14-24259744-C-T
Variant summary
Our verdict is Pathogenic. Variant got 16 ACMG points: 16P and 0B. PM2PM5PP3_StrongPP5_Very_Strong
The NM_000359.3(TGM1):c.944G>A(p.Arg315His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000391 in 1,611,804 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R315C) has been classified as Pathogenic.
Frequency
Consequence
NM_000359.3 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Pathogenic. Variant got 16 ACMG points.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
TGM1 | ENST00000206765.11 | c.944G>A | p.Arg315His | missense_variant | 6/15 | 1 | NM_000359.3 | ENSP00000206765.6 | ||
TGM1 | ENST00000559136.1 | c.17G>A | p.Arg6His | missense_variant | 2/7 | 5 | ENSP00000453337.1 | |||
TGM1 | ENST00000544573.5 | c.-28-1356G>A | intron_variant | 2 | ENSP00000439446.1 |
Frequencies
GnomAD3 genomes AF: 0.00000658 AC: 1AN: 152086Hom.: 0 Cov.: 33
GnomAD3 exomes AF: 0.0000488 AC: 12AN: 246144Hom.: 0 AF XY: 0.0000449 AC XY: 6AN XY: 133622
GnomAD4 exome AF: 0.0000425 AC: 62AN: 1459718Hom.: 0 Cov.: 32 AF XY: 0.0000468 AC XY: 34AN XY: 726038
GnomAD4 genome AF: 0.00000658 AC: 1AN: 152086Hom.: 0 Cov.: 33 AF XY: 0.00 AC XY: 0AN XY: 74274
ClinVar
Submissions by phenotype
Autosomal recessive congenital ichthyosis 1 Pathogenic:8
Pathogenic, criteria provided, single submitter | clinical testing | Baylor Genetics | Mar 27, 2024 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Genome-Nilou Lab | - | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Fulgent Genetics, Fulgent Genetics | Oct 31, 2018 | - - |
Pathogenic, no assertion criteria provided | clinical testing | Counsyl | Jun 09, 2017 | - - |
Pathogenic, no assertion criteria provided | clinical testing | Natera, Inc. | Aug 13, 2020 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Revvity Omics, Revvity | Sep 07, 2022 | - - |
Pathogenic, no assertion criteria provided | literature only | OMIM | Aug 01, 2009 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Neuberg Centre For Genomic Medicine, NCGM | - | - - |
not provided Pathogenic:2
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Feb 03, 2024 | This sequence change replaces arginine, which is basic and polar, with histidine, which is basic and polar, at codon 315 of the TGM1 protein (p.Arg315His). This variant is present in population databases (rs143473912, gnomAD 0.009%). This missense change has been observed in individuals with congenital ichthyosis (PMID: 16968736, 23096117, 23278109, 27025581, 28403434). ClinVar contains an entry for this variant (Variation ID: 39530). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt TGM1 protein function with a positive predictive value of 95%. Experimental studies have shown that this missense change affects TGM1 function (PMID: 19212342). This variant disrupts the p.Arg315 amino acid residue in TGM1. Other variant(s) that disrupt this residue have been observed in individuals with TGM1-related conditions (PMID: 10232404, 16968736, 19863506), which suggests that this may be a clinically significant amino acid residue. For these reasons, this variant has been classified as Pathogenic. - |
Pathogenic, criteria provided, single submitter | clinical testing | GeneDx | Feb 14, 2022 | Published functional studies demonstrate that the R315H variant is temperature-sensitive and results in decreased transglutaminase 1 enzyme activity, particularly in warmer skin regions (Oji et al., 2006; Aufenvenne et al., 2009); In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; This variant is associated with the following publications: (PMID: 23096117, 28236338, 19212342, 27025581, 23278109, 16968736, 27442430, 18948357, 22801880, 19241467, 31168818, 31953843, 31589614) - |
Lamellar ichthyosis Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Jul 31, 2024 | Variant summary: TGM1 c.944G>A (p.Arg315His) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 4.9e-05 in 246144 control chromosomes. This frequency is not significantly higher than estimated for a pathogenic variant in TGM1 causing Lamellar Ichthyosis (4.9e-05 vs 0.0021), allowing no conclusion about variant significance. c.944G>A has been reported in the literature in multiple homozygous individuals affected with Lamellar Ichthyosis (Oji_2006, Terrinoni_2012). These data indicate that the variant is very likely to be associated with disease. A different variant affecting the same codon has been classified as pathogenic by our lab (c.943C>T, p.Arg315Cys), supporting the critical relevance of codon 315 to TGM1 protein function. At least one publication reports experimental evidence evaluating an impact on protein function. The most pronounced variant effect results in <10% of normal activity in an in vitro assay (Aufenvenne_2009). The following publications have been ascertained in the context of this evaluation (PMID: 19212342, 16968736, 23096117). ClinVar contains an entry for this variant (Variation ID: 39530). Based on the evidence outlined above, the variant was classified as pathogenic. - |
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at