14-24259959-C-T
Variant summary
Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PM2PP3_ModeratePP5_Very_Strong
The NM_000359.3(TGM1):c.857G>A(p.Arg286Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000164 in 1,461,852 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 Likely pathogenic (★★).
Frequency
Consequence
NM_000359.3 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Pathogenic. Variant got 12 ACMG points.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
TGM1 | ENST00000206765.11 | c.857G>A | p.Arg286Gln | missense_variant | Exon 5 of 15 | 1 | NM_000359.3 | ENSP00000206765.6 | ||
TGM1 | ENST00000559136.1 | c.-71G>A | 5_prime_UTR_variant | Exon 1 of 7 | 5 | ENSP00000453337.1 | ||||
TGM1 | ENST00000544573.5 | c.-28-1571G>A | intron_variant | Intron 2 of 8 | 2 | ENSP00000439446.1 |
Frequencies
GnomAD3 genomes Cov.: 33
GnomAD3 exomes AF: 0.0000239 AC: 6AN: 251400Hom.: 0 AF XY: 0.0000147 AC XY: 2AN XY: 135904
GnomAD4 exome AF: 0.0000164 AC: 24AN: 1461852Hom.: 0 Cov.: 33 AF XY: 0.0000165 AC XY: 12AN XY: 727230
GnomAD4 genome Cov.: 33
ClinVar
Submissions by phenotype
Autosomal recessive congenital ichthyosis 1 Pathogenic:4
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not provided Pathogenic:2
The R286Q pathogenic variant in the TGM1 gene has been reported previously with another TGM1 variant in an individual with lamellar ichthyosis (Cserhalmi-Friedman et al., 2001). R286Q has also been observed with another pathogenic variant or in the apparent homozygous state in several unrelated patients with congenital ichthyosis referred for genetic testing at GeneDx. The R286Q variant is not observed at a significant frequency in large population cohorts (Lek et al., 2016). The R286Q variant is a semi-conservative amino acid substitution, which may impact secondary protein structure as these residues differ in some properties. In-silico analyses, including protein predictors and evolutionary conservation, support a deleterious effect. We interpret R286Q as a pathogenic variant. -
This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 286 of the TGM1 protein (p.Arg286Gln). This variant is present in population databases (rs121918727, gnomAD 0.007%). This missense change has been observed in individual(s) with congenital ichthyosis (PMID: 11298529, 28403434, 31168818). ClinVar contains an entry for this variant (Variation ID: 12495). 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) has been performed at Invitae for this missense variant, however the output from this modeling did not meet the statistical confidence thresholds required to predict the impact of this variant on TGM1 protein function. This variant disrupts the p.Arg286 amino acid residue in TGM1. Other variant(s) that disrupt this residue have been observed in individuals with TGM1-related conditions (PMID: 30578701), which suggests that this may be a clinically significant amino acid residue. For these reasons, this variant has been classified as Pathogenic. -
TGM1-related disorder Pathogenic:1
The TGM1 c.857G>A variant is predicted to result in the amino acid substitution p.Arg286Gln. This variant was reported in an individual with lamellar ichthyosis (Cserhalmi-Friedman et al. 2001. PubMed ID: 11298529; Marukian et al. 2017. PubMed ID: 28403434; Simpson et al. 2019. PubMed ID: 31168818). This variant is reported in 0.0062% of alleles in individuals of African descent in gnomAD. Of note, another missense variant, affecting the same amino acid (p.Arg286Trp), has also been reported to be causative for lamellar ichthyosis (Youssefian et al. 2019. PubMed ID: 30578701). This variant is interpreted as likely pathogenic. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at