16-75540018-G-T

Variant summary

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

The NM_001077418.3(TMEM231):​c.927C>A​(p.Asp309Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00219 in 1,612,506 control chromosomes in the GnomAD database, including 12 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D309V) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0018 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0022 ( 10 hom. )

Consequence

TMEM231
NM_001077418.3 missense

Scores

19

Clinical Significance

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

Conservation

PhyloP100: -0.262
Variant links:
Genes affected
TMEM231 (HGNC:37234): (transmembrane protein 231) This gene encodes a transmembrane protein, which is a component of the B9 complex involved in the formation of the diffusion barrier between the cilia and plasma membrane. Mutations in this gene cause Joubert syndrome (JBTS). Multiple alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Jan 2013]

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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=0.0060337186).
BP6
Variant 16-75540018-G-T is Benign according to our data. Variant chr16-75540018-G-T is described in ClinVar as [Likely_benign]. Clinvar id is 786835.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-75540018-G-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00176 (267/152086) while in subpopulation NFE AF= 0.00281 (191/68040). AF 95% confidence interval is 0.00248. There are 2 homozygotes in gnomad4. There are 124 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TMEM231NM_001077418.3 linkuse as main transcriptc.927C>A p.Asp309Glu missense_variant 7/7 ENST00000258173.11
TMEM231NM_001077416.2 linkuse as main transcriptc.1086C>A p.Asp362Glu missense_variant 6/6
TMEM231NR_074083.2 linkuse as main transcriptn.1093C>A non_coding_transcript_exon_variant 7/7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TMEM231ENST00000258173.11 linkuse as main transcriptc.927C>A p.Asp309Glu missense_variant 7/71 NM_001077418.3 P1Q9H6L2-1

Frequencies

GnomAD3 genomes
AF:
0.00176
AC:
267
AN:
151968
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000655
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00144
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00179
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.00281
Gnomad OTH
AF:
0.00191
GnomAD3 exomes
AF:
0.00172
AC:
426
AN:
248010
Hom.:
3
AF XY:
0.00164
AC XY:
221
AN XY:
134560
show subpopulations
Gnomad AFR exome
AF:
0.000388
Gnomad AMR exome
AF:
0.00116
Gnomad ASJ exome
AF:
0.000699
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000986
Gnomad FIN exome
AF:
0.00237
Gnomad NFE exome
AF:
0.00278
Gnomad OTH exome
AF:
0.00117
GnomAD4 exome
AF:
0.00224
AC:
3267
AN:
1460420
Hom.:
10
Cov.:
31
AF XY:
0.00214
AC XY:
1558
AN XY:
726460
show subpopulations
Gnomad4 AFR exome
AF:
0.000239
Gnomad4 AMR exome
AF:
0.00123
Gnomad4 ASJ exome
AF:
0.000498
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000581
Gnomad4 FIN exome
AF:
0.00257
Gnomad4 NFE exome
AF:
0.00262
Gnomad4 OTH exome
AF:
0.00222
GnomAD4 genome
AF:
0.00176
AC:
267
AN:
152086
Hom.:
2
Cov.:
32
AF XY:
0.00167
AC XY:
124
AN XY:
74374
show subpopulations
Gnomad4 AFR
AF:
0.000653
Gnomad4 AMR
AF:
0.00144
Gnomad4 ASJ
AF:
0.000288
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00179
Gnomad4 NFE
AF:
0.00281
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.00211
Hom.:
0
Bravo
AF:
0.00162
TwinsUK
AF:
0.00351
AC:
13
ALSPAC
AF:
0.00234
AC:
9
ESP6500AA
AF:
0.000517
AC:
2
ESP6500EA
AF:
0.00181
AC:
15
ExAC
AF:
0.00194
AC:
234
EpiCase
AF:
0.00338
EpiControl
AF:
0.00160

ClinVar

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

Submissions by phenotype

not provided Benign:3
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenAug 01, 2024TMEM231: BP4, BS2 -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Likely benign, criteria provided, single submitterclinical testingGeneDxFeb 03, 2021- -
Joubert syndrome 20;C3809352:Meckel syndrome, type 11 Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 31, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.059
BayesDel_addAF
Benign
-0.65
T
BayesDel_noAF
Benign
-0.70
CADD
Benign
0.013
DANN
Benign
0.58
DEOGEN2
Benign
0.00076
T;.;T
Eigen
Benign
-1.8
Eigen_PC
Benign
-1.8
FATHMM_MKL
Benign
0.0017
N
LIST_S2
Benign
0.28
T;T;T
M_CAP
Benign
0.029
D
MetaRNN
Benign
0.0060
T;T;T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
-0.85
N;.;.
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Benign
0.33
T
PROVEAN
Benign
0.42
N;.;N
REVEL
Benign
0.12
Sift
Benign
1.0
T;.;T
Sift4G
Benign
1.0
T;T;T
Polyphen
0.0
B;.;.
Vest4
0.015
MutPred
0.35
Gain of helix (P = 0.0425);.;.;
MVP
0.030
MPC
0.0080
ClinPred
0.0010
T
GERP RS
-4.4
Varity_R
0.026
gMVP
0.24

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: rs186119649; hg19: chr16-75573916; COSMIC: COSV50738394; COSMIC: COSV50738394; API