16-2071855-C-T

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 0P and 14B. BP4_ModerateBP6_Very_StrongBS2

The NM_000548.5(TSC2):​c.2018C>T​(p.Ala673Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000672 in 1,414,568 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000067 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

TSC2
NM_000548.5 missense

Scores

3
16

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 0.691
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 -14 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.068710655).
BP6
Variant 16-2071855-C-T is Benign according to our data. Variant chr16-2071855-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 207665.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-2071855-C-T is described in Lovd as [Likely_benign].
BS2
High AC in GnomAdExome4 at 95 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TSC2NM_000548.5 linkc.2018C>T p.Ala673Val missense_variant Exon 19 of 42 ENST00000219476.9 NP_000539.2 P49815-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TSC2ENST00000219476.9 linkc.2018C>T p.Ala673Val missense_variant Exon 19 of 42 5 NM_000548.5 ENSP00000219476.3 P49815-1

Frequencies

GnomAD3 genomes
AF:
0.00
AC:
1
AN:
151704
Hom.:
0
Cov.:
33
FAILED QC
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000368
AC:
6
AN:
162940
Hom.:
0
AF XY:
0.0000335
AC XY:
3
AN XY:
89468
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000109
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000473
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000672
AC:
95
AN:
1414568
Hom.:
0
Cov.:
33
AF XY:
0.0000543
AC XY:
38
AN XY:
699994
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000767
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000270
Gnomad4 SAS exome
AF:
0.0000871
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000734
Gnomad4 OTH exome
AF:
0.0000342
GnomAD4 genome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00000659
AC:
1
AN:
151704
Hom.:
0
Cov.:
33
AF XY:
0.0000135
AC XY:
1
AN XY:
74094
show subpopulations
Gnomad4 AFR
AF:
0.0000242
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000301
Hom.:
0
Bravo
AF:
0.0000189
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000259
AC:
1
ExAC
AF:
0.0000344
AC:
4

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Tuberous sclerosis 2 Benign:2
Nov 07, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Dec 29, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:1
Jan 06, 2021
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Hereditary cancer-predisposing syndrome Benign:1
Aug 02, 2018
Ambry Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.065
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.24
CADD
Benign
0.21
DANN
Benign
0.28
DEOGEN2
Uncertain
0.45
T;.;.;.;.;.;.;.;.;.;.;.;T;.;T
Eigen
Benign
-0.99
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.32
N
LIST_S2
Benign
0.84
T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
M_CAP
Uncertain
0.098
D
MetaRNN
Benign
0.069
T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.74
T
MutationAssessor
Benign
0.76
N;.;.;.;N;N;.;.;.;N;.;N;.;.;.
PrimateAI
Benign
0.38
T
PROVEAN
Benign
-0.98
N;.;.;N;.;N;.;.;N;N;.;.;.;.;N
REVEL
Uncertain
0.35
Sift
Benign
0.33
T;.;.;T;.;T;.;.;T;T;.;.;.;.;T
Sift4G
Benign
0.84
T;.;.;T;.;T;.;.;T;T;.;.;.;.;T
Polyphen
0.0040
B;.;.;.;B;B;.;.;B;B;.;.;.;.;.
Vest4
0.21
MutPred
0.44
Loss of glycosylation at P674 (P = 0.0644);Loss of glycosylation at P674 (P = 0.0644);Loss of glycosylation at P674 (P = 0.0644);.;Loss of glycosylation at P674 (P = 0.0644);Loss of glycosylation at P674 (P = 0.0644);Loss of glycosylation at P674 (P = 0.0644);Loss of glycosylation at P674 (P = 0.0644);.;Loss of glycosylation at P674 (P = 0.0644);Loss of glycosylation at P674 (P = 0.0644);Loss of glycosylation at P674 (P = 0.0644);Loss of glycosylation at P674 (P = 0.0644);Loss of glycosylation at P674 (P = 0.0644);.;
MVP
0.87
ClinPred
0.039
T
GERP RS
1.3
Varity_R
0.023
gMVP
0.31

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs745897413; hg19: chr16-2121856; COSMIC: COSV54764746; COSMIC: COSV54764746; API