18-62325344-T-C

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_Strong BP6_Very_Strong BA1

The NM_003839.4(TNFRSF11A):c.-9T>C variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.269 in 1,015,216 control chromosomes in the GnomAD database, including 37,933 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

• Frequency:
  • Genomes: 𝑓 0.28 (6061 hom., cov: 31)
  • Exomes 𝑓: 0.27 (31872 hom.)
• Consequence: TNFRSF11A NM_003839.4 5_prime_UTR
• Clinical Significance: Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5
• Conservation: PhyloP100: -0.0360

Genes affected

TNFRSF11A (HGNC:11908): (TNF receptor superfamily member 11a) The protein encoded by this gene is a member of the TNF-receptor superfamily. This receptors can interact with various TRAF family proteins, through which this receptor induces the activation of NF-kappa B and MAPK8/JNK. This receptor and its ligand are important regulators of the interaction between T cells and dendritic cells. This receptor is also an essential mediator for osteoclast and lymph node development. Mutations at this locus have been associated with familial expansile osteolysis, autosomal recessive osteopetrosis, and Paget disease of bone. Alternatively spliced transcript variants have been described for this locus. [provided by RefSeq, Aug 2012]

ACMG classification

Verdict is Benign. Variant got -20 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.85).
• BP6: Variant 18-62325344-T-C is Benign according to our data. Variant chr18-62325344-T-C is described in ClinVar as [Likely_benign]. Clinvar id is 193259.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
• BA1: GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.342 is higher than 0.05.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	UniProt
TNFRSF11A	NM_003839.4	c.-9T>C		5_prime_UTR_variant	1/10	ENST00000586569.3

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Appris	UniProt
TNFRSF11A	ENST00000586569.3	c.-9T>C		5_prime_UTR_variant	1/10	1	NM_003839.4	P2
TNFRSF11A	ENST00000269485.11	c.-9T>C		5_prime_UTR_variant	1/7	1		A2
TNFRSF11A	ENST00000592013.1	n.19T>C		non_coding_transcript_exon_variant	1/2	2

Frequencies

GnomAD3 genomes AF: 0.279 AC: 40887 AN: 146526 Hom.: 6058 Cov.: 31

Gnomad AFR AF: 0.347

Gnomad AMI AF: 0.301

Gnomad AMR AF: 0.229

Gnomad ASJ AF: 0.223

Gnomad EAS AF: 0.105

Gnomad SAS AF: 0.168

Gnomad FIN AF: 0.262

Gnomad MID AF: 0.239

Gnomad NFE AF: 0.275

Gnomad OTH AF: 0.275

GnomAD3 exomes AF: 0.141 AC: 863 AN: 6136 Hom.: 61 AF XY: 0.133 AC XY: 465 AN XY: 3500

Gnomad AFR exome AF: 0.294

Gnomad AMR exome AF: 0.117

Gnomad ASJ exome AF: 0.123

Gnomad EAS exome AF: 0.00

Gnomad SAS exome AF: 0.0890

Gnomad FIN exome AF: 0.167

Gnomad NFE exome AF: 0.182

Gnomad OTH exome AF: 0.142

GnomAD4 exome AF: 0.267 AC: 231875 AN: 868590 Hom.: 31872 Cov.: 26 AF XY: 0.266 AC XY: 108782 AN XY: 408986

Gnomad4 AFR exome AF: 0.349

Gnomad4 AMR exome AF: 0.156

Gnomad4 ASJ exome AF: 0.210

Gnomad4 EAS exome AF: 0.0920

Gnomad4 SAS exome AF: 0.160

Gnomad4 FIN exome AF: 0.197

Gnomad4 NFE exome AF: 0.271

Gnomad4 OTH exome AF: 0.245

GnomAD4 genome AF: 0.279 AC: 40902 AN: 146626 Hom.: 6061 Cov.: 31 AF XY: 0.274 AC XY: 19579 AN XY: 71374

Gnomad4 AFR AF: 0.346

Gnomad4 AMR AF: 0.229

Gnomad4 ASJ AF: 0.223

Gnomad4 EAS AF: 0.105

Gnomad4 SAS AF: 0.167

Gnomad4 FIN AF: 0.262

Gnomad4 NFE AF: 0.275

Gnomad4 OTH AF: 0.274

Alfa AF: 0.285 Hom.: 779

Bravo AF: 0.275

Asia WGS AF: 0.150 AC: 432 AN: 2880

ClinVar

Significance: Benign/Likely benign

Submissions summary: Benign:5

Revision: criteria provided, multiple submitters, no conflicts

Submissions by phenotype

not specified Benign:2

Benign, criteria provided, single submitter	clinical testing	Eurofins Ntd Llc (ga)	Aug 14, 2018	- -
Benign, criteria provided, single submitter	clinical testing	Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine	Mar 28, 2016	Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency -

Bone Paget disease Benign:1

Likely benign, criteria provided, single submitter

clinical testing

Illumina Laboratory Services, Illumina

Jun 14, 2016

- -

not provided Benign:1

Benign, criteria provided, single submitter

clinical testing

GeneDx

Jun 19, 2021

- -

Osteopetrosis Benign:1

Likely benign, criteria provided, single submitter

clinical testing

Illumina Laboratory Services, Illumina

Jun 14, 2016

- -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.85
Cadd	Benign	11
Dann	Benign	0.57

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

Other links and lift over

dbSNP: rs1805033; hg19: chr18-59992577;