13-100614325-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_032813.5(TMTC4):​c.1942G>A​(p.Asp648Asn) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000411 in 1,461,068 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: not found (cov: 30)
Exomes 𝑓: 0.0000041 ( 0 hom. )

Consequence

TMTC4
NM_032813.5 missense

Scores

6
7
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.57
Variant links:
Genes affected
TMTC4 (HGNC:25904): (transmembrane O-mannosyltransferase targeting cadherins 4) This gene encodes a transmembrane protein that belongs to family of proteins containing an N-terminal transmembrane domain and a C-terminal tetratricopeptide repeat (TPR) domain. TPR domains mediate protein-protein interactions in various cellular processes, such as synaptic vesicle fusion, protein folding, and protein translocation. A pseudogene of this gene has been defined on chromosome 5. [provided by RefSeq, Apr 2017]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.805

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TMTC4NM_032813.5 linkuse as main transcriptc.1942G>A p.Asp648Asn missense_variant 16/19 ENST00000342624.10 NP_116202.2 Q5T4D3-3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TMTC4ENST00000342624.10 linkuse as main transcriptc.1942G>A p.Asp648Asn missense_variant 16/192 NM_032813.5 ENSP00000343871.5 Q5T4D3-3
TMTC4ENST00000376234.7 linkuse as main transcriptc.1885G>A p.Asp629Asn missense_variant 15/181 ENSP00000365408.3 Q5T4D3-1
TMTC4ENST00000328767.9 linkuse as main transcriptc.1552G>A p.Asp518Asn missense_variant 13/162 ENSP00000365409.2 Q5T4D3-4

Frequencies

GnomAD3 genomes
Cov.:
30
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251242
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135796
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000411
AC:
6
AN:
1461068
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
726874
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000450
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
30
Alfa
AF:
0.0000312
Hom.:
0
Bravo
AF:
0.00000378

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 GeneticsNov 13, 2024The c.1942G>A (p.D648N) alteration is located in exon 16 (coding exon 15) of the TMTC4 gene. This alteration results from a G to A substitution at nucleotide position 1942, causing the aspartic acid (D) at amino acid position 648 to be replaced by an asparagine (N). 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
0.94
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.31
CADD
Uncertain
25
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.15
T;.;.
Eigen
Uncertain
0.51
Eigen_PC
Uncertain
0.45
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Pathogenic
0.98
D;D;D
M_CAP
Benign
0.045
D
MetaRNN
Pathogenic
0.80
D;D;D
MetaSVM
Benign
-0.51
T
MutationAssessor
Uncertain
2.4
M;.;.
PrimateAI
Pathogenic
0.87
D
PROVEAN
Uncertain
-4.0
D;D;D
REVEL
Uncertain
0.32
Sift
Uncertain
0.0080
D;D;D
Sift4G
Uncertain
0.020
D;D;D
Polyphen
1.0
D;D;.
Vest4
0.79
MutPred
0.38
Loss of catalytic residue at N633 (P = 0.2319);.;.;
MVP
0.67
MPC
0.24
ClinPred
0.99
D
GERP RS
5.3
Varity_R
0.43
gMVP
0.82

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: rs1447245947; hg19: chr13-101266579; COSMIC: COSV60892004; API