rs397516425

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM1PM2

The NM_000441.2(SLC26A4):​c.1996T>A​(p.Ser666Thr) variant causes a missense change. The variant allele was found at a frequency of 0.0000105 in 1,613,858 control chromosomes in the GnomAD database, with no homozygous occurrence. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000089 ( 0 hom. )

Consequence

SLC26A4
NM_000441.2 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:2

Conservation

PhyloP100: 4.13
Variant links:
Genes affected
SLC26A4 (HGNC:8818): (solute carrier family 26 member 4) Mutations in this gene are associated with Pendred syndrome, the most common form of syndromic deafness, an autosomal-recessive disease. It is highly homologous to the SLC26A3 gene; they have similar genomic structures and this gene is located 3' of the SLC26A3 gene. The encoded protein has homology to sulfate transporters. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM1
In a domain STAS (size 194) in uniprot entity S26A4_HUMAN there are 17 pathogenic changes around while only 4 benign (81%) in NM_000441.2
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SLC26A4NM_000441.2 linkc.1996T>A p.Ser666Thr missense_variant Exon 17 of 21 ENST00000644269.2 NP_000432.1 O43511-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SLC26A4ENST00000644269.2 linkc.1996T>A p.Ser666Thr missense_variant Exon 17 of 21 NM_000441.2 ENSP00000494017.1 O43511-1
SLC26A4ENST00000492030.2 linkn.283T>A non_coding_transcript_exon_variant Exon 2 of 6 5
SLC26A4ENST00000644846.1 linkn.706T>A non_coding_transcript_exon_variant Exon 7 of 10 ENSP00000494344.1 A0A2R8Y4W7
SLC26A4ENST00000480841.5 linkn.*135T>A downstream_gene_variant 3

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152206
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000588
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000119
AC:
3
AN:
251212
Hom.:
0
AF XY:
0.0000147
AC XY:
2
AN XY:
135762
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000264
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000889
AC:
13
AN:
1461652
Hom.:
0
Cov.:
31
AF XY:
0.0000151
AC XY:
11
AN XY:
727152
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000117
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152206
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74342
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000588
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000282
Hom.:
0
Bravo
AF:
0.0000227
ExAC
AF:
0.0000165
AC:
2
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Oct 05, 2010
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The Ser666Thr variant in SLC26A4 has not been reported in the literature nor pre viously identified by our laboratory. However, a different amino acid change at this location (Ser666Phe) has previously been reported to be pathogenic (Ishihar a 2010, Tsukamoto 2003), which increases the likelihood that this variant is als o pathogenic. However, computational analyses (PolyPhen, SIFT, AlignGVGD) sugges t this variant is less likely to impact to the protein though this information i s not very predictive of pathogenicity. This residue is conserved in mammals tho ugh not in lower species. In summary, the clinical significance of this variant cannot be determined with certainty at this time. -

Pendred syndrome Uncertain:1
Nov 11, 2019
Natera, Inc.
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.091
BayesDel_addAF
Benign
-0.0018
T
BayesDel_noAF
Benign
-0.18
CADD
Benign
21
DANN
Benign
0.95
DEOGEN2
Benign
0.38
T;T
Eigen
Benign
-0.10
Eigen_PC
Benign
0.087
FATHMM_MKL
Uncertain
0.88
D
LIST_S2
Benign
0.71
.;T
M_CAP
Benign
0.064
D
MetaRNN
Uncertain
0.55
D;D
MetaSVM
Uncertain
-0.027
T
MutationAssessor
Benign
0.95
L;L
PrimateAI
Uncertain
0.53
T
PROVEAN
Benign
-2.0
N;.
REVEL
Uncertain
0.34
Sift
Benign
0.21
T;.
Sift4G
Benign
0.26
T;.
Polyphen
0.43
B;B
Vest4
0.15
MutPred
0.78
Loss of catalytic residue at S666 (P = 0.2624);Loss of catalytic residue at S666 (P = 0.2624);
MVP
0.91
MPC
0.012
ClinPred
0.33
T
GERP RS
5.6
Varity_R
0.12
gMVP
0.65

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: rs397516425; hg19: chr7-107342464; API