rs558960349

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 2P and 5B. PM2BP4_StrongBS1_Supporting

The NM_001379110.1(SLC9A6):​c.1873A>G​(p.Ser625Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000331 in 1,209,642 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.0000018 ( 0 hom. 1 hem. )

Consequence

SLC9A6
NM_001379110.1 missense

Scores

17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.783
Variant links:
Genes affected
SLC9A6 (HGNC:11079): (solute carrier family 9 member A6) This gene encodes a sodium-hydrogen exchanger that is amember of the solute carrier family 9. The encoded protein localizes to early and recycling endosomes and may be involved in regulating endosomal pH and volume. Defects in this gene are associated with X-linked syndromic cognitive disability, Christianson type. Alternate splicing results in multiple transcript variants.[provided by RefSeq, Apr 2010]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.05008927).
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.0000179 (2/111780) while in subpopulation AMR AF= 0.00019 (2/10532). AF 95% confidence interval is 0.0000333. There are 0 homozygotes in gnomad4. There are 0 alleles in male gnomad4 subpopulation. Median coverage is 22. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SLC9A6NM_001379110.1 linkc.1873A>G p.Ser625Gly missense_variant Exon 18 of 18 ENST00000630721.3 NP_001366039.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SLC9A6ENST00000630721.3 linkc.1873A>G p.Ser625Gly missense_variant Exon 18 of 18 4 NM_001379110.1 ENSP00000487486.2 A0A0D9SGH0
SLC9A6ENST00000370695.8 linkc.1939A>G p.Ser647Gly missense_variant Exon 16 of 16 1 ENSP00000359729.4 Q92581-2
SLC9A6ENST00000370698.7 linkc.1843A>G p.Ser615Gly missense_variant Exon 16 of 16 1 ENSP00000359732.3 Q92581-1
SLC9A6ENST00000370701.6 linkc.1783A>G p.Ser595Gly missense_variant Exon 17 of 17 1 ENSP00000359735.1 Q92581-3

Frequencies

GnomAD3 genomes
AF:
0.0000179
AC:
2
AN:
111726
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33890
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000190
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:
0.0000109
AC:
2
AN:
183365
Hom.:
0
AF XY:
0.0000147
AC XY:
1
AN XY:
67831
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000729
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000182
AC:
2
AN:
1097862
Hom.:
0
Cov.:
30
AF XY:
0.00000275
AC XY:
1
AN XY:
363222
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000568
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000179
AC:
2
AN:
111780
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33954
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000190
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

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Christianson syndrome Uncertain:1
Aug 10, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Not Available"; PolyPhen-2: "Benign"; Align-GVGD: "Not Available". The glycine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. ClinVar contains an entry for this variant (Variation ID: 537363). This variant has not been reported in the literature in individuals affected with SLC9A6-related conditions. This variant is present in population databases (rs558960349, gnomAD 0.008%), including at least one homozygous and/or hemizygous individual. This sequence change replaces serine, which is neutral and polar, with glycine, which is neutral and non-polar, at codon 615 of the SLC9A6 protein (p.Ser615Gly). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.055
BayesDel_addAF
Benign
-0.63
T
BayesDel_noAF
Benign
-0.96
CADD
Benign
2.6
DANN
Benign
0.79
DEOGEN2
Benign
0.12
.;.;.;.;.;.;.;T;.;T
FATHMM_MKL
Benign
0.15
N
LIST_S2
Benign
0.54
.;.;T;.;.;T;T;T;T;T
M_CAP
Benign
0.020
T
MetaRNN
Benign
0.050
T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.28
.;.;.;.;.;.;.;N;.;.
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-0.56
.;.;.;.;.;N;N;N;.;.
REVEL
Benign
0.044
Sift
Benign
0.49
.;.;.;.;.;T;T;T;.;.
Sift4G
Benign
0.46
.;.;.;.;.;T;T;T;.;.
Polyphen
0.0, 0.0010
.;.;.;.;.;.;B;B;.;.
Vest4
0.062, 0.049
MutPred
0.24
.;.;.;.;.;.;.;Loss of phosphorylation at S615 (P = 0.029);.;.;
MVP
0.14
MPC
0.95
ClinPred
0.018
T
GERP RS
1.9
Varity_R
0.047
gMVP
0.29

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs558960349; hg19: chrX-135126716; API