rs764545993

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BS1_Supporting

The NM_001363118.2(SLC52A2):​c.863C>T​(p.Ala288Val) variant causes a missense change. The variant allele was found at a frequency of 0.000223 in 1,608,548 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000098 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00024 ( 0 hom. )

Consequence

SLC52A2
NM_001363118.2 missense

Scores

10
8

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 4.89
Variant links:
Genes affected
SLC52A2 (HGNC:30224): (solute carrier family 52 member 2) This gene encodes a membrane protein which belongs to the riboflavin transporter family. In humans, riboflavin must be obtained by intestinal absorption because it cannot be synthesized by the body. The water-soluble vitamin riboflavin is processed to the coenzymes flavin mononucleotide (FMN) and flavin adenine dinucleotide (FAD) which then act as intermediaries in many cellular metabolic reactions. Paralogous members of the riboflavin transporter gene family are located on chromosomes 17 and 20. Unlike other members of this family, this gene has higher expression in brain tissue than small intestine. Alternative splicing of this gene results in multiple transcript variants encoding the same protein. Mutations in this gene have been associated with Brown-Vialetto-Van Laere syndrome 2 - an autosomal recessive progressive neurologic disorder characterized by deafness, bulbar dysfunction, and axial and limb hypotonia. [provided by RefSeq, Jul 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BS1
Variant frequency is greater than expected in population nfe. gnomad4_exome allele frequency = 0.000236 (343/1456170) while in subpopulation NFE AF= 0.000293 (326/1111976). AF 95% confidence interval is 0.000266. There are 0 homozygotes in gnomad4_exome. There are 149 alleles in male gnomad4_exome subpopulation. Median coverage is 31. 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/exons MANE Protein UniProt
SLC52A2NM_001363118.2 linkuse as main transcriptc.863C>T p.Ala288Val missense_variant 3/5 ENST00000643944.2 NP_001350047.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SLC52A2ENST00000643944.2 linkuse as main transcriptc.863C>T p.Ala288Val missense_variant 3/5 NM_001363118.2 ENSP00000496184.2 Q9HAB3

Frequencies

GnomAD3 genomes
AF:
0.0000985
AC:
15
AN:
152260
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000482
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000327
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000103
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000109
AC:
27
AN:
246650
Hom.:
0
AF XY:
0.0000895
AC XY:
12
AN XY:
134052
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000869
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000545
Gnomad SAS exome
AF:
0.0000653
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000186
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000236
AC:
343
AN:
1456170
Hom.:
0
Cov.:
31
AF XY:
0.000206
AC XY:
149
AN XY:
724598
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000671
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000464
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000293
Gnomad4 OTH exome
AF:
0.000166
GnomAD4 genome
AF:
0.0000984
AC:
15
AN:
152378
Hom.:
0
Cov.:
33
AF XY:
0.000148
AC XY:
11
AN XY:
74524
show subpopulations
Gnomad4 AFR
AF:
0.0000481
Gnomad4 AMR
AF:
0.000327
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000103
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000139
Hom.:
0
Bravo
AF:
0.0000907
ExAC
AF:
0.0000741
AC:
9
EpiCase
AF:
0.000273
EpiControl
AF:
0.000237

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Brown-Vialetto-van Laere syndrome 2 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJul 07, 2022This sequence change replaces alanine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 288 of the SLC52A2 protein (p.Ala288Val). This variant is present in population databases (rs764545993, gnomAD 0.02%). This missense change has been observed in individual(s) with Brown-Vialetto-Van Laere syndrome (PMID: 29053833). ClinVar contains an entry for this variant (Variation ID: 540431). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt SLC52A2 protein function. 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. -
Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJan 21, 2021The p.A288V variant (also known as c.863C>T), located in coding exon 2 of the SLC52A2 gene, results from a C to T substitution at nucleotide position 863. The alanine at codon 288 is replaced by valine, an amino acid with similar properties. This alteration has been reported in the compound heterozygous state in individuals diagnosed with Brown-Vialetto-Van Laere syndrome (Cotti Piccinelli S et al. Neurol Sci, 2020 Nov; Manole A et al. Brain, 2017 11;140:2820-2837).This amino acid position is well conserved in available vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxSep 05, 2023Identified in an adult with sensorineural hearing loss, optic atrophy, upper and lower extremity weakness, unsteadiness, dysphagia, difficulty chewing, and difficulty breathing who also harbored a second SLC52A2 variant (PMID: 29053833); Identified by whole exome sequencing in an adult with severe hearing loss, chronic respiratory failure and optic atrophy since childhood (PMID: 33201363); 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: 29053833, 33201363) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Benign
-0.20
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.49
T;T;.;T;T;T;T
Eigen
Benign
0.025
Eigen_PC
Benign
-0.15
FATHMM_MKL
Uncertain
0.85
D
M_CAP
Uncertain
0.27
D
MetaRNN
Uncertain
0.43
T;T;T;T;T;T;T
MetaSVM
Benign
-0.57
T
MutationAssessor
Uncertain
2.9
M;M;.;M;M;M;M
PrimateAI
Uncertain
0.66
T
PROVEAN
Uncertain
-3.3
D;D;D;D;D;D;.
REVEL
Benign
0.29
Sift
Uncertain
0.022
D;D;D;D;D;D;.
Sift4G
Uncertain
0.0040
D;D;D;D;D;D;.
Polyphen
0.96
D;D;.;D;D;D;D
Vest4
0.67
MVP
0.60
MPC
0.54
ClinPred
0.51
D
GERP RS
0.88
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.24
gMVP
0.68

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

LitVar

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

Other links and lift over

dbSNP: rs764545993; hg19: chr8-145584015; COSMIC: COSV57352073; COSMIC: COSV57352073; API