1-1204417-T-G

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_004195.3(TNFRSF18):ā€‹c.380A>Cā€‹(p.His127Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000032 in 1,498,188 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000021 ( 0 hom., cov: 33)
Exomes š‘“: 0.000033 ( 0 hom. )

Consequence

TNFRSF18
NM_004195.3 missense

Scores

3
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -6.57
Variant links:
Genes affected
TNFRSF18 (HGNC:11914): (TNF receptor superfamily member 18) This gene encodes a member of the TNF-receptor superfamily. The encoded receptor has been shown to have increased expression upon T-cell activation, and it is thought to play a key role in dominant immunological self-tolerance maintained by CD25(+)CD4(+) regulatory T cells. Knockout studies in mice also suggest the role of this receptor is in the regulation of CD3-driven T-cell activation and programmed cell death. Three alternatively spliced transcript variants of this gene encoding distinct isoforms have been reported. [provided by RefSeq, Feb 2011]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.12782866).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TNFRSF18NM_004195.3 linkuse as main transcriptc.380A>C p.His127Pro missense_variant 3/5 ENST00000379268.7 NP_004186.1
TNFRSF18NM_148901.2 linkuse as main transcriptc.380A>C p.His127Pro missense_variant 3/4 NP_683699.1
TNFRSF18NM_148902.2 linkuse as main transcriptc.380A>C p.His127Pro missense_variant 3/5 NP_683700.1
TNFRSF18XM_017002722.3 linkuse as main transcriptc.380A>C p.His127Pro missense_variant 3/4 XP_016858211.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TNFRSF18ENST00000379268.7 linkuse as main transcriptc.380A>C p.His127Pro missense_variant 3/51 NM_004195.3 ENSP00000368570 A2Q9Y5U5-1
TNFRSF18ENST00000328596.10 linkuse as main transcriptc.380A>C p.His127Pro missense_variant 3/41 ENSP00000328207 Q9Y5U5-2
TNFRSF18ENST00000379265.5 linkuse as main transcriptc.380A>C p.His127Pro missense_variant 3/51 ENSP00000368567 P2Q9Y5U5-3
TNFRSF18ENST00000486728.5 linkuse as main transcriptc.164A>C p.His55Pro missense_variant 2/41 ENSP00000462735 A2

Frequencies

GnomAD3 genomes
AF:
0.0000206
AC:
3
AN:
145478
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000455
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000200
AC:
5
AN:
249722
Hom.:
0
AF XY:
0.0000221
AC XY:
3
AN XY:
135580
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000445
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000333
AC:
45
AN:
1352710
Hom.:
0
Cov.:
34
AF XY:
0.0000283
AC XY:
19
AN XY:
672012
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
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:
0.0000422
Gnomad4 OTH exome
AF:
0.0000188
GnomAD4 genome
AF:
0.0000206
AC:
3
AN:
145478
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
70760
show subpopulations
Gnomad4 AFR
AF:
0.00
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:
0.0000455
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000403
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.0000165
AC:
2
EpiCase
AF:
0.00
EpiControl
AF:
0.000119

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMay 20, 2024The c.380A>C (p.H127P) alteration is located in exon 3 (coding exon 3) of the TNFRSF18 gene. This alteration results from a A to C substitution at nucleotide position 380, causing the histidine (H) at amino acid position 127 to be replaced by a proline (P). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.22
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
2.6
DANN
Benign
0.59
DEOGEN2
Benign
0.12
.;T;.;.
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.089
N
LIST_S2
Benign
0.56
T;T;T;T
M_CAP
Benign
0.066
D
MetaRNN
Benign
0.13
T;T;T;T
MetaSVM
Benign
-0.79
T
MutationAssessor
Benign
0.48
N;N;.;N
MutationTaster
Benign
0.85
N;N;N;N
PrimateAI
Benign
0.30
T
PROVEAN
Uncertain
-2.8
D;N;.;N
REVEL
Benign
0.26
Sift
Uncertain
0.016
D;T;.;T
Sift4G
Uncertain
0.023
D;T;T;T
Polyphen
0.98
D;P;.;.
Vest4
0.17
MutPred
0.30
Gain of disorder (P = 0.0946);Gain of disorder (P = 0.0946);.;Gain of disorder (P = 0.0946);
MVP
0.35
MPC
0.11
ClinPred
0.26
T
GERP RS
-5.2
Varity_R
0.10
gMVP
0.47

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs778586696; hg19: chr1-1139797; API