11-78658357-C-T

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 1P and 14B. PP2BP4_StrongBP6_ModerateBS1BS2

The NM_001098816.3(TENM4):​c.8011G>A​(p.Gly2671Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00092 in 1,613,868 control chromosomes in the GnomAD database, including 17 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.0047 ( 8 hom., cov: 33)
Exomes 𝑓: 0.00053 ( 9 hom. )

Consequence

TENM4
NM_001098816.3 missense

Scores

1
11
6

Clinical Significance

Benign criteria provided, single submitter B:2

Conservation

PhyloP100: 2.71
Variant links:
Genes affected
TENM4 (HGNC:29945): (teneurin transmembrane protein 4) The protein encoded by this gene plays a role in establishing proper neuronal connectivity during development. Defects in this gene have been associated with hereditary essential tremor-5. [provided by RefSeq, Oct 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), TENM4. . Gene score misZ 2.7323 (greater than the threshold 3.09). Trascript score misZ 3.5261 (greater than threshold 3.09). GenCC has associacion of gene with tremor, hereditary essential, 5.
BP4
Computational evidence support a benign effect (MetaRNN=0.008531839).
BP6
Variant 11-78658357-C-T is Benign according to our data. Variant chr11-78658357-C-T is described in ClinVar as [Benign]. Clinvar id is 710060.Status of the report is criteria_provided_single_submitter, 1 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00466 (710/152336) while in subpopulation AFR AF= 0.016 (666/41566). AF 95% confidence interval is 0.015. There are 8 homozygotes in gnomad4. There are 312 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 710 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TENM4NM_001098816.3 linkuse as main transcriptc.8011G>A p.Gly2671Arg missense_variant 34/34 ENST00000278550.12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TENM4ENST00000278550.12 linkuse as main transcriptc.8011G>A p.Gly2671Arg missense_variant 34/345 NM_001098816.3 P1
TENM4ENST00000530738.1 linkuse as main transcriptc.2801-303G>A intron_variant 2

Frequencies

GnomAD3 genomes
AF:
0.00464
AC:
707
AN:
152218
Hom.:
8
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0160
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00137
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:
0.000176
Gnomad OTH
AF:
0.00478
GnomAD3 exomes
AF:
0.00124
AC:
309
AN:
248698
Hom.:
4
AF XY:
0.000978
AC XY:
132
AN XY:
134940
show subpopulations
Gnomad AFR exome
AF:
0.0167
Gnomad AMR exome
AF:
0.000958
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000654
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000124
Gnomad OTH exome
AF:
0.000332
GnomAD4 exome
AF:
0.000530
AC:
775
AN:
1461532
Hom.:
9
Cov.:
31
AF XY:
0.000442
AC XY:
321
AN XY:
727040
show subpopulations
Gnomad4 AFR exome
AF:
0.0160
Gnomad4 AMR exome
AF:
0.00107
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000151
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000120
Gnomad4 OTH exome
AF:
0.000663
GnomAD4 genome
AF:
0.00466
AC:
710
AN:
152336
Hom.:
8
Cov.:
33
AF XY:
0.00419
AC XY:
312
AN XY:
74496
show subpopulations
Gnomad4 AFR
AF:
0.0160
Gnomad4 AMR
AF:
0.00137
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000176
Gnomad4 OTH
AF:
0.00521
Alfa
AF:
0.000986
Hom.:
1
Bravo
AF:
0.00544
ESP6500AA
AF:
0.0160
AC:
68
ESP6500EA
AF:
0.000118
AC:
1
ExAC
AF:
0.00145
AC:
176
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.000297

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

TENM4-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJun 26, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 09, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.21
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.66
D
Eigen
Uncertain
0.50
Eigen_PC
Uncertain
0.46
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.90
D
MetaRNN
Benign
0.0085
T
MetaSVM
Uncertain
0.31
D
MutationAssessor
Uncertain
2.6
M
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.67
T
PROVEAN
Pathogenic
-5.4
D
REVEL
Uncertain
0.53
Sift
Benign
0.076
T
Sift4G
Uncertain
0.024
D
Polyphen
1.0
D
Vest4
0.25
MutPred
0.64
Gain of MoRF binding (P = 0.0075);
MVP
0.33
MPC
0.35
ClinPred
0.084
T
GERP RS
4.4
Varity_R
0.42
gMVP
0.73

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: rs114114492; hg19: chr11-78369402; API