12-98533691-G-C
Variant summary
Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1
The ENST00000266732.8(TMPO):c.1434G>C(p.Lys478Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00346 in 1,614,152 control chromosomes in the GnomAD database, including 140 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. K478K) has been classified as Likely benign.
Frequency
Consequence
ENST00000266732.8 missense
Scores
Clinical Significance
Conservation
Publications
- familial isolated dilated cardiomyopathyInheritance: AD Classification: SUPPORTIVE, NO_KNOWN Submitted by: ClinGen, Orphanet
- dilated cardiomyopathyInheritance: AD Classification: NO_KNOWN Submitted by: Ambry Genetics
- hypertrophic cardiomyopathyInheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
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ACMG classification
Our verdict: Benign. The variant received -20 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| TMPO | NM_001032283.3 | c.565+1853G>C | intron_variant | Intron 3 of 8 | ENST00000556029.6 | NP_001027454.1 | 
Ensembl
Frequencies
GnomAD3 genomes  0.0175  AC: 2664AN: 152176Hom.:  73  Cov.: 33 show subpopulations 
GnomAD2 exomes  AF:  0.00466  AC: 1170AN: 251328 AF XY:  0.00356   show subpopulations 
GnomAD4 exome  AF:  0.00200  AC: 2923AN: 1461858Hom.:  67  Cov.: 32 AF XY:  0.00177  AC XY: 1290AN XY: 727232 show subpopulations 
Age Distribution
GnomAD4 genome  0.0175  AC: 2670AN: 152294Hom.:  73  Cov.: 33 AF XY:  0.0171  AC XY: 1276AN XY: 74468 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
not specified    Benign:4 
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This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
p.Lys478Asn in Exon 04 of TMPO: This variant is not expected to have clinical si gnificance because it has been identified in 5.4% (200/3738) of African American chromosomes from a broad population by the NHLBI Exome Sequencing Project (http ://evs.gs.washington.edu/EVS; dbSNP rs35761089). -
Cardiomyopathy    Benign:1 
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Loeys-Dietz syndrome 2    Benign:1 
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not provided    Benign:1 
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Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at