10-101131734-G-T

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_005521.4(TLX1):​c.193G>T​(p.Ala65Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000764 in 1,439,730 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000066 ( 0 hom., cov: 32)
Exomes 𝑓: 7.8e-7 ( 0 hom. )

Consequence

TLX1
NM_005521.4 missense

Scores

2
1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.33
Variant links:
Genes affected
TLX1 (HGNC:5056): (T cell leukemia homeobox 1) This gene encodes a nuclear transcription factor that belongs to the NK-linked or NK-like (NKL) subfamily of homeobox genes. The encoded protein is required for normal development of the spleen during embryogenesis. This protein is also involved in specification of neuronal cell fates. Ectopic expression of this gene due to chromosomal translocations is associated with certain T-cell acute lymphoblastic leukemias. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Sep 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.20350167).
BS2
High AC in GnomAd4 at 10 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TLX1NM_005521.4 linkuse as main transcriptc.193G>T p.Ala65Ser missense_variant 1/3 ENST00000370196.11 NP_005512.1 P31314-1
TLX1NM_001195517.2 linkuse as main transcriptc.193G>T p.Ala65Ser missense_variant 1/3 NP_001182446.1 P31314-2
TLX1XM_011539744.4 linkuse as main transcriptc.193G>T p.Ala65Ser missense_variant 1/3 XP_011538046.1
TLX1NBNR_130724.1 linkuse as main transcriptn.580-4636C>A intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TLX1ENST00000370196.11 linkuse as main transcriptc.193G>T p.Ala65Ser missense_variant 1/31 NM_005521.4 ENSP00000359215.6 P31314-1
TLX1ENST00000467928.2 linkuse as main transcriptc.193G>T p.Ala65Ser missense_variant 1/31 ENSP00000434914.2 P31314-2
TLX1ENST00000463716.3 linkuse as main transcriptc.7G>T p.Ala3Ser missense_variant 1/23 ENSP00000434358.3 G3V1B7

Frequencies

GnomAD3 genomes
AF:
0.0000657
AC:
10
AN:
152102
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000241
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
7.77e-7
AC:
1
AN:
1287518
Hom.:
0
Cov.:
31
AF XY:
0.00000158
AC XY:
1
AN XY:
631070
show subpopulations
Gnomad4 AFR exome
AF:
0.0000395
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000657
AC:
10
AN:
152212
Hom.:
0
Cov.:
32
AF XY:
0.0000806
AC XY:
6
AN XY:
74422
show subpopulations
Gnomad4 AFR
AF:
0.000241
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:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000680
ExAC
AF:
0.00000895
AC:
1

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 GeneticsMar 12, 2024The c.193G>T (p.A65S) alteration is located in exon 1 (coding exon 1) of the TLX1 gene. This alteration results from a G to T substitution at nucleotide position 193, causing the alanine (A) at amino acid position 65 to be replaced by a serine (S). 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
0.069
BayesDel_addAF
Benign
0.00080
T
BayesDel_noAF
Benign
-0.24
CADD
Benign
16
DANN
Benign
0.65
DEOGEN2
Benign
0.21
T;.;.
Eigen
Benign
-0.80
Eigen_PC
Benign
-0.71
FATHMM_MKL
Uncertain
0.81
D
LIST_S2
Benign
0.20
T;T;T
M_CAP
Pathogenic
0.72
D
MetaRNN
Benign
0.20
T;T;T
MetaSVM
Benign
-0.79
T
MutationAssessor
Benign
0.69
N;N;.
PrimateAI
Pathogenic
0.84
D
PROVEAN
Benign
0.54
N;N;.
REVEL
Benign
0.24
Sift
Benign
0.46
T;T;.
Sift4G
Benign
0.44
T;T;T
Polyphen
0.0
B;.;.
Vest4
0.19
MVP
0.67
ClinPred
0.11
T
GERP RS
2.9
Varity_R
0.059
gMVP
0.21

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs780244330; hg19: chr10-102891491; API