11-57737996-A-G

Variant summary

Our verdict is Likely benign. Variant got -1 ACMG points: 4P and 5B. PM1PM2BP4_StrongBS1_Supporting

The ENST00000278422.9(TMX2):ā€‹c.334A>Gā€‹(p.Met112Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000576 in 1,613,376 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000086 ( 1 hom., cov: 32)
Exomes š‘“: 0.000055 ( 0 hom. )

Consequence

TMX2
ENST00000278422.9 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.00
Variant links:
Genes affected
TMX2 (HGNC:30739): (thioredoxin related transmembrane protein 2) This gene encodes a member of the disulfide isomerase (PDI) family of endoplasmic reticulum (ER) proteins that catalyze protein folding and thiol-disulfide interchange reactions. The encoded protein has an N-terminal ER-signal sequence, a catalytically active thioredoxin domain, one transmembrane domain and a C-terminal ER-retention sequence. This protein is enriched on the mitochondria-associated-membrane of the ER via palmitoylation of two of its cytosolically exposed cysteines. [provided by RefSeq, Jan 2017]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -1 ACMG points.

PM1
In a chain Thioredoxin-related transmembrane protein 2 (size 247) in uniprot entity TMX2_HUMAN there are 19 pathogenic changes around while only 0 benign (100%) in ENST00000278422.9
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.04124987).
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.0000857 (13/151652) while in subpopulation EAS AF= 0.00135 (7/5170). AF 95% confidence interval is 0.000635. There are 1 homozygotes in gnomad4. There are 4 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TMX2NM_015959.4 linkuse as main transcriptc.334A>G p.Met112Val missense_variant 3/8 ENST00000278422.9 NP_057043.1 Q9Y320-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TMX2ENST00000278422.9 linkuse as main transcriptc.334A>G p.Met112Val missense_variant 3/81 NM_015959.4 ENSP00000278422.4 Q9Y320-1
ENSG00000288534ENST00000674060.1 linkuse as main transcriptn.103+328A>G intron_variant ENSP00000501055.2 A0A669KB09

Frequencies

GnomAD3 genomes
AF:
0.0000858
AC:
13
AN:
151586
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000394
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00135
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
GnomAD3 exomes
AF:
0.000115
AC:
29
AN:
251288
Hom.:
0
AF XY:
0.0000957
AC XY:
13
AN XY:
135812
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00130
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000264
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.0000547
AC:
80
AN:
1461724
Hom.:
0
Cov.:
32
AF XY:
0.0000523
AC XY:
38
AN XY:
727156
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000781
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000719
Gnomad4 OTH exome
AF:
0.000679
GnomAD4 genome
AF:
0.0000857
AC:
13
AN:
151652
Hom.:
1
Cov.:
32
AF XY:
0.0000540
AC XY:
4
AN XY:
74052
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000394
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00135
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000847
Hom.:
0
Bravo
AF:
0.0000831
ExAC
AF:
0.0000576
AC:
7
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMar 01, 2023The c.334A>G (p.M112V) alteration is located in exon 3 (coding exon 3) of the TMX2 gene. This alteration results from a A to G substitution at nucleotide position 334, causing the methionine (M) at amino acid position 112 to be replaced by a valine (V). 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
0.13
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
20
DANN
Uncertain
0.98
DEOGEN2
Benign
0.060
T
Eigen
Benign
-0.075
Eigen_PC
Benign
0.086
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Benign
0.83
T
M_CAP
Benign
0.0041
T
MetaRNN
Benign
0.041
T
MetaSVM
Benign
-0.84
T
MutationAssessor
Benign
0.69
N
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.63
T
PROVEAN
Benign
-1.5
N
REVEL
Benign
0.046
Sift
Uncertain
0.019
D
Sift4G
Benign
0.084
T
Polyphen
0.053
B
Vest4
0.35
MVP
0.44
MPC
0.29
ClinPred
0.039
T
GERP RS
5.0
Varity_R
0.25
gMVP
0.81

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs184258365; hg19: chr11-57505468; API