12-66147940-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The ENST00000544599.5(TMBIM4):​c.-218C>T variant causes a 5 prime UTR premature start codon gain change. The variant allele was found at a frequency of 0.0000298 in 1,610,426 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000032 ( 0 hom. )

Consequence

TMBIM4
ENST00000544599.5 5_prime_UTR_premature_start_codon_gain

Scores

9
8
2
Splicing: ADA: 0.3329
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.11
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 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.86

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TMBIM4NM_016056.4 linkuse as main transcriptc.314C>T p.Thr105Met missense_variant, splice_region_variant 4/7 ENST00000358230.8 NP_057140.2 Q9HC24
TMBIM4NM_001282606.2 linkuse as main transcriptc.455C>T p.Thr152Met missense_variant, splice_region_variant 5/8 NP_001269535.1 Q9HC24G3XAA5Q9HC19
TMBIM4NM_001282610.2 linkuse as main transcriptc.221C>T p.Thr74Met missense_variant, splice_region_variant 4/7 NP_001269539.1 Q9HC24Q7Z782
TMBIM4NM_001282609.2 linkuse as main transcriptc.314C>T p.Thr105Met missense_variant, splice_region_variant 4/7 NP_001269538.1 Q9HC24G3V1M2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TMBIM4ENST00000358230.8 linkuse as main transcriptc.314C>T p.Thr105Met missense_variant, splice_region_variant 4/71 NM_016056.4 ENSP00000350965.3 Q9HC24
ENSG00000228144ENST00000539652.1 linkuse as main transcriptn.314C>T splice_region_variant, non_coding_transcript_exon_variant 4/82 ENSP00000454670.1 F6UZH7

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152116
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000244
AC:
6
AN:
245816
Hom.:
0
AF XY:
0.0000225
AC XY:
3
AN XY:
133424
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000890
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000560
Gnomad SAS exome
AF:
0.0000667
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000315
AC:
46
AN:
1458310
Hom.:
0
Cov.:
29
AF XY:
0.0000289
AC XY:
21
AN XY:
725394
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000451
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000505
Gnomad4 SAS exome
AF:
0.0000234
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000342
Gnomad4 OTH exome
AF:
0.0000332
GnomAD4 genome
AF:
0.0000131
AC:
2
AN:
152116
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74302
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000192
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000282
Hom.:
0
Bravo
AF:
0.00000378
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000123
AC:
1
ExAC
AF:
0.0000331
AC:
4
EpiCase
AF:
0.000109
EpiControl
AF:
0.00

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 GeneticsDec 09, 2024The c.314C>T (p.T105M) alteration is located in exon 4 (coding exon 4) of the TMBIM4 gene. This alteration results from a C to T substitution at nucleotide position 314, causing the threonine (T) at amino acid position 105 to be replaced by a methionine (M). 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
Pathogenic
0.84
BayesDel_addAF
Uncertain
0.15
D
BayesDel_noAF
Pathogenic
0.15
CADD
Pathogenic
33
DANN
Uncertain
1.0
DEOGEN2
Benign
0.40
T;.;.;.;.;.
Eigen
Pathogenic
0.78
Eigen_PC
Pathogenic
0.67
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.96
D;D;D;D;D;D
M_CAP
Uncertain
0.11
D
MetaRNN
Pathogenic
0.86
D;D;D;D;D;D
MetaSVM
Uncertain
-0.089
T
MutationAssessor
Pathogenic
4.3
H;.;.;.;.;.
PrimateAI
Uncertain
0.55
T
PROVEAN
Pathogenic
-5.5
D;.;D;D;.;D
REVEL
Uncertain
0.40
Sift
Uncertain
0.0010
D;.;D;D;.;D
Sift4G
Pathogenic
0.0
D;D;D;D;D;D
Polyphen
1.0
D;.;D;D;.;.
Vest4
0.91
MVP
0.76
MPC
0.88
ClinPred
0.99
D
GERP RS
4.3
Varity_R
0.76
gMVP
0.88

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.33
dbscSNV1_RF
Benign
0.54
SpliceAI score (max)
0.070
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: rs374426385; hg19: chr12-66541720; COSMIC: COSV53970734; API