14-24261778-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.425G>A(p.Arg142His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000254 in 1,613,956 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 12/21 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R142C) 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 rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
TGM1 | ENST00000206765.11 | c.425G>A | p.Arg142His | missense_variant | Exon 3 of 15 | 1 | NM_000359.3 | ENSP00000206765.6 | ||
TGM1 | ENST00000544573.5 | c.-29+349G>A | intron_variant | Intron 2 of 8 | 2 | ENSP00000439446.1 | ||||
TGM1 | ENST00000558074.1 | c.*20G>A | downstream_gene_variant | 5 | ENSP00000453840.1 |
Frequencies
GnomAD3 genomes AF: 0.0000395 AC: 6AN: 152074Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000318 AC: 8AN: 251442Hom.: 0 AF XY: 0.0000294 AC XY: 4AN XY: 135898
GnomAD4 exome AF: 0.0000239 AC: 35AN: 1461882Hom.: 0 Cov.: 32 AF XY: 0.0000289 AC XY: 21AN XY: 727236
GnomAD4 genome AF: 0.0000395 AC: 6AN: 152074Hom.: 0 Cov.: 32 AF XY: 0.0000269 AC XY: 2AN XY: 74280
ClinVar
Submissions by phenotype
Autosomal recessive congenital ichthyosis 1 Pathogenic:5
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The TGM1 c.425G>A (p.Arg142His) variant has been reported in trans with a pathogenic or likely pathogenic variant or in the homozygous state in multiple individuals affected with lamellar or bathing suit ichthyosis (Borska R et al., PMID: 31046801; Cuperus E et al., PMID: 32534952; Hennies HC et al., PMID: 9545389; Li W et al., PMID: 31631373; Russell LJ et al., PMID: 7773290; Tavian D et al., PMID: 19278426). This variant is only observed on 9 out of 282,794 alleles in the general population (gnomAD v.2.1.1), indicating it is not a common variant. Functional studies show the TGase1 enzyme activity is reduced due to the loss of key ionic and hydrogen bond interactions, indicating that this variant impacts protein function (Candi E et al., PMID: 9593710). Other variants in the same codon, p.Arg142Pro, p.Arg142Cys, p.Arg142Gln, have been reported in affected individuals (Cserhalmi-Friedman PB et al., PMID: 11298529; Huber M et al., PMID: 7824952; ClinVar Variation IDs: 12494, 12483, 2679173). Based on available information and the ACMG/AMP guidelines for variant interpretation (Richards S et al., PMID: 25741868), this variant is classified as pathogenic. -
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Lamellar ichthyosis Pathogenic:1
Variant summary: TGM1 c.425G>A (p.Arg142His) results in a non-conservative amino acid change located in the transglutaminase, N-terminal domain (IPR001102) of 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 3.2e-05 in 251442 control chromosomes. c.425G>A has been reported in the literature in multiple individuals affected with Lamellar Ichthyosis and has been found to segregate with the disease phenotype in at least one family (e.g. Russell_1995, Farasat_2009, Cheng_2020). These data indicate that the variant is very likely to be associated with disease. At least one publication reports experimental evidence evaluating an impact on protein function in vitro and found that the variant had 20% activity versus the WT protein in the cytosol and undetectable membrane-bound activity (e.g. Candi_1998). Additionally, another variant affecting the same codon (p.Arg142Cys) has been classified as pathogenic, further supporting that Arg142 is important for protein function. The following publications have been ascertained in the context of this evaluation (PMID: 9593710, 31953843, 18948357, 7773290). Three submitters have cited clinical-significance assessments for this variant to ClinVar after 2014. All submitters classified the variant as pathogenic/likely pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic. -
Abnormality of the skin Pathogenic:1
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not provided Pathogenic:1
This sequence change replaces arginine, which is basic and polar, with histidine, which is basic and polar, at codon 142 of the TGM1 protein (p.Arg142His). This variant is present in population databases (rs121918718, gnomAD 0.008%). This missense change has been observed in individuals with ichthyosis (PMID: 7773290, 19278426). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 12485). 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: 9593710, 19212342). This variant disrupts the p.Arg142 amino acid residue in TGM1. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 7824952, 9326318, 20663883, 22258055, 24314425, 26076875). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. For these reasons, this variant has been classified as Pathogenic. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at