19-44901208-C-A

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP4

The NM_001128917.2(TOMM40):​c.844C>A​(p.Leu282Met) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. 13/23 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Synonymous variant affecting the same amino acid position (i.e. L282L) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 33)

Consequence

TOMM40
NM_001128917.2 missense, splice_region

Scores

1
7
10
Splicing: ADA: 0.00008148
2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.00100

Publications

0 publications found
Variant links:
Genes affected
TOMM40 (HGNC:18001): (translocase of outer mitochondrial membrane 40) The protein encoded by this gene is localized in the outer membrane of the mitochondria. It is the channel-forming subunit of the translocase of the mitochondrial outer membrane (TOM) complex that is essential for import of protein precursors into mitochondria. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Aug 2015]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.4061705).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001128917.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TOMM40
NM_001128917.2
MANE Select
c.844C>Ap.Leu282Met
missense splice_region
Exon 8 of 9NP_001122389.1O96008-1
TOMM40
NM_001128916.2
c.844C>Ap.Leu282Met
missense splice_region
Exon 9 of 10NP_001122388.1O96008-1
TOMM40
NM_006114.3
c.844C>Ap.Leu282Met
missense splice_region
Exon 9 of 10NP_006105.1O96008-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TOMM40
ENST00000426677.7
TSL:1 MANE Select
c.844C>Ap.Leu282Met
missense splice_region
Exon 8 of 9ENSP00000410339.1O96008-1
TOMM40
ENST00000252487.9
TSL:1
c.844C>Ap.Leu282Met
missense splice_region
Exon 9 of 10ENSP00000252487.4O96008-1
TOMM40
ENST00000405636.6
TSL:1
c.844C>Ap.Leu282Met
missense splice_region
Exon 9 of 10ENSP00000385184.2O96008-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD2 exomes
AF:
0.00000399
AC:
1
AN:
250602
AF XY:
0.00
show subpopulations
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:
0.00000884
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Cov.:
37
GnomAD4 genome
Cov.:
33
ExAC
AF:
0.00000824
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.44
BayesDel_addAF
Benign
-0.078
T
BayesDel_noAF
Benign
-0.35
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Benign
0.11
T
Eigen
Uncertain
0.20
Eigen_PC
Benign
0.010
FATHMM_MKL
Uncertain
0.76
D
LIST_S2
Benign
0.85
T
M_CAP
Benign
0.035
D
MetaRNN
Benign
0.41
T
MetaSVM
Benign
-0.69
T
MutationAssessor
Pathogenic
3.2
M
PhyloP100
0.0010
PrimateAI
Uncertain
0.75
T
PROVEAN
Benign
-0.85
N
REVEL
Benign
0.27
Sift
Uncertain
0.0040
D
Sift4G
Uncertain
0.013
D
Polyphen
1.0
D
Vest4
0.52
MutPred
0.76
Gain of ubiquitination at K277 (P = 0.0668)
MVP
0.51
MPC
2.1
ClinPred
0.82
D
GERP RS
0.018
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.45
Mutation Taster
=54/46
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000081
dbscSNV1_RF
Benign
0.012
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: rs750501486; hg19: chr19-45404465; API