rs797044813

Variant summary

Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong

The NM_001440756.1(CLCN5):​c.2131C>T​(p.Arg711*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000914 in 1,094,652 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 22)
Exomes 𝑓: 9.1e-7 ( 0 hom. 0 hem. )

Consequence

CLCN5
NM_001440756.1 stop_gained

Scores

2
2

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:7O:1

Conservation

PhyloP100: 1.22

Publications

13 publications found
Variant links:
Genes affected
CLCN5 (HGNC:2023): (chloride voltage-gated channel 5) This gene encodes a member of the ClC family of chloride ion channels and ion transporters. The encoded protein is primarily localized to endosomal membranes and may function to facilitate albumin uptake by the renal proximal tubule. Mutations in this gene have been found in Dent disease and renal tubular disorders complicated by nephrolithiasis. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Jan 2013]
CLCN5 Gene-Disease associations (from GenCC):
  • Dent disease type 1
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 18 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant X-50090490-C-T is Pathogenic according to our data. Variant chrX-50090490-C-T is described in ClinVar as Pathogenic. ClinVar VariationId is 207999.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001440756.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CLCN5
NM_001127898.4
MANE Select
c.2119C>Tp.Arg707*
stop_gained
Exon 13 of 15NP_001121370.1
CLCN5
NM_001440756.1
c.2131C>Tp.Arg711*
stop_gained
Exon 13 of 15NP_001427685.1
CLCN5
NM_001440757.1
c.2131C>Tp.Arg711*
stop_gained
Exon 13 of 15NP_001427686.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CLCN5
ENST00000376091.8
TSL:2 MANE Select
c.2119C>Tp.Arg707*
stop_gained
Exon 13 of 15ENSP00000365259.3
CLCN5
ENST00000307367.2
TSL:1
c.1909C>Tp.Arg637*
stop_gained
Exon 10 of 12ENSP00000304257.2
CLCN5
ENST00000376108.7
TSL:1
c.1909C>Tp.Arg637*
stop_gained
Exon 10 of 12ENSP00000365276.3

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD4 exome
AF:
9.14e-7
AC:
1
AN:
1094652
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
360346
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26352
American (AMR)
AF:
0.00
AC:
0
AN:
34862
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19329
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30118
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53495
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40307
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4129
European-Non Finnish (NFE)
AF:
0.00000119
AC:
1
AN:
840073
Other (OTH)
AF:
0.00
AC:
0
AN:
45987
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
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.:
22
Alfa
AF:
0.00
Hom.:
0

ClinVar

ClinVar submissions as Germline
Significance:Pathogenic
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
4
-
-
not provided (4)
1
-
-
Dent disease (1)
1
-
-
Proteinuria, low molecular weight, with hypercalciuria and nephrocalcinosis (1)
1
-
-
X-linked recessive nephrolithiasis with renal failure;C1839874:Proteinuria, low molecular weight, with hypercalciuria and nephrocalcinosis;C1845168:Hypophosphatemic rickets, X-linked recessive;C1848336:Dent disease type 1 (1)
-
-
-
Dent disease type 1 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.74
D
BayesDel_noAF
Pathogenic
0.59
CADD
Pathogenic
36
DANN
Uncertain
1.0
FATHMM_MKL
Uncertain
0.87
D
PhyloP100
1.2
Vest4
0.90
GERP RS
4.8
Mutation Taster
=0/200
disease causing (ClinVar)

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: rs797044813; hg19: chrX-49855147; API