ClinVar Miner

Submissions for variant NM_000387.6(SLC25A20):c.496C>T (p.Arg166Ter)

gnomAD frequency: 0.00001  dbSNP: rs151340616
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Total submissions: 6
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
GeneDx RCV000627246 SCV000748237 pathogenic not provided 2018-04-09 criteria provided, single submitter clinical testing The R166X nonsense variant in the SLC25A20 gene has been reported previously in association with carnitine-acylcarnitine translocase deficiency (Costa et al., 1999; Wang et al., 2011). The R166X variant is not observed at a significant frequency in large population cohorts (Lek et al., 2016). This pathogenic variant is predicted to cause loss of normal protein function either through protein truncation or nonsense-mediated mRNA decay.
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV000012918 SCV002041545 pathogenic Carnitine acylcarnitine translocase deficiency 2021-11-05 criteria provided, single submitter clinical testing Variant summary: SLC25A20 c.496C>T (p.Arg166X) results in a premature termination codon, predicted to cause a truncation of the encoded protein or absence of the protein due to nonsense mediated decay, which are commonly known mechanisms for disease. Truncations downstream of this position have been classified as pathogenic by our laboratory. The variant allele was found at a frequency of 1.2e-05 in 251456 control chromosomes (gnomAD). c.496C>T has been reported in the literature in at least two individuals (homozygous and a compound heterozygous) affected with Carnitine-Acylcarnitine Translocase Deficiency (Costa_1999 and Wang_2011). One homozygous individual with this variant was reported as having a complete deficiency of Carnitine Acylcarnitine carrier enzyme activity at day 3 and confirmed three months later in fibroblasts, however, primary data supporting this finding were not reported (Costa_1999). To our knowledge, no other experimental evidence demonstrating an impact on protein function has been reported. One clinical diagnostic laboratory has submitted clinical-significance assessments for this variant to ClinVar after 2014 and classified the variant as pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic.
Labcorp Genetics (formerly Invitae), Labcorp RCV000012918 SCV002247327 pathogenic Carnitine acylcarnitine translocase deficiency 2023-07-16 criteria provided, single submitter clinical testing For these reasons, this variant has been classified as Pathogenic. This sequence change creates a premature translational stop signal (p.Arg166*) in the SLC25A20 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in SLC25A20 are known to be pathogenic (PMID: 25614308). This variant is present in population databases (rs151340616, gnomAD 0.006%). This premature translational stop signal has been observed in individual(s) with carnitine-acylcarnitine translocase deficiency (PMID: 10384384, 12559850). ClinVar contains an entry for this variant (Variation ID: 12135).
Fulgent Genetics, Fulgent Genetics RCV000012918 SCV002798901 pathogenic Carnitine acylcarnitine translocase deficiency 2021-10-10 criteria provided, single submitter clinical testing
Baylor Genetics RCV000012918 SCV004201711 pathogenic Carnitine acylcarnitine translocase deficiency 2024-03-30 criteria provided, single submitter clinical testing
OMIM RCV000012918 SCV000033159 pathogenic Carnitine acylcarnitine translocase deficiency 1999-05-01 no assertion criteria provided literature only

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