12-66137988-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_016056.4(TMBIM4):​c.689G>A​(p.Arg230Gln) variant causes a missense change. The variant allele was found at a frequency of 0.0000452 in 1,613,624 control chromosomes in the GnomAD database, with no homozygous occurrence. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000044 ( 0 hom. )

Consequence

TMBIM4
NM_016056.4 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.20
Variant links:
Genes affected
TMBIM4 (HGNC:24257): (transmembrane BAX inhibitor motif containing 4) Involved in negative regulation of apoptotic process and regulation of calcium-mediated signaling. Located in Golgi stack. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

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

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TMBIM4NM_016056.4 linkuse as main transcriptc.689G>A p.Arg230Gln missense_variant 7/7 ENST00000358230.8 NP_057140.2
TMBIM4NM_001282606.2 linkuse as main transcriptc.830G>A p.Arg277Gln missense_variant 8/8 NP_001269535.1
TMBIM4NM_001282610.2 linkuse as main transcriptc.596G>A p.Arg199Gln missense_variant 7/7 NP_001269539.1
TMBIM4NM_001282609.2 linkuse as main transcriptc.*165G>A 3_prime_UTR_variant 7/7 NP_001269538.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TMBIM4ENST00000358230.8 linkuse as main transcriptc.689G>A p.Arg230Gln missense_variant 7/71 NM_016056.4 ENSP00000350965 P1

Frequencies

GnomAD3 genomes
AF:
0.0000461
AC:
7
AN:
151842
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000968
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:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000922
AC:
23
AN:
249390
Hom.:
0
AF XY:
0.000103
AC XY:
14
AN XY:
135304
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000580
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:
0.000159
Gnomad OTH exome
AF:
0.000165
GnomAD4 exome
AF:
0.0000445
AC:
65
AN:
1461664
Hom.:
0
Cov.:
33
AF XY:
0.0000495
AC XY:
36
AN XY:
727120
show subpopulations
Gnomad4 AFR exome
AF:
0.0000896
Gnomad4 AMR exome
AF:
0.000112
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000928
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000369
Gnomad4 OTH exome
AF:
0.0000662
GnomAD4 genome
AF:
0.0000526
AC:
8
AN:
151960
Hom.:
0
Cov.:
32
AF XY:
0.0000539
AC XY:
4
AN XY:
74278
show subpopulations
Gnomad4 AFR
AF:
0.0000965
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000208
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000450
Hom.:
0
Bravo
AF:
0.0000756
ExAC
AF:
0.0000662
AC:
8
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00
EpiControl
AF:
0.000178

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 GeneticsJun 17, 2024The c.689G>A (p.R230Q) alteration is located in exon 7 (coding exon 7) of the TMBIM4 gene. This alteration results from a G to A substitution at nucleotide position 689, causing the arginine (R) at amino acid position 230 to be replaced by a glutamine (Q). 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
0.21
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.094
T;.;.
Eigen
Benign
-0.19
Eigen_PC
Benign
-0.13
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Uncertain
0.92
D;D;D
M_CAP
Benign
0.024
T
MetaRNN
Uncertain
0.50
T;T;T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
1.3
L;.;.
MutationTaster
Benign
0.71
D;D;D;N;N;N;N
PrimateAI
Benign
0.43
T
PROVEAN
Uncertain
-3.3
D;D;D
REVEL
Benign
0.14
Sift
Benign
0.10
T;T;T
Sift4G
Benign
0.11
T;T;T
Polyphen
0.41
B;.;B
Vest4
0.57
MutPred
0.57
.;.;Loss of MoRF binding (P = 0.0214);
MVP
0.50
MPC
0.48
ClinPred
0.11
T
GERP RS
3.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.19
gMVP
0.65

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: rs778442645; hg19: chr12-66531768; API