18-68681103-T-C

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_019022.5(TMX3):​c.913A>G​(p.Thr305Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000713 in 1,402,950 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 7.1e-7 ( 0 hom. )

Consequence

TMX3
NM_019022.5 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.49

Publications

0 publications found
Variant links:
Genes affected
TMX3 (HGNC:24718): (thioredoxin related transmembrane protein 3) This gene encodes a member of the disulfide isomerase (PDI) family of endoplasmic reticulum (ER) proteins that catalyze protein folding and thiol-disulfide interchange reactions. The canonical protein encoded by this gene has an N-terminal ER-signal sequence, a catalytically active thioredoxin domain, one transmembrane domain and a C-terminal ER-retention sequence. This gene is expressed in many tissues but has its highest expression in heart and skeletal muscle. It is expressed in the retinal neuroepithelium and lens epithelium in the developing murine eye and haploinsufficiency of this gene in humans and zebrafish is associated with microphthalmia. Alternative splicing results in multiple transcript variants encoding distinct isoforms. [provided by RefSeq, Apr 2017]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.07965958).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TMX3NM_019022.5 linkc.913A>G p.Thr305Ala missense_variant Exon 14 of 16 ENST00000299608.7 NP_061895.3 Q96JJ7-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TMX3ENST00000299608.7 linkc.913A>G p.Thr305Ala missense_variant Exon 14 of 16 1 NM_019022.5 ENSP00000299608.2 Q96JJ7-1
TMX3ENST00000564631.5 linkn.*597A>G non_coding_transcript_exon_variant Exon 13 of 15 1 ENSP00000456587.1 H3BVI1
TMX3ENST00000564631.5 linkn.*597A>G 3_prime_UTR_variant Exon 13 of 15 1 ENSP00000456587.1 H3BVI1
TMX3ENST00000566135.1 linkn.38A>G non_coding_transcript_exon_variant Exon 2 of 4 3

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
213126
AF XY:
0.00
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
7.13e-7
AC:
1
AN:
1402950
Hom.:
0
Cov.:
29
AF XY:
0.00
AC XY:
0
AN XY:
695046
show subpopulations
African (AFR)
AF:
0.0000320
AC:
1
AN:
31214
American (AMR)
AF:
0.00
AC:
0
AN:
35104
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24648
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37280
South Asian (SAS)
AF:
0.00
AC:
0
AN:
73884
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51696
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5546
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1085670
Other (OTH)
AF:
0.00
AC:
0
AN:
57908
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
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.:
32

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Oct 21, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.913A>G (p.T305A) alteration is located in exon 14 (coding exon 14) of the TMX3 gene. This alteration results from a A to G substitution at nucleotide position 913, causing the threonine (T) at amino acid position 305 to be replaced by an alanine (A). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.064
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.71
CADD
Benign
12
DANN
Benign
0.31
DEOGEN2
Benign
0.0045
T
Eigen
Benign
-0.59
Eigen_PC
Benign
-0.46
FATHMM_MKL
Benign
0.71
D
LIST_S2
Benign
0.43
T
M_CAP
Benign
0.0031
T
MetaRNN
Benign
0.080
T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
0.81
L
PhyloP100
1.5
PrimateAI
Benign
0.27
T
PROVEAN
Benign
-0.54
N
REVEL
Benign
0.050
Sift
Benign
0.60
T
Sift4G
Benign
0.76
T
Polyphen
0.0
B
Vest4
0.065
MutPred
0.47
Gain of catalytic residue at T305 (P = 0.1868);
MVP
0.25
MPC
0.26
ClinPred
0.032
T
GERP RS
3.3
Varity_R
0.024
gMVP
0.26
Mutation Taster
=90/10
polymorphism

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

Other links and lift over

dbSNP: rs1480982441; hg19: chr18-66348340; API