16-2048067-TAAGTGGCGGTCCCCACGGGGC-T

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP6_Very_StrongBS1BS2

The ENST00000219476.9(TSC2):​c.-30+3_-30+23delAAGTGGCGGTCCCCACGGGGC variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00147 in 1,426,560 control chromosomes in the GnomAD database, including 22 homozygotes. It is difficult to determine the true allele frequency of this variant because it is of type DEL_BIG, and the frequency of such variant types in population databases may be underestimated and unreliable. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0053 ( 11 hom., cov: 32)
Exomes 𝑓: 0.0010 ( 11 hom. )

Consequence

TSC2
ENST00000219476.9 splice_region, intron

Scores

Not classified

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 0.421

Publications

0 publications found
Variant links:
Genes affected
TSC2 (HGNC:12363): (TSC complex subunit 2) This gene is a tumor suppressor gene that encodes the growth inhibitory protein tuberin. Tuberin interacts with hamartin to form the TSC protein complex which functions in the control of cell growth. This TSC protein complex negatively regulates mammalian target of rapamycin complex 1 (mTORC1) signaling which is a major regulator of anabolic cell growth. Mutations in this gene have been associated with tuberous sclerosis and lymphangioleiomyomatosis. [provided by RefSeq, May 2022]
NTHL1 (HGNC:8028): (nth like DNA glycosylase 1) The protein encoded by this gene is a DNA N-glycosylase of the endonuclease III family. Like a similar protein in E. coli, the encoded protein has DNA glycosylase activity on DNA substrates containing oxidized pyrimidine residues and has apurinic/apyrimidinic lyase activity. [provided by RefSeq, Oct 2008]
NTHL1 Gene-Disease associations (from GenCC):
  • familial adenomatous polyposis 3
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Genomics England PanelApp, Ambry Genetics
  • NTHL1-deficiency tumor predisposition syndrome
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • breast cancer
    Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics
  • meningioma
    Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP6
Variant 16-2048067-TAAGTGGCGGTCCCCACGGGGC-T is Benign according to our data. Variant chr16-2048067-TAAGTGGCGGTCCCCACGGGGC-T is described in ClinVar as [Likely_benign]. Clinvar id is 670053.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00526 (800/152008) while in subpopulation AFR AF = 0.0176 (731/41472). AF 95% confidence interval is 0.0166. There are 11 homozygotes in GnomAd4. There are 379 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High AC in GnomAd4 at 800 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TSC2NM_000548.5 linkc.-30+25_-30+45delAGTGGCGGTCCCCACGGGGCA intron_variant Intron 1 of 41 ENST00000219476.9 NP_000539.2 P49815-1
NTHL1NM_002528.7 linkc.-265_-245delGCCCCGTGGGGACCGCCACTT upstream_gene_variant ENST00000651570.2 NP_002519.2 P78549-2E5KTI5

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TSC2ENST00000219476.9 linkc.-30+3_-30+23delAAGTGGCGGTCCCCACGGGGC splice_region_variant, intron_variant Intron 1 of 41 5 NM_000548.5 ENSP00000219476.3 P49815-1
NTHL1ENST00000651570.2 linkc.-265_-245delGCCCCGTGGGGACCGCCACTT upstream_gene_variant NM_002528.7 ENSP00000498421.1 P78549-2

Frequencies

GnomAD3 genomes
AF:
0.00527
AC:
800
AN:
151898
Hom.:
11
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0177
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00118
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00330
Gnomad SAS
AF:
0.000829
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000250
Gnomad OTH
AF:
0.00622
GnomAD4 exome
AF:
0.00102
AC:
1301
AN:
1274552
Hom.:
11
AF XY:
0.00100
AC XY:
621
AN XY:
619840
show subpopulations
African (AFR)
AF:
0.0194
AC:
494
AN:
25402
American (AMR)
AF:
0.000941
AC:
18
AN:
19138
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18438
East Asian (EAS)
AF:
0.0114
AC:
363
AN:
31866
South Asian (SAS)
AF:
0.000437
AC:
27
AN:
61718
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
31834
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4202
European-Non Finnish (NFE)
AF:
0.000332
AC:
342
AN:
1029164
Other (OTH)
AF:
0.00108
AC:
57
AN:
52790
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.419
Heterozygous variant carriers
0
63
127
190
254
317
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
30
60
90
120
150
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00526
AC:
800
AN:
152008
Hom.:
11
Cov.:
32
AF XY:
0.00510
AC XY:
379
AN XY:
74296
show subpopulations
African (AFR)
AF:
0.0176
AC:
731
AN:
41472
American (AMR)
AF:
0.00118
AC:
18
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00331
AC:
17
AN:
5140
South Asian (SAS)
AF:
0.000830
AC:
4
AN:
4820
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10584
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.000250
AC:
17
AN:
67912
Other (OTH)
AF:
0.00616
AC:
13
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.464
Heterozygous variant carriers
0
36
72
107
143
179
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00367
Hom.:
0
Bravo
AF:
0.00585
Asia WGS
AF:
0.00289
AC:
10
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:1
Jun 18, 2018
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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. -

Hereditary cancer-predisposing syndrome Benign:1
Oct 09, 2020
Sema4, Sema4
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:curation

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
0.42
Mutation Taster
=100/0
polymorphism

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs565651015; hg19: chr16-2098068; COSMIC: COSV99526521; COSMIC: COSV99526521; API