TSC1

protein-coding

TSC complex subunit 1, the group of TSC complex|Armadillo like helical domain containing

Gene summary

This gene is a tumor suppressor gene that encodes the growth inhibitory protein hamartin. The encoded protein interacts with and stabilizes the GTPase activating protein tuberin. This hamartin-tuberin complex negatively regulates mammalian target of rapamycin complex 1 (mTORC1) signaling which is a major regulator of anabolic cell growth. This protein also functions as a co-chaperone for Hsp90 that inhibits its ATPase activity. This protein functions as a facilitator of Hsp90-mediated folding of kinase and non-kinase clients, including TSC2 and thereby preventing their ubiquitination and proteasomal degradation. Mutations in this gene have been associated with tuberous sclerosis and lymphangioleiomyomatosis. [provided by RefSeq, May 2022]

Previous symbols:
  • TSC

MANE transcript

NM_000368.5

Inheritance

AD

ClinVar variants

P:793U:2247B:1681

Top phenotype

Tuberous sclerosis; Lymphangioleiomyomatosis

gnomAD constraint

pLI —, LoF o/e 0.04

Max pathogenic AF

—

Genomic locus

chr9:132,891,348-132,946,874

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~55.5 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

tuberous sclerosis 1STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0008612

Submitter: Genomics England PanelApp

tuberous sclerosis 1DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0008612

Submitter: Ambry Genetics

tuberous sclerosis complexSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0019341

Submitter: Orphanet

lung lymphangioleiomyomatosisSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0006277

Submitter: Genomics England PanelApp

tuberous sclerosis 1DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0008612

Submitter: G2P

tuberous sclerosis 1STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0008612

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Tuberous sclerosis; LymphangioleiomyomatosisAD

Manifestation: Cardiovascular; Dental; Dermatologic; Neurologic; Oncologic; Ophthalmologic; Pulmonary; Renal

Intervention: Cardiovascular; Neurologic; Oncologic; Pulmonary; Renal

Rationale: Surveillance for and early treatment of tumors, as well as other manifestations affecting multiple organ systems (eg, renal anomalies, pulmonary manifestations, neurologic manifestations, and cardiac manifestations including arrhythmias) may reduce morbidity and mortality; Treatment with mTOR inhibitors may be beneficial related to neoplastic sequelae as well as related seizures; Lymphangiomyomatosis can occur as an isolated disorder or in association with TSC - the only effective therapy in late stage disease is transplant

Refs: 14421523; 2823681; 3210031; 2706800; 8534286; 8592324; 8782048; 9132502; 9242607; 9863590; 9924605; 9579160; 11829138; 12112044; 14985384; 15257730; 15955990; 17003820; 17005952; 17304050; 18722871; 18032745; 19332694; 19419980; 21266383; 20301399; 21813552; 22189265; 22161988; 22490766; 23158522; 23743818; 23796861; 23845174; 23846400; 23851963; 23852707; 23909960Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to TSC1 variants in ClinVar

40 Conditions Cataloged
Tuberous sclerosis 1Total: 4176
Hereditary cancer-predisposing syndromeTotal: 2817
Tuberous sclerosis syndromeTotal: 1339
not providedTotal: 915
Isolated focal cortical dysplasia type IITotal: 385
not specifiedTotal: 306
TSC1-related disorderTotal: 261
LymphangiomyomatosisTotal: 219

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_000368.5. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
33
clinvar
1024
clinvar
47
clinvar
1104
missense
6
clinvar
29
clinvar
1968
clinvar
580
clinvar
29
clinvar
2612
nonsense
155
clinvar
33
clinvar
33
clinvar
221
start loss
1
clinvar
1
frameshift
403
clinvar
54
clinvar
181
clinvar
638
splice donor/acceptor (+/-2bp)
48
clinvar
65
clinvar
31
clinvar
1
clinvar
145
Total61218122471605764721

Highest pathogenic variant AF is 0.000021854103

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 122 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_000368.5RefSeqNP_000359.121MANE Select
ENST00000298552.9EnsemblENSP00000298552.321MANE Select
NM_001162426.2RefSeqNP_001155898.121Standard
NM_001162427.2RefSeqNP_001155899.120Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
tsc1aDanio rerio

Structure: pronephric tubule

Quality: cystic

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • PI3K-Akt signaling pathway - Homo sapiens (human)
  • mTOR signaling pathway - Homo sapiens (human)
  • Choline metabolism in cancer - Homo sapiens (human)
  • Autophagy - animal - Homo sapiens (human)
  • AMPK signaling pathway - Homo sapiens (human)

Biological Process

  • kidney development
  • neural tube closure
  • regulation of cell-matrix adhesion
  • adaptive immune response
  • rRNA export from nucleus

Molecular Function

  • protein binding
  • Hsp70 protein binding
  • GTPase activating protein binding
  • ATPase inhibitor activity
  • protein N-terminus binding

Cellular Component

  • nucleus
  • cytoplasm
  • lipid droplet
  • cytosol
  • actin filament

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000298552
Coding exons
21
Length
53286
Individuals with no LoFs
125740
Homozygous LoFs
0
Heterozygous LoFs
8
Defined
125748
p
0.0000318
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense2.324796450.7430.00003767638
Missense (PolyPhen)106189.860.558292409
Synonymous0.5852402520.9530.00001552288
Loss of Function6.51253.30.03750.00000281660

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American0.0000290.000029rare
Ashkenazi Jewish0.000200.00020rare
East Asian0.0000540.000054rare
Finnish0.0000460.000046rare
European (Non-Finnish)0.0000180.000018rare
South Asian0.0000330.000033rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: In complex with TSC2, inhibits the nutrient-mediated or growth factor-stimulated phosphorylation of S6K1 and EIF4EBP1 by negatively regulating mTORC1 signaling (PubMed:12271141, PubMed:28215400). Seems not to be required for TSC2 GAP activity towards RHEB (PubMed:15340059). Implicated as a tumor suppressor. Involved in microtubule-mediated protein transport, but this seems to be due to unregulated mTOR signaling (By similarity). Acts as a co-chaperone for HSP90AA1 facilitating HSP90AA1 chaperoning of protein clients such as kinases, TSC2 and glucocorticoid receptor NR3C1 (PubMed:29127155). Increases ATP binding to HSP90AA1 and inhibits HSP90AA1 ATPase activity (PubMed:29127155). Competes with the activating co-chaperone AHSA1 for binding to HSP90AA1, thereby providing a reciprocal regulatory mechanism for chaperoning of client proteins (PubMed:29127155). Recruits TSC2 to HSP90AA1 and stabilizes TSC2 by preventing the interaction between TSC2 and ubiquitin ligase HERC1 (PubMed:16464865, PubMed:29127155). {ECO:0000250|UniProtKB:Q9Z136, ECO:0000269|PubMed:12271141, ECO:0000269|PubMed:15340059, ECO:0000269|PubMed:16464865, ECO:0000269|PubMed:28215400, ECO:0000269|PubMed:29127155}.;
Disease
DISEASE: Tuberous sclerosis 1 (TSC1) [MIM:191100]: An autosomal dominant multi-system disorder that affects especially the brain, kidneys, heart, and skin. It is characterized by hamartomas (benign overgrowths predominantly of a cell or tissue type that occurs normally in the organ) and hamartias (developmental abnormalities of tissue combination). Clinical manifestations include epilepsy, learning difficulties, behavioral problems, and skin lesions. Seizures can be intractable and premature death can occur from a variety of disease-associated causes. {ECO:0000269|PubMed:10227394, ECO:0000269|PubMed:10533069, ECO:0000269|PubMed:10570911, ECO:0000269|PubMed:10874311, ECO:0000269|PubMed:11829138, ECO:0000269|PubMed:18830229, ECO:0000269|PubMed:22161988, ECO:0000269|PubMed:9328481}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Lymphangioleiomyomatosis (LAM) [MIM:606690]: Progressive and often fatal lung disease characterized by a diffuse proliferation of abnormal smooth muscle cells in the lungs. It affects almost exclusively young women and can occur as an isolated disorder or in association with tuberous sclerosis complex. {ECO:0000269|PubMed:11829138}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Focal cortical dysplasia 2 (FCORD2) [MIM:607341]: A form of focal cortical dysplasia, a malformation of cortical development that results in medically refractory epilepsy in the pediatric population and in adults. FCORD2 is a severe form, with onset usually in childhood, characterized by disrupted cortical lamination and specific cytological abnormalities. It is classified in 2 subtypes: type IIA characterized by dysmorphic neurons and lack of balloon cells; type IIB with dysmorphic neurons and balloon cells. {ECO:0000269|PubMed:28215400}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.422

Intolerance Scores

LoFtool
0.00544
RVIS EVS
-1.04
RVIS percentile EVS
7.83

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Indispensability pred.
E
Indispensability score
0.801

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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