rs61742739

Variant summary

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

The NM_003041.4(SLC5A2):​c.1961A>G​(p.Asn654Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00703 in 1,613,962 control chromosomes in the GnomAD database, including 65 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0051 ( 7 hom., cov: 33)
Exomes 𝑓: 0.0072 ( 58 hom. )

Consequence

SLC5A2
NM_003041.4 missense

Scores

2
10
7

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:5B:3

Conservation

PhyloP100: 6.19

Publications

29 publications found
Variant links:
Genes affected
SLC5A2 (HGNC:11037): (solute carrier family 5 member 2) This gene encodes a member of the sodium glucose cotransporter family which are sodium-dependent glucose transport proteins. The encoded protein is the major cotransporter involved in glucose reabsorption in the kidney. Mutations in this gene are associated with renal glucosuria. Two transcript variants, one protein-coding and one not, have been found for this gene. [provided by RefSeq, Feb 2015]
RUSF1 (HGNC:25848): (RUS family member 1) This gene encodes a putative transmembrane protein containing a conserved DUF647 domain that may be involved in protein-protein interaction. The encoded protein is related to a plant protein that participates in ultraviolet B light-sensing during root morphogenesis. [provided by RefSeq, Feb 2013]

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=0.010311753).
BP6
Variant 16-31490477-A-G is Benign according to our data. Variant chr16-31490477-A-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 12905.We mark this variant Likely_benign, oryginal submission is: [Conflicting_classifications_of_pathogenicity].
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00514 (783/152298) while in subpopulation NFE AF = 0.00765 (520/68014). AF 95% confidence interval is 0.0071. There are 7 homozygotes in GnomAd4. There are 368 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 7 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SLC5A2NM_003041.4 linkc.1961A>G p.Asn654Ser missense_variant Exon 14 of 14 ENST00000330498.4 NP_003032.1 P31639-1
RUSF1NM_022744.4 linkc.*358T>C 3_prime_UTR_variant Exon 13 of 13 ENST00000327237.7 NP_073581.2 Q96GQ5-1A0A024QZE6

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SLC5A2ENST00000330498.4 linkc.1961A>G p.Asn654Ser missense_variant Exon 14 of 14 1 NM_003041.4 ENSP00000327943.3 P31639-1
RUSF1ENST00000327237.7 linkc.*358T>C 3_prime_UTR_variant Exon 13 of 13 1 NM_022744.4 ENSP00000317579.2 Q96GQ5-1

Frequencies

GnomAD3 genomes
AF:
0.00515
AC:
783
AN:
152180
Hom.:
7
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00130
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00386
Gnomad ASJ
AF:
0.0369
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000847
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00764
Gnomad OTH
AF:
0.00621
GnomAD2 exomes
AF:
0.00560
AC:
1391
AN:
248370
AF XY:
0.00559
show subpopulations
Gnomad AFR exome
AF:
0.000743
Gnomad AMR exome
AF:
0.00226
Gnomad ASJ exome
AF:
0.0302
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00155
Gnomad NFE exome
AF:
0.00824
Gnomad OTH exome
AF:
0.00756
GnomAD4 exome
AF:
0.00722
AC:
10556
AN:
1461664
Hom.:
58
Cov.:
31
AF XY:
0.00693
AC XY:
5042
AN XY:
727104
show subpopulations
African (AFR)
AF:
0.000777
AC:
26
AN:
33476
American (AMR)
AF:
0.00295
AC:
132
AN:
44702
Ashkenazi Jewish (ASJ)
AF:
0.0306
AC:
799
AN:
26124
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39696
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86172
European-Finnish (FIN)
AF:
0.00182
AC:
97
AN:
53384
Middle Eastern (MID)
AF:
0.00121
AC:
7
AN:
5766
European-Non Finnish (NFE)
AF:
0.00815
AC:
9061
AN:
1111964
Other (OTH)
AF:
0.00715
AC:
432
AN:
60380
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
660
1319
1979
2638
3298
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
342
684
1026
1368
1710
<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:
0.00514
AC:
783
AN:
152298
Hom.:
7
Cov.:
33
AF XY:
0.00494
AC XY:
368
AN XY:
74482
show subpopulations
African (AFR)
AF:
0.00130
AC:
54
AN:
41560
American (AMR)
AF:
0.00386
AC:
59
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.0369
AC:
128
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5186
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.000847
AC:
9
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00765
AC:
520
AN:
68014
Other (OTH)
AF:
0.00615
AC:
13
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
44
88
133
177
221
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:
0.00827
Hom.:
11
Bravo
AF:
0.00584
TwinsUK
AF:
0.00539
AC:
20
ALSPAC
AF:
0.00649
AC:
25
ESP6500AA
AF:
0.00228
AC:
10
ESP6500EA
AF:
0.00942
AC:
81
ExAC
AF:
0.00523
AC:
635
Asia WGS
AF:
0.000577
AC:
3
AN:
3478
EpiCase
AF:
0.00769
EpiControl
AF:
0.00836

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:1Uncertain:5Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Familial renal glucosuria Pathogenic:1Uncertain:3Benign:1
Feb 01, 2004
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -

Jan 06, 2020
Reproductive Health Research and Development, BGI Genomics
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:curation

NM_003041.3:c.1961A>G in the SLC5A2 gene has an allele frequency of 0.03 in Ashkenazi Jewish subpopulation in the gnomAD database. Although 10 homozygous occurrences are observed in the gnomAD database, renal glucosuria is not lethal in young age. Therefore we did not count this as a strong benign evidence. One individual with renal glucosuria, was a compound heterozygote for this variant and p.Q167fsX186 mutation (PMID: 14614622). We interpret it as variant of uncertain significance (VUS). ACMG/AMP criteria applied: BS1; PM3. -

Aug 02, 2022
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:research

- -

Jun 11, 2020
Victorian Clinical Genetics Services, Murdoch Childrens Research Institute
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

A heterozygous missense variant was identified, NM_003041.3(SLC5A2):c.1961A>G in exon 14 of 14 of the SLC5A2 gene. This substitution is predicted to create a minor amino acid change from asparagine to serine at position 654 of the protein, NP_003032.1(SLC5A2):p.(Asn654Ser). The asparagine at this position has moderate conservation (100 vertebrates, UCSC), but is located within the SLC5sbd_SGLT2 domain. In silico software predictions of the pathogenicity of this variant are conflicting (Polyphen, SIFT, CADD, Mutation Taster). The variant is present in the gnomAD population database at a frequency of 0.54% (1489 heterozygotes, 10 homozygotes). The variant has been previously reported pathogenic in patients with renal glucosuria (ClinVar, Calado, J. et al. (2004)). Based on information available at the time of curation, this variant has been classified as LIKELY BENIGN. -

not provided Uncertain:1Benign:1
Jan 20, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Aug 07, 2024
GeneDx
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Observed in multiple individuals with glucosuria in the literature; the majority of these individuals had a second variant in the SLC5A2 gene, although it is not known whether the variants occurred on the same (in cis) or on opposite alleles (in trans) in some cases (PMID: 37349938, 15110322, 14614622, 18622023, 31672324; Moscoso J et al. (2023) International Journal of Medical Reviews and Case Reports. 7 (6):53-56 https://www.mdpub.net/?mno=152000); Identified as a single heterozygous variant in a patient with chronic kidney disease in the literature, however, additional clinical information was not provided (PMID: 33226606); 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: 34426522, 37516996, 18622023, Moscoso[article]2023, 25333069, 31672324, 14569097, 15110322, 30476936, 35982159, 33057194, 14614622, 33226606, 37349938, 37240725) -

not specified Uncertain:1
May 04, 2022
Mendelics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

SLC5A2-related disorder Benign:1
Dec 06, 2021
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.094
BayesDel_addAF
Benign
-0.26
T
BayesDel_noAF
Benign
-0.13
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.68
D
Eigen
Uncertain
0.49
Eigen_PC
Uncertain
0.52
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.82
T
M_CAP
Uncertain
0.27
D
MetaRNN
Benign
0.010
T
MetaSVM
Uncertain
0.66
D
MutationAssessor
Pathogenic
3.4
M
PhyloP100
6.2
PrimateAI
Uncertain
0.54
T
PROVEAN
Uncertain
-4.2
D
REVEL
Pathogenic
0.67
Sift
Benign
0.050
D
Sift4G
Uncertain
0.031
D
Polyphen
0.88
P
Vest4
0.27
MVP
0.98
MPC
0.49
ClinPred
0.079
T
GERP RS
5.3
Varity_R
0.28
gMVP
0.72
Mutation Taster
=89/11
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: rs61742739; hg19: chr16-31501798; API