rs61734338

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_006996.3(SLC19A2):​c.824G>T​(p.Arg275Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000175 in 1,613,916 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 17/22 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. R275C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00083 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00011 ( 2 hom. )

Consequence

SLC19A2
NM_006996.3 missense

Scores

19

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:2

Conservation

PhyloP100: 0.835

Publications

4 publications found
Variant links:
Genes affected
SLC19A2 (HGNC:10938): (solute carrier family 19 member 2) This gene encodes the thiamin transporter protein. Mutations in this gene cause thiamin-responsive megaloblastic anemia syndrome (TRMA), which is an autosomal recessive disorder characterized by diabetes mellitus, megaloblastic anemia and sensorineural deafness. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Feb 2016]
SLC19A2 Gene-Disease associations (from GenCC):
  • thiamine-responsive megaloblastic anemia syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet, PanelApp Australia, Genomics England PanelApp

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0074035227).
BP6
Variant 1-169470170-C-A is Benign according to our data. Variant chr1-169470170-C-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 393365.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.000828 (126/152232) while in subpopulation AFR AF = 0.00294 (122/41538). AF 95% confidence interval is 0.00251. There are 0 homozygotes in GnomAd4. There are 63 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SLC19A2NM_006996.3 linkc.824G>T p.Arg275Leu missense_variant Exon 3 of 6 ENST00000236137.10 NP_008927.1 O60779-1A0A024R928
SLC19A2NM_001319667.1 linkc.221G>T p.Arg74Leu missense_variant Exon 2 of 5 NP_001306596.1 O60779-2A0A024R8Y5

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SLC19A2ENST00000236137.10 linkc.824G>T p.Arg275Leu missense_variant Exon 3 of 6 1 NM_006996.3 ENSP00000236137.5 O60779-1
SLC19A2ENST00000367804.4 linkc.221G>T p.Arg74Leu missense_variant Exon 2 of 5 1 ENSP00000356778.3 O60779-2
SLC19A2ENST00000646596.1 linkc.824G>T p.Arg275Leu missense_variant Exon 3 of 6 ENSP00000494404.1 A0A2R8Y5B5

Frequencies

GnomAD3 genomes
AF:
0.000828
AC:
126
AN:
152114
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00295
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000262
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
GnomAD2 exomes
AF:
0.000267
AC:
67
AN:
251252
AF XY:
0.000177
show subpopulations
Gnomad AFR exome
AF:
0.00363
Gnomad AMR exome
AF:
0.000232
Gnomad ASJ exome
AF:
0.00
Gnomad EAS 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:
0.000107
AC:
157
AN:
1461684
Hom.:
2
Cov.:
32
AF XY:
0.0000963
AC XY:
70
AN XY:
727138
show subpopulations
African (AFR)
AF:
0.00379
AC:
127
AN:
33466
American (AMR)
AF:
0.000313
AC:
14
AN:
44690
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26130
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39698
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86254
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53414
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
8.99e-7
AC:
1
AN:
1111872
Other (OTH)
AF:
0.000232
AC:
14
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.464
Heterozygous variant carriers
0
9
18
28
37
46
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome 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
GnomAD4 genome
AF:
0.000828
AC:
126
AN:
152232
Hom.:
0
Cov.:
32
AF XY:
0.000847
AC XY:
63
AN XY:
74424
show subpopulations
African (AFR)
AF:
0.00294
AC:
122
AN:
41538
American (AMR)
AF:
0.000262
AC:
4
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5186
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10608
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68010
Other (OTH)
AF:
0.00
AC:
0
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
6
12
18
24
30
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000368
Hom.:
0
Bravo
AF:
0.00117
ESP6500AA
AF:
0.00363
AC:
16
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000362
AC:
44

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Benign:2
Jan 23, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 15, 2021
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Monogenic diabetes Uncertain:1
Oct 13, 2017
Personalized Diabetes Medicine Program, University of Maryland School of Medicine
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:research

ACMG criteria: PP3 (2 predictors), BP4 (9 predictors)=VUS -

Megaloblastic anemia, thiamine-responsive, with diabetes mellitus and sensorineural deafness Uncertain:1
Mar 01, 2022
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The SLC19A2 c.824G>T; p.Arg275Leu variant (rs61734338), to our knowledge, is not reported in the medical literature but is reported in ClinVar (Variation ID: 393365). This variant is found in the African/African-American population with an allele frequency of 0.34% (84/24956 alleles, including a single homozygote) in the Genome Aggregation Database. The arginine at codon 275 is weakly conserved, and computational analyses are uncertain whether this variant is neutral or deleterious (REVEL: 0.228). While the high population frequency suggests that this is likely a benign variant, given the lack of clinical and functional data, the significance of this variant is uncertain at this time. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.095
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.31
CADD
Benign
14
DANN
Benign
0.97
DEOGEN2
Benign
0.12
T;.;T;.
Eigen
Benign
-0.93
Eigen_PC
Benign
-0.75
FATHMM_MKL
Benign
0.13
N
LIST_S2
Benign
0.77
T;T;.;T
M_CAP
Benign
0.019
T
MetaRNN
Benign
0.0074
T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
-0.43
N;.;N;.
PhyloP100
0.83
PrimateAI
Benign
0.35
T
PROVEAN
Benign
-0.080
N;N;.;.
REVEL
Benign
0.23
Sift
Benign
0.69
T;T;.;.
Sift4G
Benign
0.40
T;T;.;.
Polyphen
0.0
B;B;B;.
Vest4
0.30
MVP
0.38
MPC
0.21
ClinPred
0.026
T
GERP RS
1.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.056
gMVP
0.46
Mutation Taster
=87/13
polymorphism

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

Other links and lift over

dbSNP: rs61734338; hg19: chr1-169439408; API