rs386833823
Variant summary
Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PP3_StrongPP5_Very_Strong
The NM_003982.4(SLC7A7):c.713C>T(p.Ser238Phe) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000743 in 1,614,044 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 Likely pathogenic (★★).
Frequency
Consequence
NM_003982.4 missense
Scores
Clinical Significance
Conservation
Publications
- lysinuric protein intoleranceInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: PanelApp Australia, Orphanet, Labcorp Genetics (formerly Invitae), ClinGen, Ambry Genetics
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ACMG classification
Our verdict: Pathogenic. The variant received 12 ACMG points.
Variant Effect in Transcripts
ACMG analysis was done for transcript: NM_003982.4. You can select a different transcript below to see updated ACMG assignments.
RefSeq Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| SLC7A7 | NM_003982.4 | MANE Select | c.713C>T | p.Ser238Phe | missense | Exon 4 of 10 | NP_003973.3 | ||
| SLC7A7 | NM_001126105.3 | c.713C>T | p.Ser238Phe | missense | Exon 5 of 11 | NP_001119577.1 | |||
| SLC7A7 | NM_001126106.4 | c.713C>T | p.Ser238Phe | missense | Exon 5 of 11 | NP_001119578.1 |
Ensembl Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| SLC7A7 | ENST00000674313.1 | MANE Select | c.713C>T | p.Ser238Phe | missense | Exon 4 of 10 | ENSP00000501493.1 | ||
| SLC7A7 | ENST00000397528.8 | TSL:1 | c.713C>T | p.Ser238Phe | missense | Exon 5 of 11 | ENSP00000380662.4 | ||
| SLC7A7 | ENST00000397529.6 | TSL:1 | c.713C>T | p.Ser238Phe | missense | Exon 4 of 10 | ENSP00000380663.2 |
Frequencies
GnomAD3 genomes AF: 0.00000657 AC: 1AN: 152170Hom.: 0 Cov.: 32 show subpopulations
GnomAD4 exome AF: 0.00000752 AC: 11AN: 1461874Hom.: 0 Cov.: 31 AF XY: 0.00000413 AC XY: 3AN XY: 727240 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.00000657 AC: 1AN: 152170Hom.: 0 Cov.: 32 AF XY: 0.0000135 AC XY: 1AN XY: 74348 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Lysinuric protein intolerance Pathogenic:6
Variant summary: SLC7A7 c.713C>T (p.Ser238Phe) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant was absent in 251476 control chromosomes (gnomAD). c.713C>T has been reported in the literature in multiple individuals affected with Lysinuric Protein Intolerance (e.g. Shoji_2002). These data indicate that the variant is very likely to be associated with disease. The following publication has been ascertained in the context of this evaluation (PMID: 12402335). ClinVar contains an entry for this variant (Variation ID: 56376). Based on the evidence outlined above, the variant was classified as pathogenic.
This sequence change replaces serine, which is neutral and polar, with phenylalanine, which is neutral and non-polar, at codon 238 of the SLC7A7 protein (p.Ser238Phe). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individual(s) with lysinuric protein intolerance (PMID: 12402335, 31427715). It is commonly reported in individuals of Japanese ancestry (PMID: 26865117). ClinVar contains an entry for this variant (Variation ID: 56376). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be tolerated. For these reasons, this variant has been classified as Pathogenic.
Same nucleotide change resulting in same amino acid change has been previously reported as pathogenic/likely pathogeic with strong evidence (ClinVar ID: VCV000056376.3, PMID:26865117, PS1). It is not observed in the gnomAD v2.1.1 dataset (PM2). The variant has been reported to be located within a uniparental isodisomy (UPD) region of maternal chromosome 6 and (PMID: 31427715), and each parent has also been observed to be heterozygous for the variant (PMID 12402335, PM3). In silico tool predictions suggest damaging effect of the variant on gene or gene product (REVEL: 0.959, 3Cnet: 0.883, PP3). Patient's phenotype is considered compatible with Lysinuric protein intolerance (3billion dataset, PP4). Therefore, this variant is classified as pathogenic according to the recommendation of ACMG/AMP guideline.
not provided Pathogenic:1
Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 16966712, 32901917, 31427715, 26865117, Seo2019[preprint], 12402335, 17764084)
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at