16-75555872-G-C

Variant summary

Our verdict is Uncertain significance. The variant received 3 ACMG points: 4P and 1B. PM2PM5BP4

The NM_001077418.3(TMEM231):​c.241C>G​(p.Leu81Val) variant causes a missense change. The variant allele was found at a frequency of 0.000000695 in 1,438,970 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. L81F) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 6.9e-7 ( 0 hom. )

Consequence

TMEM231
NM_001077418.3 missense

Scores

4
14

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 4.04

Publications

0 publications found
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]
TMEM231 Gene-Disease associations (from GenCC):
  • ciliopathy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Joubert syndrome 20
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • Joubert syndrome with oculorenal defect
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Meckel syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • orofaciodigital syndrome III
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr16-75555872-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 445818.
BP4
Computational evidence support a benign effect (MetaRNN=0.28885084).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001077418.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TMEM231
NM_001077418.3
MANE Select
c.241C>Gp.Leu81Val
missense
Exon 2 of 7NP_001070886.1
TMEM231
NM_001077416.2
c.400C>Gp.Leu134Val
missense
Exon 1 of 6NP_001070884.2
TMEM231
NR_074083.2
n.284C>G
non_coding_transcript_exon
Exon 2 of 7

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TMEM231
ENST00000258173.11
TSL:1 MANE Select
c.241C>Gp.Leu81Val
missense
Exon 2 of 7ENSP00000258173.5
TMEM231
ENST00000568377.5
TSL:1
c.328C>Gp.Leu110Val
missense
Exon 1 of 6ENSP00000476267.1
TMEM231
ENST00000565067.5
TSL:5
c.241C>Gp.Leu81Val
missense
Exon 2 of 6ENSP00000457254.1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
6.95e-7
AC:
1
AN:
1438970
Hom.:
0
Cov.:
30
AF XY:
0.00000140
AC XY:
1
AN XY:
713190
show subpopulations
African (AFR)
AF:
0.0000304
AC:
1
AN:
32888
American (AMR)
AF:
0.00
AC:
0
AN:
41802
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25498
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38752
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82582
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51102
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5688
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1101268
Other (OTH)
AF:
0.00
AC:
0
AN:
59390
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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
Cov.:
33

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.090
BayesDel_addAF
Benign
-0.0012
T
BayesDel_noAF
Benign
-0.24
CADD
Benign
20
DANN
Uncertain
0.99
DEOGEN2
Benign
0.068
T
Eigen
Uncertain
0.40
Eigen_PC
Uncertain
0.51
FATHMM_MKL
Benign
0.62
D
LIST_S2
Benign
0.80
T
M_CAP
Benign
0.011
T
MetaRNN
Benign
0.29
T
MetaSVM
Benign
-0.70
T
MutationAssessor
Benign
0.88
L
PhyloP100
4.0
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-0.85
N
REVEL
Benign
0.11
Sift
Benign
0.22
T
Sift4G
Benign
0.24
T
Polyphen
0.48
P
Vest4
0.38
MutPred
0.55
Gain of sheet (P = 0.0827)
MVP
0.29
MPC
1.2
ClinPred
0.83
D
GERP RS
5.9
PromoterAI
0.064
Neutral
Varity_R
0.24
gMVP
0.26
Mutation Taster
=72/28
polymorphism

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

Other links and lift over

dbSNP: rs376555896; hg19: chr16-75589770; API