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rs782028471

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_005629.4(SLC6A8):c.1627G>A(p.Glu543Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000273 in 1,209,700 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 12 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E543Q) has been classified as Benign.

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 1 hem., cov: 25)
Exomes 𝑓: 0.000028 ( 0 hom. 11 hem. )

Consequence

SLC6A8
NM_005629.4 missense

Scores

1
16

Clinical Significance

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

Conservation

PhyloP100: 0.537
Variant links:
Genes affected
SLC6A8 (HGNC:11055): (solute carrier family 6 member 8) The protein encoded by this gene is a plasma membrane protein whose function is to transport creatine into and out of cells. Defects in this gene can result in X-linked creatine deficiency syndrome. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.089541465).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SLC6A8NM_005629.4 linkuse as main transcriptc.1627G>A p.Glu543Lys missense_variant 12/13 ENST00000253122.10
SLC6A8NM_001142805.2 linkuse as main transcriptc.1597G>A p.Glu533Lys missense_variant 12/13
SLC6A8NM_001142806.1 linkuse as main transcriptc.1282G>A p.Glu428Lys missense_variant 12/13

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SLC6A8ENST00000253122.10 linkuse as main transcriptc.1627G>A p.Glu543Lys missense_variant 12/131 NM_005629.4 P1P48029-1
SLC6A8ENST00000430077.6 linkuse as main transcriptc.1282G>A p.Glu428Lys missense_variant 12/132 P48029-4
SLC6A8ENST00000485324.1 linkuse as main transcriptn.1934G>A non_coding_transcript_exon_variant 5/62

Frequencies

GnomAD3 genomes
AF:
0.0000178
AC:
2
AN:
112486
Hom.:
0
Cov.:
25
AF XY:
0.0000288
AC XY:
1
AN XY:
34678
show subpopulations
Gnomad AFR
AF:
0.0000323
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000110
AC:
2
AN:
182609
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
67637
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000724
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000123
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000283
AC:
31
AN:
1097214
Hom.:
0
Cov.:
38
AF XY:
0.0000303
AC XY:
11
AN XY:
362958
show subpopulations
Gnomad4 AFR exome
AF:
0.0000379
Gnomad4 AMR exome
AF:
0.0000284
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000333
Gnomad4 OTH exome
AF:
0.0000217
GnomAD4 genome
AF:
0.0000178
AC:
2
AN:
112486
Hom.:
0
Cov.:
25
AF XY:
0.0000288
AC XY:
1
AN XY:
34678
show subpopulations
Gnomad4 AFR
AF:
0.0000323
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000188
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.0000165
AC:
2
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoApr 23, 2015- -
Creatine transporter deficiency Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingInvitaeJul 19, 2022This sequence change replaces glutamic acid, which is acidic and polar, with lysine, which is basic and polar, at codon 543 of the SLC6A8 protein (p.Glu543Lys). This variant is present in population databases (rs782028471, gnomAD 0.008%). This variant has not been reported in the literature in individuals affected with SLC6A8-related conditions. ClinVar contains an entry for this variant (Variation ID: 212212). 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 not expected to disrupt SLC6A8 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. -
Creatine deficiency syndrome 1 Uncertain:1
Uncertain significance, no assertion criteria providedclinical testingNatera, Inc.Nov 11, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.054
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.60
Cadd
Benign
0.010
Dann
Benign
0.57
DEOGEN2
Benign
0.083
T;.
FATHMM_MKL
Benign
0.10
N
LIST_S2
Benign
0.81
T;T
M_CAP
Uncertain
0.17
D
MetaRNN
Benign
0.090
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-1.0
N;.
MutationTaster
Benign
0.87
D;D
PrimateAI
Benign
0.39
T
PROVEAN
Benign
0.70
N;N
REVEL
Benign
0.15
Sift
Benign
0.63
T;T
Sift4G
Benign
1.0
T;T
Polyphen
0.0020
B;.
Vest4
0.23
MVP
0.28
MPC
0.17
ClinPred
0.016
T
GERP RS
-6.8
Varity_R
0.067
gMVP
0.71

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.15
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: rs782028471; hg19: chrX-152960204; API