17-61400235-G-A

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 8P and 1B. PP5_Very_StrongBS2_Supporting

The NM_005994.4(TBX2):​c.59G>A​(p.Arg20Gln) variant causes a missense change. The variant allele was found at a frequency of 0.000051 in 1,215,720 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★).

Frequency

Genomes: 𝑓 0.000061 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000050 ( 0 hom. )

Consequence

TBX2
NM_005994.4 missense

Scores

2
11
6

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:4

Conservation

PhyloP100: 6.03
Variant links:
Genes affected
TBX2 (HGNC:11597): (T-box transcription factor 2) This gene is a member of a phylogenetically conserved family of genes that share a common DNA-binding domain, the T-box. T-box genes encode transcription factors involved in the regulation of developmental processes. This gene product is the human homolog of mouse Tbx2, and shares strong sequence similarity with Drosophila omb protein. Expression studies indicate that this gene may have a potential role in tumorigenesis as an immortalizing agent. Transcript heterogeneity due to alternative polyadenylation has been noted for this gene. [provided by RefSeq, Jul 2008]
TBX2-AS1 (HGNC:50355): (TBX2 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PP5
Variant 17-61400235-G-A is Pathogenic according to our data. Variant chr17-61400235-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 522826.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 9 AD gene. Variant has AC lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TBX2NM_005994.4 linkuse as main transcriptc.59G>A p.Arg20Gln missense_variant 1/7 ENST00000240328.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TBX2ENST00000240328.4 linkuse as main transcriptc.59G>A p.Arg20Gln missense_variant 1/71 NM_005994.4 P1
ENST00000585765.1 linkuse as main transcriptn.9C>T non_coding_transcript_exon_variant 1/45
TBX2ENST00000419047.5 linkuse as main transcriptc.59G>A p.Arg20Gln missense_variant, NMD_transcript_variant 1/71
TBX2-AS1ENST00000592009.1 linkuse as main transcriptn.41-6488C>T intron_variant, non_coding_transcript_variant 3

Frequencies

GnomAD3 genomes
AF:
0.0000614
AC:
9
AN:
146628
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000244
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:
0.000121
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000496
AC:
53
AN:
1069092
Hom.:
0
Cov.:
30
AF XY:
0.0000493
AC XY:
26
AN XY:
527916
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000809
Gnomad4 NFE exome
AF:
0.0000575
Gnomad4 OTH exome
AF:
0.0000272
GnomAD4 genome
AF:
0.0000614
AC:
9
AN:
146628
Hom.:
0
Cov.:
32
AF XY:
0.0000421
AC XY:
3
AN XY:
71312
show subpopulations
Gnomad4 AFR
AF:
0.0000244
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:
0.000121
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000142
Hom.:
0
Bravo
AF:
0.0000604

ClinVar

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

Submissions by phenotype

Vertebral anomalies and variable endocrine and T-cell dysfunction Pathogenic:3
Likely pathogenic, criteria provided, single submitterclinical testingBaylor GeneticsSep 05, 2022- -
Pathogenic, no assertion criteria providedliterature onlyOMIMDec 06, 2018- -
Pathogenic, criteria provided, single submitterclinical testingMendelicsMay 04, 2022- -
TBX2-related disorder Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingUndiagnosed Diseases Network, NIHFeb 24, 2016This family has been reported in PMID: 29726930 (family 1). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.31
BayesDel_addAF
Uncertain
0.11
D
BayesDel_noAF
Uncertain
-0.080
CADD
Pathogenic
33
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.58
D
Eigen
Uncertain
0.20
Eigen_PC
Benign
0.092
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.91
D
M_CAP
Pathogenic
0.88
D
MetaRNN
Uncertain
0.56
D
MetaSVM
Uncertain
0.47
D
MutationAssessor
Benign
1.9
L
MutationTaster
Benign
1.0
D
PrimateAI
Pathogenic
0.93
D
PROVEAN
Benign
-2.2
N
REVEL
Uncertain
0.50
Sift
Uncertain
0.0020
D
Sift4G
Benign
0.13
T
Polyphen
1.0
D
Vest4
0.33
MutPred
0.28
Loss of methylation at R20 (P = 0.0306);
MVP
0.49
ClinPred
0.95
D
GERP RS
2.5
Varity_R
0.68
gMVP
0.76

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: rs1364709483; hg19: chr17-59477596; API