100/0
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: rs2304479; hg19: chr16-56901065; COSMIC: COSV52638279; API