rs753614790

Variant summary

Our verdict is Uncertain significance. The variant received 3 ACMG points: 3P and 0B. PM2PP3

The NM_001127715.4(STXBP5):​c.590C>G​(p.Pro197Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000712 in 1,403,594 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P197L) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 7.1e-7 ( 0 hom. )

Consequence

STXBP5
NM_001127715.4 missense

Scores

8
7
3

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 7.50

Publications

0 publications found
Variant links:
Genes affected
STXBP5 (HGNC:19665): (syntaxin binding protein 5) Syntaxin 1 is a component of the 7S and 20S SNARE complexes which are involved in docking and fusion of synaptic vesicles with the presynaptic plasma membrane. This gene encodes a syntaxin 1 binding protein. In rat, a similar protein dissociates syntaxin 1 from the Munc18/n-Sec1/rbSec1 complex to form a 10S complex, an intermediate which can be converted to the 7S SNARE complex. Thus this protein is thought to be involved in neurotransmitter release by stimulating SNARE complex formation. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.84

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001127715.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
STXBP5
NM_001127715.4
MANE Select
c.590C>Gp.Pro197Arg
missense
Exon 6 of 28NP_001121187.1Q5T5C0-1
STXBP5
NM_001394409.1
c.590C>Gp.Pro197Arg
missense
Exon 6 of 27NP_001381338.1H0Y332
STXBP5
NM_139244.6
c.590C>Gp.Pro197Arg
missense
Exon 6 of 26NP_640337.3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
STXBP5
ENST00000321680.11
TSL:5 MANE Select
c.590C>Gp.Pro197Arg
missense
Exon 6 of 28ENSP00000321826.6Q5T5C0-1
STXBP5
ENST00000367481.7
TSL:1
c.590C>Gp.Pro197Arg
missense
Exon 6 of 26ENSP00000356451.3Q5T5C0-2
STXBP5
ENST00000546097.5
TSL:1
c.698C>Gp.Pro233Arg
missense
Exon 6 of 10ENSP00000441479.2F6VFW0

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
7.12e-7
AC:
1
AN:
1403594
Hom.:
0
Cov.:
28
AF XY:
0.00000144
AC XY:
1
AN XY:
696770
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
30250
American (AMR)
AF:
0.0000291
AC:
1
AN:
34308
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24800
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36446
South Asian (SAS)
AF:
0.00
AC:
0
AN:
73650
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52142
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5310
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1088962
Other (OTH)
AF:
0.00
AC:
0
AN:
57726
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.275
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
Cov.:
32

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.61
BayesDel_addAF
Pathogenic
0.35
D
BayesDel_noAF
Pathogenic
0.26
CADD
Pathogenic
28
DANN
Uncertain
1.0
DEOGEN2
Benign
0.098
T
Eigen
Pathogenic
0.78
Eigen_PC
Pathogenic
0.76
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.97
D
M_CAP
Uncertain
0.14
D
MetaRNN
Pathogenic
0.84
D
MetaSVM
Benign
-0.29
T
MutationAssessor
Uncertain
2.1
M
PhyloP100
7.5
PrimateAI
Uncertain
0.74
T
PROVEAN
Pathogenic
-6.6
D
REVEL
Uncertain
0.48
Sift
Benign
0.10
T
Sift4G
Uncertain
0.0090
D
Polyphen
1.0
D
Vest4
0.94
MutPred
0.46
Gain of methylation at P197 (P = 0.0263)
MVP
0.45
MPC
0.83
ClinPred
1.0
D
GERP RS
5.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.79
gMVP
0.62
Mutation Taster
=37/63
disease causing

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: rs753614790; hg19: chr6-147583449; API