19-16076136-G-C

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001145160.2(TPM4):ā€‹c.204G>Cā€‹(p.Gln68His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000211 in 1,421,996 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 0.0000021 ( 0 hom. )

Consequence

TPM4
NM_001145160.2 missense

Scores

7
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.01
Variant links:
Genes affected
TPM4 (HGNC:12013): (tropomyosin 4) This gene encodes a member of the tropomyosin family of actin-binding proteins involved in the contractile system of striated and smooth muscles and the cytoskeleton of non-muscle cells. Tropomyosins are dimers of coiled-coil proteins that polymerize end-to-end along the major groove in most actin filaments. They provide stability to the filaments and regulate access of other actin-binding proteins. In muscle cells, they regulate muscle contraction by controlling the binding of myosin heads to the actin filament. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Nov 2009]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TPM4NM_001145160.2 linkc.204G>C p.Gln68His missense_variant Exon 2 of 9 NP_001138632.1 P67936-2
TPM4NM_001367836.1 linkc.156G>C p.Gln52His missense_variant Exon 2 of 9 NP_001354765.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TPM4ENST00000646974.2 linkc.204G>C p.Gln68His missense_variant Exon 2 of 9 ENSP00000494125.1 P67936-2
TPM4ENST00000647464.2 linkc.96G>C p.Gln32His missense_variant Exon 2 of 10 ENSP00000496648.3 A0A2R8YHD2
TPM4ENST00000589897.1 linkc.204G>C p.Gln68His missense_variant Exon 3 of 3 4 ENSP00000466158.1 K7ELP0

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000211
AC:
3
AN:
1421996
Hom.:
0
Cov.:
35
AF XY:
0.00000142
AC XY:
1
AN XY:
703838
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:
0.00
Gnomad4 NFE exome
AF:
0.00000275
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Oct 25, 2022
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.204G>C (p.Q68H) alteration is located in exon 2 (coding exon 2) of the TPM4 gene. This alteration results from a G to C substitution at nucleotide position 204, causing the glutamine (Q) at amino acid position 68 to be replaced by a histidine (H). 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
BayesDel_addAF
Uncertain
0.13
D
BayesDel_noAF
Uncertain
-0.050
CADD
Benign
8.0
DANN
Uncertain
0.98
Eigen
Benign
-0.56
Eigen_PC
Benign
-0.70
FATHMM_MKL
Benign
0.32
N
LIST_S2
Benign
0.48
T;.;D;.;.
M_CAP
Benign
0.028
D
MetaRNN
Uncertain
0.59
D;D;D;D;D
MetaSVM
Benign
-0.34
T
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-2.2
.;N;.;.;.
REVEL
Uncertain
0.42
Sift
Uncertain
0.0050
.;D;.;.;.
Sift4G
Uncertain
0.012
D;T;.;T;T
Polyphen
0.64
.;P;P;.;.
Vest4
0.36
MutPred
0.63
Loss of methylation at K65 (P = 0.3215);Loss of methylation at K65 (P = 0.3215);Loss of methylation at K65 (P = 0.3215);.;.;
MVP
0.76
ClinPred
0.97
D
GERP RS
-0.98
gMVP
0.48

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr19-16186946; API