rs572545726

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_003098.3(SNTA1):​c.221C>T​(p.Pro74Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00227 in 1,359,300 control chromosomes in the GnomAD database, including 8 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P74S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0019 ( 1 hom., cov: 31)
Exomes 𝑓: 0.0023 ( 7 hom. )

Consequence

SNTA1
NM_003098.3 missense

Scores

1
1
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:11

Conservation

PhyloP100: 2.61

Publications

8 publications found
Variant links:
Genes affected
SNTA1 (HGNC:11167): (syntrophin alpha 1) Syntrophins are cytoplasmic peripheral membrane scaffold proteins that are components of the dystrophin-associated protein complex. This gene is a member of the syntrophin gene family and encodes the most common syntrophin isoform found in cardiac tissues. The N-terminal PDZ domain of this syntrophin protein interacts with the C-terminus of the pore-forming alpha subunit (SCN5A) of the cardiac sodium channel Nav1.5. This protein also associates cardiac sodium channels with the nitric oxide synthase-PMCA4b (plasma membrane Ca-ATPase subtype 4b) complex in cardiomyocytes. This gene is a susceptibility locus for Long-QT syndrome (LQT) - an inherited disorder associated with sudden cardiac death from arrhythmia - and sudden infant death syndrome (SIDS). This protein also associates with dystrophin and dystrophin-related proteins at the neuromuscular junction and alters intracellular calcium ion levels in muscle tissue. [provided by RefSeq, Jan 2013]
SNTA1 Gene-Disease associations (from GenCC):
  • long QT syndrome 12
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • long QT syndrome
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.006747484).
BP6
Variant 20-33443400-G-A is Benign according to our data. Variant chr20-33443400-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 263476.
BS2
High AC in GnomAd4 at 296 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_003098.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SNTA1
NM_003098.3
MANE Select
c.221C>Tp.Pro74Leu
missense
Exon 1 of 8NP_003089.1Q13424-1
SNTA1
NM_001424413.1
c.221C>Tp.Pro74Leu
missense
Exon 1 of 8NP_001411342.1
SNTA1
NM_001424414.1
c.221C>Tp.Pro74Leu
missense
Exon 1 of 8NP_001411343.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SNTA1
ENST00000217381.3
TSL:1 MANE Select
c.221C>Tp.Pro74Leu
missense
Exon 1 of 8ENSP00000217381.2Q13424-1
SNTA1
ENST00000953204.1
c.221C>Tp.Pro74Leu
missense
Exon 1 of 9ENSP00000623263.1
SNTA1
ENST00000953205.1
c.221C>Tp.Pro74Leu
missense
Exon 1 of 9ENSP00000623264.1

Frequencies

GnomAD3 genomes
AF:
0.00195
AC:
296
AN:
151818
Hom.:
1
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000483
Gnomad AMI
AF:
0.0143
Gnomad AMR
AF:
0.00125
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000857
Gnomad MID
AF:
0.00641
Gnomad NFE
AF:
0.00337
Gnomad OTH
AF:
0.00144
GnomAD2 exomes
AF:
0.00217
AC:
43
AN:
19810
AF XY:
0.00226
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000631
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000632
Gnomad NFE exome
AF:
0.00409
Gnomad OTH exome
AF:
0.00194
GnomAD4 exome
AF:
0.00231
AC:
2786
AN:
1207374
Hom.:
7
Cov.:
31
AF XY:
0.00227
AC XY:
1344
AN XY:
590826
show subpopulations
African (AFR)
AF:
0.000422
AC:
10
AN:
23706
American (AMR)
AF:
0.000746
AC:
8
AN:
10724
Ashkenazi Jewish (ASJ)
AF:
0.000174
AC:
3
AN:
17270
East Asian (EAS)
AF:
0.00
AC:
0
AN:
26578
South Asian (SAS)
AF:
0.000551
AC:
29
AN:
52656
European-Finnish (FIN)
AF:
0.000907
AC:
26
AN:
28672
Middle Eastern (MID)
AF:
0.00241
AC:
8
AN:
3314
European-Non Finnish (NFE)
AF:
0.00261
AC:
2599
AN:
995370
Other (OTH)
AF:
0.00210
AC:
103
AN:
49084
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.487
Heterozygous variant carriers
0
138
276
414
552
690
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
106
212
318
424
530
<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:
0.00195
AC:
296
AN:
151926
Hom.:
1
Cov.:
31
AF XY:
0.00175
AC XY:
130
AN XY:
74260
show subpopulations
African (AFR)
AF:
0.000482
AC:
20
AN:
41514
American (AMR)
AF:
0.00125
AC:
19
AN:
15260
Ashkenazi Jewish (ASJ)
AF:
0.000288
AC:
1
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5140
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.000857
AC:
9
AN:
10504
Middle Eastern (MID)
AF:
0.00690
AC:
2
AN:
290
European-Non Finnish (NFE)
AF:
0.00337
AC:
229
AN:
67900
Other (OTH)
AF:
0.00142
AC:
3
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
14
29
43
58
72
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00244
Hom.:
0
Bravo
AF:
0.00179
ExAC
AF:
0.00103
AC:
37

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
2
Long QT syndrome 12 (3)
-
-
3
not specified (3)
-
-
2
not provided (2)
-
-
1
Cardiovascular phenotype (1)
-
-
1
Long QT syndrome (1)
-
-
1
SNTA1-related disorder (1)
-
-
1
Ventricular tachycardia (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.084
BayesDel_addAF
Benign
-0.52
T
BayesDel_noAF
Benign
-0.52
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Benign
0.26
T
Eigen
Benign
-0.70
Eigen_PC
Benign
-0.67
FATHMM_MKL
Benign
0.45
N
LIST_S2
Benign
0.53
T
MetaRNN
Benign
0.0067
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.4
L
PhyloP100
2.6
PrimateAI
Pathogenic
0.86
D
PROVEAN
Benign
-1.5
N
REVEL
Benign
0.055
Sift
Benign
0.032
D
Sift4G
Benign
0.24
T
Polyphen
0.0
B
Vest4
0.071
MVP
0.52
MPC
0.29
ClinPred
0.026
T
GERP RS
2.5
PromoterAI
-0.094
Neutral
Varity_R
0.053
gMVP
0.29
Mutation Taster
=81/19
polymorphism

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: rs572545726; hg19: chr20-32031206; API