11-61398269-G-T
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Variant summary
Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PVS1
The NM_001173990.3(TMEM216):c.432-1G>T variant causes a splice acceptor change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000132 in 151,898 control chromosomes in the GnomAD database, with no homozygous occurrence. 1/1 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.000013 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000027 ( 0 hom. )
Failed GnomAD Quality Control
Consequence
TMEM216
NM_001173990.3 splice_acceptor
NM_001173990.3 splice_acceptor
Scores
2
2
4
Clinical Significance
Conservation
PhyloP100: 0.817
Genes affected
TMEM216 (HGNC:25018): (transmembrane protein 216) This locus encodes a transmembrane domain-containing protein. Mutations at this locus have been associated with Meckel-Gruber Syndrome Type 2, and Joubert Syndrome 2, also known as Cerebello-oculorenal Syndrome 2. [provided by RefSeq, Aug 2010]
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ACMG classification
Classification made for transcript
Verdict is Likely_pathogenic. Variant got 8 ACMG points.
PVS1
Splicing +-2 bp (donor or acceptor) variant, LoF is a know mechanism of disease, No cryptic splice site detected. Exon removal results in frameshift change.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
TMEM216 | NM_001173990.3 | c.432-1G>T | splice_acceptor_variant | ENST00000515837.7 | NP_001167461.1 | |||
TMEM216 | NM_001330285.2 | c.249-1G>T | splice_acceptor_variant | NP_001317214.1 | ||||
TMEM216 | NM_001173991.3 | c.440G>T | p.Arg147Met | missense_variant | 5/5 | NP_001167462.1 | ||
TMEM216 | NM_016499.6 | c.257G>T | p.Arg86Met | missense_variant | 5/5 | NP_057583.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
TMEM216 | ENST00000515837.7 | c.432-1G>T | splice_acceptor_variant | 2 | NM_001173990.3 | ENSP00000440638 | P4 |
Frequencies
GnomAD3 genomes AF: 0.0000132 AC: 2AN: 151780Hom.: 0 Cov.: 31
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GnomAD3 exomes AF: 0.0000245 AC: 6AN: 244770Hom.: 0 AF XY: 0.0000301 AC XY: 4AN XY: 132782
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GnomAD4 exome Data not reliable, filtered out with message: AS_VQSR AF: 0.0000267 AC: 39AN: 1458988Hom.: 0 Cov.: 46 AF XY: 0.0000372 AC XY: 27AN XY: 725646
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Data not reliable, filtered out with message: AS_VQSR
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GnomAD4 genome AF: 0.0000132 AC: 2AN: 151898Hom.: 0 Cov.: 31 AF XY: 0.0000135 AC XY: 1AN XY: 74234
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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 submitter | clinical testing | Ambry Genetics | Dec 11, 2023 | The c.432-1G>T intronic alteration consists of a G to T substitution 1 nucleotides before coding exon 5 in the TMEM216 gene. Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. - |
Computational scores
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Name
Calibrated prediction
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BayesDel_addAF
Uncertain
T
BayesDel_noAF
Uncertain
CADD
Benign
DANN
Benign
Eigen
Pathogenic
Eigen_PC
Pathogenic
FATHMM_MKL
Benign
D
M_CAP
Benign
D
MutationTaster
Benign
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ClinPred
T
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Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
DS_AL_spliceai
Position offset: 1
Find out detailed SpliceAI scores and Pangolin per-transcript scores at