16-2071616-T-C

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_000548.5(TSC2):ā€‹c.1946T>Cā€‹(p.Met649Thr) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000286 in 1,613,314 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (ā˜…ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. M649L) has been classified as Likely benign.

Frequency

Genomes: š‘“ 0.0011 ( 0 hom., cov: 33)
Exomes š‘“: 0.00021 ( 1 hom. )

Consequence

TSC2
NM_000548.5 missense, splice_region

Scores

2
17
Splicing: ADA: 0.0008319
2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:12O:2

Conservation

PhyloP100: 0.0110
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.012714803).
BP6
Variant 16-2071616-T-C is Benign according to our data. Variant chr16-2071616-T-C is described in ClinVar as [Likely_benign]. Clinvar id is 50189.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-2071616-T-C is described in Lovd as [Likely_benign]. Variant chr16-2071616-T-C is described in Lovd as [Likely_pathogenic]. Variant chr16-2071616-T-C is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00106 (161/152292) while in subpopulation AFR AF= 0.00337 (140/41574). AF 95% confidence interval is 0.00291. There are 0 homozygotes in gnomad4. There are 69 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 161 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TSC2NM_000548.5 linkc.1946T>C p.Met649Thr missense_variant, splice_region_variant 18/42 ENST00000219476.9 NP_000539.2 P49815-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TSC2ENST00000219476.9 linkc.1946T>C p.Met649Thr missense_variant, splice_region_variant 18/425 NM_000548.5 ENSP00000219476.3 P49815-1

Frequencies

GnomAD3 genomes
AF:
0.00105
AC:
160
AN:
152174
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00335
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000132
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000332
AC:
83
AN:
249946
Hom.:
0
AF XY:
0.000243
AC XY:
33
AN XY:
135578
show subpopulations
Gnomad AFR exome
AF:
0.00347
Gnomad AMR exome
AF:
0.000145
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000980
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000142
Gnomad OTH exome
AF:
0.000492
GnomAD4 exome
AF:
0.000206
AC:
301
AN:
1461022
Hom.:
1
Cov.:
32
AF XY:
0.000206
AC XY:
150
AN XY:
726820
show subpopulations
Gnomad4 AFR exome
AF:
0.00493
Gnomad4 AMR exome
AF:
0.000291
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000696
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000513
Gnomad4 OTH exome
AF:
0.000729
GnomAD4 genome
AF:
0.00106
AC:
161
AN:
152292
Hom.:
0
Cov.:
33
AF XY:
0.000927
AC XY:
69
AN XY:
74462
show subpopulations
Gnomad4 AFR
AF:
0.00337
Gnomad4 AMR
AF:
0.000653
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000132
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0431
Hom.:
3344
Bravo
AF:
0.00137
ESP6500AA
AF:
0.00341
AC:
15
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.000354
AC:
43
Asia WGS
AF:
0.00115
AC:
4
AN:
3478
EpiCase
AF:
0.000218
EpiControl
AF:
0.000296

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:12Other:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Tuberous sclerosis 2 Benign:4
Benign, criteria provided, single submitterclinical testingKCCC/NGS Laboratory, Kuwait Cancer Control CenterJul 07, 2023- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabNov 07, 2021- -
Likely benign, criteria provided, single submitterclinical testingGenomic Diagnostic Laboratory, Division of Genomic Diagnostics, Children's Hospital of PhiladelphiaJun 26, 2015- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 03, 2025- -
not provided Benign:4
Likely benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 28, 2023- -
Benign, criteria provided, single submitterclinical testingGeneDxJul 24, 2019This variant is associated with the following publications: (PMID: 24728327, 22903760, 23514105) -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenNov 01, 2024TSC2: BP4, BS1, BS2 -
Hereditary cancer-predisposing syndrome Benign:2
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsFeb 15, 2022This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Benign, criteria provided, single submittercurationSema4, Sema4Feb 13, 2021- -
not specified Benign:1Other:1
not provided, no classification providedreference populationITMISep 19, 2013- -
Likely benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jan 28, 2015- -
Tuberous sclerosis syndrome Benign:1Other:1
not provided, no classification providedcurationTuberous sclerosis database (TSC2)-- -
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaDec 03, 2018This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.058
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.21
CADD
Benign
5.1
DANN
Benign
0.30
DEOGEN2
Uncertain
0.46
T;.;.;.;.;.;.;.;.;.;.;.;T;.;T
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.26
N
LIST_S2
Benign
0.74
T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
M_CAP
Benign
0.083
D
MetaRNN
Benign
0.013
T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.80
T
MutationAssessor
Benign
-0.69
N;.;.;.;N;N;.;.;.;N;.;N;.;.;.
PrimateAI
Benign
0.34
T
PROVEAN
Benign
-0.99
N;.;.;N;.;N;.;.;N;N;.;.;.;.;N
REVEL
Uncertain
0.48
Sift
Benign
0.81
T;.;.;T;.;T;.;.;T;T;.;.;.;.;T
Sift4G
Benign
0.72
T;.;.;T;.;T;.;.;T;T;.;.;.;.;T
Polyphen
0.0050
B;.;.;.;B;B;.;.;B;B;.;.;.;.;.
Vest4
0.31
MVP
0.93
ClinPred
0.0025
T
GERP RS
-3.8
Varity_R
0.034
gMVP
0.20

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00083
dbscSNV1_RF
Benign
0.67
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: rs45490792; hg19: chr16-2121617; COSMIC: COSV54760666; COSMIC: COSV54760666; API