19-16680001-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_024074.4(TMEM38A):​c.142C>T​(p.Arg48Trp) variant causes a missense change. The variant allele was found at a frequency of 0.00000498 in 1,607,316 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000048 ( 0 hom. )

Consequence

TMEM38A
NM_024074.4 missense

Scores

3
8
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.66
Variant links:
Genes affected
TMEM38A (HGNC:28462): (transmembrane protein 38A) Predicted to enable potassium channel activity. Predicted to act upstream of or within several processes, including cellular response to caffeine; inorganic cation transmembrane transport; and regulation of cardiac muscle contraction by regulation of the release of sequestered calcium ion. Located in extracellular exosome. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.792

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TMEM38ANM_024074.4 linkuse as main transcriptc.142C>T p.Arg48Trp missense_variant 2/6 ENST00000187762.7 NP_076979.1 Q9H6F2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TMEM38AENST00000187762.7 linkuse as main transcriptc.142C>T p.Arg48Trp missense_variant 2/61 NM_024074.4 ENSP00000187762.1 Q9H6F2
TMEM38AENST00000599479.1 linkuse as main transcriptc.97C>T p.Arg33Trp missense_variant 2/43 ENSP00000469721.1 M0QYB6
TMEM38AENST00000595452.1 linkuse as main transcriptn.118C>T non_coding_transcript_exon_variant 2/32

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000481
AC:
7
AN:
1455042
Hom.:
0
Cov.:
31
AF XY:
0.00000414
AC XY:
3
AN XY:
724076
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.0000211
Gnomad4 NFE exome
AF:
0.00000270
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152274
Hom.:
0
Cov.:
32
AF XY:
0.0000134
AC XY:
1
AN XY:
74444
show subpopulations
Gnomad4 AFR
AF:
0.00
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:
0.00
Gnomad4 OTH
AF:
0.000474
Alfa
AF:
0.0000308
Hom.:
0
Bravo
AF:
0.0000113

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 22, 2022The c.142C>T (p.R48W) alteration is located in exon 2 (coding exon 2) of the TMEM38A gene. This alteration results from a C to T substitution at nucleotide position 142, causing the arginine (R) at amino acid position 48 to be replaced by a tryptophan (W). 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
0.18
BayesDel_addAF
Pathogenic
0.20
D
BayesDel_noAF
Uncertain
0.050
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.25
T
Eigen
Uncertain
0.54
Eigen_PC
Uncertain
0.55
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.96
D
M_CAP
Benign
0.011
T
MetaRNN
Pathogenic
0.79
D
MetaSVM
Benign
-0.68
T
MutationAssessor
Benign
1.4
L
PrimateAI
Uncertain
0.65
T
PROVEAN
Uncertain
-2.9
D
REVEL
Benign
0.23
Sift
Benign
0.29
T
Sift4G
Uncertain
0.023
D
Polyphen
1.0
D
Vest4
0.70
MutPred
0.64
Loss of solvent accessibility (P = 0.0016);
MVP
0.085
MPC
1.1
ClinPred
0.99
D
GERP RS
5.5
Varity_R
0.14
gMVP
0.86

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs1269984715; hg19: chr19-16790812; API