12-114394847-A-C

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2

The NM_181486.4(TBX5):​c.557T>G​(p.Val186Gly) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: not found (cov: 32)

Consequence

TBX5
NM_181486.4 missense

Scores

15
3

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 9.25

Publications

0 publications found
Variant links:
Genes affected
TBX5 (HGNC:11604): (T-box transcription factor 5) This gene is a member of a phylogenetically conserved family of genes that share a common DNA-binding domain, the T-box. T-box genes encode transcription factors involved in the regulation of developmental processes. This gene is closely linked to related family member T-box 3 (ulnar mammary syndrome) on human chromosome 12. The encoded protein may play a role in heart development and specification of limb identity. Mutations in this gene have been associated with Holt-Oram syndrome, a developmental disorder affecting the heart and upper limbs. Several transcript variants encoding different isoforms have been described for this gene. [provided by RefSeq, Jul 2008]
TBX5 Gene-Disease associations (from GenCC):
  • Holt-Oram syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), ClinGen, G2P, PanelApp Australia, Orphanet
  • heart conduction disease
    Inheritance: AD Classification: MODERATE Submitted by: Genomics England PanelApp

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_181486.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TBX5
NM_181486.4
MANE Select
c.557T>Gp.Val186Gly
missense
Exon 6 of 9NP_852259.1Q99593-1
TBX5
NM_000192.3
c.557T>Gp.Val186Gly
missense
Exon 6 of 9NP_000183.2Q99593-1
TBX5
NM_080717.4
c.407T>Gp.Val136Gly
missense
Exon 5 of 8NP_542448.1Q99593-3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TBX5
ENST00000405440.7
TSL:1 MANE Select
c.557T>Gp.Val186Gly
missense
Exon 6 of 9ENSP00000384152.3Q99593-1
TBX5
ENST00000310346.8
TSL:1
c.557T>Gp.Val186Gly
missense
Exon 6 of 9ENSP00000309913.4Q99593-1
TBX5
ENST00000349716.9
TSL:1
c.407T>Gp.Val136Gly
missense
Exon 5 of 8ENSP00000337723.5Q99593-3

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
33
GnomAD4 genome
Cov.:
32

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Aortic valve disease 2 (1)
-
1
-
Holt-Oram syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.99
BayesDel_addAF
Pathogenic
0.49
D
BayesDel_noAF
Pathogenic
0.46
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.95
D
Eigen
Pathogenic
0.94
Eigen_PC
Pathogenic
0.90
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Uncertain
0.92
D
M_CAP
Pathogenic
0.39
D
MetaRNN
Uncertain
0.74
D
MetaSVM
Pathogenic
0.93
D
MutationAssessor
Pathogenic
3.4
M
PhyloP100
9.2
PrimateAI
Pathogenic
0.89
D
PROVEAN
Pathogenic
-6.4
D
REVEL
Pathogenic
0.94
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.62
MutPred
0.70
Gain of catalytic residue at R182 (P = 0)
MVP
0.96
MPC
2.1
ClinPred
1.0
D
GERP RS
5.8
Varity_R
0.99
gMVP
0.95
Mutation Taster
=0/100
disease causing

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

Other links and lift over

dbSNP: rs1555226019; hg19: chr12-114832652; API