19-47802208-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_001397346.1(TPRX1):​c.968C>T​(p.Pro323Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000123 in 1,460,294 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.000012 ( 0 hom. )

Consequence

TPRX1
NM_001397346.1 missense

Scores

3
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -2.42
Variant links:
Genes affected
TPRX1 (HGNC:32174): (tetrapeptide repeat homeobox 1) Homeobox genes encode DNA-binding proteins, many of which are thought to be involved in early embryonic development. Homeobox genes encode a DNA-binding domain of 60 to 63 amino acids referred to as the homeodomain. This gene is a member of the TPRX homeobox gene family. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.038057297).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TPRX1NM_001397346.1 linkuse as main transcriptc.968C>T p.Pro323Leu missense_variant 3/3 ENST00000698655.1 NP_001384275.1
TPRX1NM_198479.3 linkuse as main transcriptc.1094C>T p.Pro365Leu missense_variant 4/4 NP_940881.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TPRX1ENST00000698655.1 linkuse as main transcriptc.968C>T p.Pro323Leu missense_variant 3/3 NM_001397346.1 ENSP00000513863 A2
TPRX1ENST00000535759.2 linkuse as main transcriptc.1094C>T p.Pro365Leu missense_variant 4/41 ENSP00000438832 A2
TPRX1ENST00000322175.8 linkuse as main transcriptc.620C>T p.Pro207Leu missense_variant 4/41 ENSP00000513867 P4

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.0000285
AC:
7
AN:
245348
Hom.:
0
AF XY:
0.0000225
AC XY:
3
AN XY:
133286
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000382
Gnomad SAS 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:
0.0000123
AC:
18
AN:
1460294
Hom.:
0
Cov.:
32
AF XY:
0.0000138
AC XY:
10
AN XY:
726364
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000176
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000810
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
33
Bravo
AF:
0.00000756
ExAC
AF:
0.0000247
AC:
3

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 GeneticsFeb 28, 2023The c.803C>T (p.P268L) alteration is located in exon 2 (coding exon 2) of the TPRX1 gene. This alteration results from a C to T substitution at nucleotide position 803, causing the proline (P) at amino acid position 268 to be replaced by a leucine (L). 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
Benign
-0.29
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
11
DANN
Benign
0.34
DEOGEN2
Benign
0.13
T;T;.
Eigen
Benign
-1.7
Eigen_PC
Benign
-1.8
FATHMM_MKL
Benign
0.0017
N
LIST_S2
Benign
0.42
T;T;T
M_CAP
Benign
0.012
T
MetaRNN
Benign
0.038
T;T;T
MetaSVM
Benign
-0.65
T
MutationAssessor
Benign
0.69
N;.;.
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Benign
0.22
T
PROVEAN
Uncertain
-2.5
N;N;D
REVEL
Benign
0.15
Sift
Uncertain
0.0090
D;D;D
Sift4G
Uncertain
0.016
D;D;D
Polyphen
0.10
B;.;.
Vest4
0.059
MutPred
0.36
Loss of loop (P = 0.0804);.;.;
MVP
0.076
MPC
0.062
ClinPred
0.031
T
GERP RS
-1.4
Varity_R
0.044
gMVP
0.17

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

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs764622330; hg19: chr19-48305465; API