ClinVar Miner

Submissions for variant NM_001126108.2(SLC12A3):c.2029G>A (p.Val677Met)

gnomAD frequency: 0.00002  dbSNP: rs771326058
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Total submissions: 3
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Labcorp Genetics (formerly Invitae), Labcorp RCV001067249 SCV001232298 pathogenic not provided 2023-08-19 criteria provided, single submitter clinical testing 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 SLC12A3 protein function. ClinVar contains an entry for this variant (Variation ID: 860860). This missense change has been observed in individual(s) with Gitelman syndrome (PMID: 12112667, 21628937, 30596175). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. This variant is present in population databases (rs771326058, gnomAD 0.004%). This sequence change replaces valine, which is neutral and non-polar, with methionine, which is neutral and non-polar, at codon 677 of the SLC12A3 protein (p.Val677Met). For these reasons, this variant has been classified as Pathogenic.
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV001827438 SCV003934457 pathogenic Familial hypokalemia-hypomagnesemia 2023-05-26 criteria provided, single submitter clinical testing Variant summary: SLC12A3 c.2029G>A (p.Val677Met) results in a conservative amino acid change to a highly conserved residue located in the SLC12A transporter, C-terminal (IPR018491) of the encoded protein sequence. Four of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 1.6e-05 in 250930 control chromosomes (gnomAD). c.2029G>A has been reported in the literature in multiple individuals affected with Familial Hypokalemia-Hypomagnesemia (Gitelman syndrome, Fujimura_2019, Syrn_2019, Yagi_2011, Zhang_2021), and several were reported as compound hererozygous with other (likely) pathogenic variants. These data indicate that the variant is very likely to be associated with disease. The following publications have been ascertained in the context of this evaluation (PMID: 12112667, 33996672, 21628937, 30596175). Two clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014, and classified it as pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic.
Natera, Inc. RCV001827438 SCV002089367 pathogenic Familial hypokalemia-hypomagnesemia 2021-03-12 no assertion criteria provided clinical testing

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