16-2496317-C-T

Variant summary

Our verdict is Benign. Variant got -11 ACMG points: 2P and 13B. PM1BP4_StrongBP6BS1BS2

The NM_001199107.2(TBC1D24):​c.169C>T​(p.Arg57Cys) variant causes a missense change. The variant allele was found at a frequency of 0.00207 in 1,613,610 control chromosomes in the GnomAD database, including 5 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0020 ( 1 hom., cov: 33)
Exomes 𝑓: 0.0021 ( 4 hom. )

Consequence

TBC1D24
NM_001199107.2 missense

Scores

8
11

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:3B:7O:1

Conservation

PhyloP100: 4.00
Variant links:
Genes affected
TBC1D24 (HGNC:29203): (TBC1 domain family member 24) This gene encodes a protein with a conserved domain, referred to as the TBC domain, characteristic of proteins which interact with GTPases. TBC domain proteins may serve as GTPase-activating proteins for a particular group of GTPases, the Rab (Ras-related proteins in brain) small GTPases which are involved in the regulation of membrane trafficking. Mutations in this gene are associated with familial infantile myoclonic epilepsy. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Feb 2011]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -11 ACMG points.

PM1
In a domain Rab-GAP TBC (size 215) in uniprot entity TBC24_HUMAN there are 17 pathogenic changes around while only 3 benign (85%) in NM_001199107.2
BP4
Computational evidence support a benign effect (MetaRNN=0.010109574).
BP6
Variant 16-2496317-C-T is Benign according to our data. Variant chr16-2496317-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 195364.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=3, Uncertain_significance=3, not_provided=1, Benign=3}. Variant chr16-2496317-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00196 (299/152370) while in subpopulation NFE AF= 0.00282 (192/68030). AF 95% confidence interval is 0.0025. There are 1 homozygotes in gnomad4. There are 137 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 4 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TBC1D24NM_001199107.2 linkuse as main transcriptc.169C>T p.Arg57Cys missense_variant 2/8 ENST00000646147.1 NP_001186036.1 Q9ULP9-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TBC1D24ENST00000646147.1 linkuse as main transcriptc.169C>T p.Arg57Cys missense_variant 2/8 NM_001199107.2 ENSP00000494678.1 Q9ULP9-1
ENSG00000260272ENST00000564543.1 linkuse as main transcriptc.169C>T p.Arg57Cys missense_variant 1/32 ENSP00000455547.1 H3BQ06

Frequencies

GnomAD3 genomes
AF:
0.00196
AC:
299
AN:
152252
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000434
Gnomad AMI
AF:
0.00329
Gnomad AMR
AF:
0.00170
Gnomad ASJ
AF:
0.00894
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00132
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00282
Gnomad OTH
AF:
0.00669
GnomAD3 exomes
AF:
0.00192
AC:
477
AN:
248928
Hom.:
1
AF XY:
0.00197
AC XY:
266
AN XY:
135252
show subpopulations
Gnomad AFR exome
AF:
0.000389
Gnomad AMR exome
AF:
0.00104
Gnomad ASJ exome
AF:
0.0102
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000654
Gnomad FIN exome
AF:
0.00153
Gnomad NFE exome
AF:
0.00255
Gnomad OTH exome
AF:
0.00166
GnomAD4 exome
AF:
0.00208
AC:
3045
AN:
1461240
Hom.:
4
Cov.:
31
AF XY:
0.00207
AC XY:
1502
AN XY:
726956
show subpopulations
Gnomad4 AFR exome
AF:
0.000149
Gnomad4 AMR exome
AF:
0.00114
Gnomad4 ASJ exome
AF:
0.00953
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000580
Gnomad4 FIN exome
AF:
0.00169
Gnomad4 NFE exome
AF:
0.00227
Gnomad4 OTH exome
AF:
0.00190
GnomAD4 genome
AF:
0.00196
AC:
299
AN:
152370
Hom.:
1
Cov.:
33
AF XY:
0.00184
AC XY:
137
AN XY:
74518
show subpopulations
Gnomad4 AFR
AF:
0.000433
Gnomad4 AMR
AF:
0.00170
Gnomad4 ASJ
AF:
0.00894
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00132
Gnomad4 NFE
AF:
0.00282
Gnomad4 OTH
AF:
0.00662
Alfa
AF:
0.00308
Hom.:
1
Bravo
AF:
0.00197
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.000703
AC:
3
ESP6500EA
AF:
0.00259
AC:
22
ExAC
AF:
0.00178
AC:
215
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00338
EpiControl
AF:
0.00284

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:1Uncertain:3Benign:7Other:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:2Other:1
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenNov 01, 2023TBC1D24: BP4 -
Uncertain significance, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Feb 08, 2017- -
not provided, no classification providedphenotyping onlyGenomeConnect, ClinGen-GenomeConnect assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. GenomeConnect staff make no attempt to reinterpret the clinical significance of the variant. -
Likely benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesSep 11, 2023- -
not specified Uncertain:1Benign:2
Uncertain significance, criteria provided, single submitterclinical testingAthena DiagnosticsOct 17, 2016- -
Benign, criteria provided, single submitterclinical testingGeneDxJul 22, 2019This 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. -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineJul 16, 2015p.Arg57Cys in exon 2 of TBC1D24: This variant is not expected to have clinical s ignificance it has been identified in 0.3% (182/65958) of European chromosomes b y the Exome Aggregation Consortium (ExAC, http://exac.broadinstitute.org; dbSNP rs202162520). -
Childhood epilepsy with centrotemporal spikes Pathogenic:1
Pathogenic, no assertion criteria providedcase-controlBioinformatics Core, Luxembourg Center for Systems BiomedicineJan 01, 2017CAADphred>15 -
Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMay 01, 2019The p.R57C variant (also known as c.169C>T), located in coding exon 1 of the TBC1D24 gene, results from a C to T substitution at nucleotide position 169. The arginine at codon 57 is replaced by cysteine, an amino acid with highly dissimilar properties. This amino acid position is not well conserved in available vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Based on data from gnomAD, the T allele has an overall frequency of approximately 0.18% (507/27762) total alleles studied. The highest observed frequency was 1.06% (107/10138) of Ashkenazi Jewish alleles. Since supporting evidence is limited at this time, the clinical significance of this variant remains unclear. -
Familial infantile myoclonic epilepsy Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -
TBC1D24-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJun 25, 2024This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Developmental and epileptic encephalopathy, 1;C3892048:Autosomal dominant nonsyndromic hearing loss 65;CN236805:Caused by mutation in the TBC1 domain family, member 24 Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.36
CADD
Pathogenic
28
DANN
Uncertain
1.0
DEOGEN2
Benign
0.018
.;T;T;.;.;.;.
Eigen
Uncertain
0.40
Eigen_PC
Uncertain
0.41
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.97
.;.;D;D;D;D;D
M_CAP
Uncertain
0.13
D
MetaRNN
Benign
0.010
T;T;T;T;T;T;T
MetaSVM
Benign
-1.2
T
MutationAssessor
Benign
1.5
L;L;L;.;.;L;.
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-1.8
N;.;N;.;.;.;N
REVEL
Benign
0.14
Sift
Uncertain
0.0080
D;.;D;.;.;.;D
Sift4G
Uncertain
0.012
D;.;D;.;.;D;D
Polyphen
0.99
D;D;D;.;.;D;.
Vest4
0.42
MVP
0.75
MPC
1.1, 1.5
ClinPred
0.020
T
GERP RS
4.6
Varity_R
0.12
gMVP
0.38

Splicing

Name
Calibrated prediction
Score
Prediction
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: rs202162520; hg19: chr16-2546318; COSMIC: COSV99565430; COSMIC: COSV99565430; API